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ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN
Plan identification number 501

ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

ANGEL FIRE RESORT OPERATIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:ANGEL FIRE RESORT OPERATIONS, LLC
Employer identification number (EIN):752623230
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-11-01MAYA LENGERICH2025-01-15
5012022-11-01MAYA LENGERICH2024-01-23
5012021-11-01MAYA LENGERICH2023-02-21

Form 5500 Responses for ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN

2023: ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-11-01Type of plan entitySingle employer plan
2023-11-01Plan funding arrangement – InsuranceYes
2023-11-01Plan funding arrangement – General assets of the sponsorYes
2023-11-01Plan benefit arrangement – InsuranceYes
2023-11-01Plan benefit arrangement – General assets of the sponsorYes
2022: ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – General assets of the sponsorYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – General assets of the sponsorYes
2021: ANGEL FIRE RESORT OPERATIONS, LLC HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01First time form 5500 has been submittedYes
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number235171
Policy instance 1
Insurance contract or identification number235171
Number of Individuals Covered116
Insurance policy start date2023-11-01
Insurance policy end date2024-10-31
Total amount of commissions paid to insurance brokerUSD $52,643
Total amount of fees paid to insurance companyUSD $2,011
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,012,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30043086
Policy instance 2
Insurance contract or identification number30043086
Number of Individuals Covered69
Insurance policy start date2023-11-01
Insurance policy end date2024-10-31
Total amount of commissions paid to insurance brokerUSD $872
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0173E
Policy instance 3
Insurance contract or identification numberGLUG0173E
Number of Individuals Covered102
Insurance policy start date2023-11-01
Insurance policy end date2024-10-31
Total amount of commissions paid to insurance brokerUSD $10,252
Total amount of fees paid to insurance companyUSD $7,112
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $88,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number235171
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30043086
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0173E
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0173E
Policy instance 1

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