401k Plan data: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN plan

VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 401k Plan overview

Plan Name	VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN
Plan identification number	019

VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations. Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SWEDISH HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name: SWEDISH HEALTH SERVICES

Employer identification number (EIN): 910433740

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SWEDISH HEALTH SERVICES

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1908-07-20

Company Identification Number: 178049719

Legal Registered Office Address: 711 CAPITOL WAY S STE 204

OLYMPIA
United States of America (USA)
985011267

More information about SWEDISH HEALTH SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
019 2024-01-01 REBECCA BROWN
019 2023-01-01
019 2023-01-01 REBECCA BROWN
019 2022-01-01
019 2022-01-01 REBECCA BROWN
019 2021-01-01
019 2021-01-01 REBECCA BROWN
019 2020-01-01
019 2019-01-01
019 2018-01-01
019 2017-01-01 REBECCA BROWN
019 2016-01-01 REBECCA BROWN
019 2015-01-01 REBECCA BROWN
019 2014-01-01 REBECCA BROWN
019 2013-01-01 REBECCA J. BROWN
019 2012-01-01 REBECCA J. BROWN
019 2011-01-01 REBECCA J. BROWN
019 2010-01-01 STEVE ANDERSON JOANNE SUFFIS 2011-09-12
019 2009-01-01 STEVE ANDERSON JOANNE SUFFIS 2010-10-14

