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Form 5500 · Employee benefit plan · NORTH LAS VEGAS, NV

LUCKY LUCY D LLC

LUCKY LUCY D LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is DISTINCTIVE INSURANCE. Coverage is written through PROMINENCE HEALTH PLAN and 1 other carrier. The plan's most recent policy period ended in July.

Benefits broker of record
Insurance carrier
Plan renews
July

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-3836497 · plan 501 · as of Jul 2026

Participants
103
Carriers on file
2
Disclosed commissions
$22,778
Renewal month
July

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
PROMINENCE HEALTH PLANHealth41July$16,540
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability82July$6,238

Questions

Who is LUCKY LUCY D LLC's benefits broker?

Per its most recent Form 5500 Schedule A, LUCKY LUCY D LLC's broker of record is DISTINCTIVE INSURANCE.

What insurance carrier does LUCKY LUCY D LLC use?

LUCKY LUCY D LLC's benefit plan is written through PROMINENCE HEALTH PLAN, among 2 disclosed carriers.

When does LUCKY LUCY D LLC's group plan renew?

The most recent Schedule A policy period for LUCKY LUCY D LLC ended in July. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from LUCKY LUCY D LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.