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DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan NameDENALI MIDCO 2 LLC HEALTH & WELFARE PLAN
Plan identification number 501

DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

DENALI MIDCO 2 LLC has sponsored the creation of one or more 401k plans.

Company Name:DENALI MIDCO 2 LLC
Employer identification number (EIN):873906696
NAIC Classification:811190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-11-01CHARMAINE BRINEGAR2024-05-09
5012021-11-01CHARMAINE BRINEGAR2023-05-26

Plan Statistics for DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN

401k plan membership statisitcs for DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN

Measure Date Value
2022: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01147
Total number of active participants reported on line 7a of the Form 55002022-11-01133
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01133
Number of employers contributing to the scheme2022-11-010
2021: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01119
Total number of active participants reported on line 7a of the Form 55002021-11-01114
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01114
Number of employers contributing to the scheme2021-11-010

Form 5500 Responses for DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN

2022: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes
2021: DENALI MIDCO 2 LLC HEALTH & 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

BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number23961
Policy instance 1
Insurance contract or identification number23961
Number of Individuals Covered266
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $45,945
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $900,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,945
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number23961
Policy instance 1
Insurance contract or identification number23961
Number of Individuals Covered238
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $32,300
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $681,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,300
Amount paid for insurance broker fees0
Insurance broker organization code?3

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