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NEIGHBORHOOD HEALTH CENTER VISION PLAN 401k Plan overview

Plan NameNEIGHBORHOOD HEALTH CENTER VISION PLAN
Plan identification number 503

NEIGHBORHOOD HEALTH CENTER VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

NEIGHBORHOOD HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:NEIGHBORHOOD HEALTH CENTER
Employer identification number (EIN):273524752
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about NEIGHBORHOOD HEALTH CENTER

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2010-11-12
Company Identification Number: 72761399
Legal Registered Office Address: 7320 SW HUNZIKER RD STE 300

PORTLAND
United States of America (USA)
97223

More information about NEIGHBORHOOD HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEIGHBORHOOD HEALTH CENTER VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01BLAIN WEST2023-07-27

Plan Statistics for NEIGHBORHOOD HEALTH CENTER VISION PLAN

401k plan membership statisitcs for NEIGHBORHOOD HEALTH CENTER VISION PLAN

Measure Date Value
2022: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01111
Total number of active participants reported on line 7a of the Form 55002022-01-01113
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01113
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for NEIGHBORHOOD HEALTH CENTER VISION PLAN

2022: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30043865
Policy instance 1
Insurance contract or identification number30043865
Number of Individuals Covered113
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $907
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $907
Amount paid for insurance broker fees0
Insurance broker organization code?3

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