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HEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS 401k Plan overview

Plan NameHEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS
Plan identification number 501

HEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS 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)

401k Sponsoring company profile

HEADINGTON REALTY & CAPITAL LLC has sponsored the creation of one or more 401k plans.

Company Name:HEADINGTON REALTY & CAPITAL LLC
Employer identification number (EIN):752765798
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Additional information about HEADINGTON REALTY & CAPITAL LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2007-11-30
Company Identification Number: 0800903849
Legal Registered Office Address: 2711 N HASKELL AVE STE 2800

DALLAS
United States of America (USA)
75204

More information about HEADINGTON REALTY & CAPITAL LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01PETER A. NELSON

Plan Statistics for HEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS

401k plan membership statisitcs for HEADINGTON REALTY & CAPITAL LLC EMPLOYEE BENEFITS

Measure Date Value
2017
Total participants, beginning-of-year2017-01-01220
Total number of active participants reported on line 7a of the Form 55002017-01-01333
Number of retired or separated participants receiving benefits2017-01-018
Total of all active and inactive participants2017-01-01341

Form 5500 Responses

2017
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340516
Policy instance 1
Insurance contract or identification number3340516
Number of Individuals Covered548
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $28,401
Total amount of fees paid to insurance companyUSD $2,238
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $288,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,401
Insurance broker organization code?3
Amount paid for insurance broker fees2238
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker nameHOLMES MURPHY & ASSOCIATES LLC
BLOCK VISION (National Association of Insurance Commissioners NAIC id number: 95387 )
Policy contract number35700
Policy instance 2
Insurance contract or identification number35700
Number of Individuals Covered835
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,738
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,738
Insurance broker organization code?3
Insurance broker nameHOLMES MURPHY & ASSOCIATES LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967715
Policy instance 3
Insurance contract or identification numberFLX967715
Number of Individuals Covered341
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,424
Total amount of fees paid to insurance companyUSD $3,005
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,669
Amount paid for insurance broker fees3005
Additional information about fees paid to insurance brokerOVERRIDE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 965277
Policy instance 4
Insurance contract or identification numberLK 965277
Number of Individuals Covered312
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,985
Total amount of fees paid to insurance companyUSD $3,388
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,046
Amount paid for insurance broker fees3388
Additional information about fees paid to insurance brokerOVERRIDE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962280
Policy instance 5
Insurance contract or identification numberVDT962280
Number of Individuals Covered64
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,723
Total amount of fees paid to insurance companyUSD $3,025
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,150
Amount paid for insurance broker fees3025
Additional information about fees paid to insurance brokerOVERRIDE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 969222
Policy instance 6
Insurance contract or identification numberOK 969222
Number of Individuals Covered341
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,362
Total amount of fees paid to insurance companyUSD $578
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,202
Amount paid for insurance broker fees578
Additional information about fees paid to insurance brokerOVERRIDE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES

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