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WESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS 401k Plan overview

Plan NameWESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS
Plan identification number 501

WESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

WESTERN STATE DESIGN, INC. has sponsored the creation of one or more 401k plans.

Company Name:WESTERN STATE DESIGN, INC.
Employer identification number (EIN):813796471
NAIC Classification:812310
NAIC Description:Coin-Operated Laundries and Drycleaners

Additional information about WESTERN STATE DESIGN, INC.

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development
Incorporation Date: 2008-03-25
Company Identification Number: 114938
Legal Registered Office Address: 14241 NE WOODINVILLE DUVALL RD.

WOODINVILLE
United States of America (USA)
98072

More information about WESTERN STATE DESIGN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01MARIANNE LENCI2024-04-18

Form 5500 Responses for WESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS

2022: WESTERN STATE DESIGN HEALTH AND WELFARE BENEFIT PLANS 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1352400
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number662
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30018170
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05997716
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12089
Policy instance 5

Potentially related plans

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