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DESERT CAB LLC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameDESERT CAB LLC EMPLOYEE BENEFITS PLAN
Plan identification number 501

DESERT CAB LLC EMPLOYEE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

DESERT CAB LLC has sponsored the creation of one or more 401k plans.

Company Name:DESERT CAB LLC
Employer identification number (EIN):861813351
NAIC Classification:485310
NAIC Description:Taxi Service

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DESERT CAB LLC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-05-01GEORGE BALABAN2024-10-18

Form 5500 Responses for DESERT CAB LLC EMPLOYEE BENEFITS PLAN

2023: DESERT CAB LLC EMPLOYEE BENEFITS PLAN 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01First time form 5500 has been submittedYes
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000333
Policy instance 1
Insurance contract or identification number10000333
Number of Individuals Covered100
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $26,264
Total amount of fees paid to insurance companyUSD $10,943
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $883,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number751935
Policy instance 2
Insurance contract or identification number751935
Number of Individuals Covered149
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $5,871
Total amount of fees paid to insurance companyUSD $727
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,488
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: 53031 )
Policy contract number2113121
Policy instance 3
Insurance contract or identification number2113121
Number of Individuals Covered85
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $603
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE3649365
Policy instance 4
Insurance contract or identification numberE3649365
Number of Individuals Covered14
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $8,023
Total amount of fees paid to insurance companyUSD $1,209
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $21,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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