# T-Mobile Puerto Rico, LLC Health Plan 401(k) Plan
Source: https://planprovider.pro/companies/t-mobile-puerto-rico-llc-660649631-501

> T-Mobile Puerto Rico, LLC Health Plan's 401(k) plan: 812 participants, plan year 2025 financials, providers, and benchmarks from Form 5500.

Form 5500 filing data for plan year 2025.

## Plan Snapshot

- **Plan Sponsor:** T-Mobile Puerto Rico, LLC Health Plan

- **Sponsor EIN:** 660649631

- **Sponsor Address:** 12920 SE 38TH ST, BELLEVUE, WA, 980061350

- **Plan Type:** 401(k)

- **Plan Number:** 501

- **Total Participants:** 812

- **Total Assets:** $0

## Key Plan Design Features

- **Auto-Enrollment:** No

- **Auto-Escalation:** No

- **Allows Roth Contributions:** No

- **Participant Loans:** No

- **Participant-Directed Investments:** No

- **ERISA Section 404(c) Fiduciary Safe Harbor:** No

## Plan Financials by Year

| Year|Participants|Total Assets|Employer Contrib.|Employee Contrib.|

| 2025|812|$0|$0|$0|

| 2024|748|$0|$0|$0|

| 2023|755|$0|$0|$0|

| 2022|785|$0|$0|$0|

## Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

| Provider Name|
Role|
Direct Compensation|
Indirect Compensation|
Total Fees|

| OTPTUM RX, INC|Other Service Provider|$2,547,325|$9,389|$2,556,714|

| INTERNATIONAL REINSURANCE MANAGERS|Insurance Carrier|—|$149,640|$149,640|

## Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

- **Total Service Provider Fees:** $2,706,354

### Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

| Year|
Total Admin Expenses|
Investment Mgmt Fees|
Contract Admin Fees|
IQPA Audit Fees|
Professional Fees|

| 2025|—|—|—|—|—|

| 2024|—|—|—|—|—|

| 2023|—|—|—|—|—|

| 2022|—|—|—|—|—|

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