Financial Data on VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN

Measure	Date	Value
2023 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2023 401k financial data
Total income from all sources	2023-12-31	$118,054
Expenses. Total of all expenses incurred	2023-12-31	$30,733
Benefits paid (including direct rollovers)	2023-12-31	$30,352
Total plan assets at end of year	2023-12-31	$1,032,339
Total plan assets at beginning of year	2023-12-31	$945,018
Value of fidelity bond covering the plan	2023-12-31	$15,000,000
Expenses. Other expenses not covered elsewhere	2023-12-31	$381
Other income received	2023-12-31	$118,054
Net income (gross income less expenses)	2023-12-31	$87,321
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$1,032,339
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$945,018
2022 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-93,484
Expenses. Total of all expenses incurred	2022-12-31	$29,980
Benefits paid (including direct rollovers)	2022-12-31	$29,605
Total plan assets at end of year	2022-12-31	$945,018
Total plan assets at beginning of year	2022-12-31	$1,068,482
Value of fidelity bond covering the plan	2022-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2022-12-31	$375
Other income received	2022-12-31	$-93,484
Net income (gross income less expenses)	2022-12-31	$-123,464
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$945,018
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,068,482
2021 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$88,676
Expenses. Total of all expenses incurred	2021-12-31	$60,496
Benefits paid (including direct rollovers)	2021-12-31	$60,119
Total plan assets at end of year	2021-12-31	$1,068,482
Total plan assets at beginning of year	2021-12-31	$1,040,302
Value of fidelity bond covering the plan	2021-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2021-12-31	$377
Other income received	2021-12-31	$88,676
Net income (gross income less expenses)	2021-12-31	$28,180
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,068,482
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,040,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$105,700
Expenses. Total of all expenses incurred	2020-12-31	$11,497
Benefits paid (including direct rollovers)	2020-12-31	$11,121
Total plan assets at end of year	2020-12-31	$1,040,302
Total plan assets at beginning of year	2020-12-31	$946,099
Value of fidelity bond covering the plan	2020-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2020-12-31	$376
Other income received	2020-12-31	$105,700
Net income (gross income less expenses)	2020-12-31	$94,203
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,040,302
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$946,099
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$123,037
Expenses. Total of all expenses incurred	2019-12-31	$339,040
Benefits paid (including direct rollovers)	2019-12-31	$338,670
Total plan assets at end of year	2019-12-31	$946,099
Total plan assets at beginning of year	2019-12-31	$1,162,102
Value of fidelity bond covering the plan	2019-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$370
Other income received	2019-12-31	$123,037
Net income (gross income less expenses)	2019-12-31	$-216,003
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$946,099
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,162,102
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-13,658
Expenses. Total of all expenses incurred	2018-12-31	$260,512
Benefits paid (including direct rollovers)	2018-12-31	$260,147
Total plan assets at end of year	2018-12-31	$1,162,102
Total plan assets at beginning of year	2018-12-31	$1,436,272
Value of fidelity bond covering the plan	2018-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$365
Other income received	2018-12-31	$-13,658
Net income (gross income less expenses)	2018-12-31	$-274,170
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,162,102
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,436,272
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$131,987
Expenses. Total of all expenses incurred	2017-12-31	$266,054
Benefits paid (including direct rollovers)	2017-12-31	$265,692
Total plan assets at end of year	2017-12-31	$1,436,272
Total plan assets at beginning of year	2017-12-31	$1,570,339
Value of fidelity bond covering the plan	2017-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$362
Noncash contributions received	2017-12-31	$131,987
Net income (gross income less expenses)	2017-12-31	$-134,067
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,436,272
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,570,339
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$91,888
Expenses. Total of all expenses incurred	2016-12-31	$96,559
Benefits paid (including direct rollovers)	2016-12-31	$96,289
Total plan assets at end of year	2016-12-31	$1,570,339
Total plan assets at beginning of year	2016-12-31	$1,575,010
Value of fidelity bond covering the plan	2016-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2016-12-31	$270
Other income received	2016-12-31	$91,888
Net income (gross income less expenses)	2016-12-31	$-4,671
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,570,339
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,575,010
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$21,564
Expenses. Total of all expenses incurred	2015-12-31	$124,210
Benefits paid (including direct rollovers)	2015-12-31	$123,837
Total plan assets at end of year	2015-12-31	$1,575,010
Total plan assets at beginning of year	2015-12-31	$1,677,656
Value of fidelity bond covering the plan	2015-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$373
Other income received	2015-12-31	$21,564
Net income (gross income less expenses)	2015-12-31	$-102,646
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,575,010
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,677,656
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$92,236
Expenses. Total of all expenses incurred	2014-12-31	$269,450
Benefits paid (including direct rollovers)	2014-12-31	$269,001
Total plan assets at end of year	2014-12-31	$1,677,656
Total plan assets at beginning of year	2014-12-31	$1,854,870
Value of fidelity bond covering the plan	2014-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$449
Other income received	2014-12-31	$92,236
Net income (gross income less expenses)	2014-12-31	$-177,214
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,677,656
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,854,870
Assets. Value of participant loans	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$223,481
Expenses. Total of all expenses incurred	2013-12-31	$151,481
Benefits paid (including direct rollovers)	2013-12-31	$150,950
Total plan assets at end of year	2013-12-31	$1,854,870
Total plan assets at beginning of year	2013-12-31	$1,782,870
Value of fidelity bond covering the plan	2013-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$531
Other income received	2013-12-31	$223,481
Net income (gross income less expenses)	2013-12-31	$72,000
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,854,870
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,782,870
Assets. Value of participant loans	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$158,093
Expenses. Total of all expenses incurred	2012-12-31	$445,700
Benefits paid (including direct rollovers)	2012-12-31	$445,141
Total plan assets at end of year	2012-12-31	$1,782,870
Total plan assets at beginning of year	2012-12-31	$2,070,477
Value of fidelity bond covering the plan	2012-12-31	$500,000
Other income received	2012-12-31	$158,093
Net income (gross income less expenses)	2012-12-31	$-287,607
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,782,870
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,070,477
Assets. Value of participant loans	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$559
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$27,755
Expenses. Total of all expenses incurred	2011-12-31	$145,866
Benefits paid (including direct rollovers)	2011-12-31	$145,220
Total plan assets at end of year	2011-12-31	$2,070,477
Total plan assets at beginning of year	2011-12-31	$2,188,588
Value of fidelity bond covering the plan	2011-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$646
Other income received	2011-12-31	$27,755
Net income (gross income less expenses)	2011-12-31	$-118,111
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,070,477
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,188,588
Assets. Value of participant loans	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$304,680
Expenses. Total of all expenses incurred	2010-12-31	$427,345
Benefits paid (including direct rollovers)	2010-12-31	$426,599
Total plan assets at end of year	2010-12-31	$2,188,588
Total plan assets at beginning of year	2010-12-31	$2,311,253
Value of fidelity bond covering the plan	2010-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$746
Contributions received from other sources (not participants or employers)	2010-12-31	$157,010
Other income received	2010-12-31	$147,670
Net income (gross income less expenses)	2010-12-31	$-122,665
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,188,588
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,311,253
Assets. Value of participant loans	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN

2023: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: VISITING NURSE SERVICES OF THE NORTHWEST 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

Insurance contract or identification number	03428
Number of Individuals Covered	9
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $42
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

Insurance contract or identification number	85573-01
Number of Individuals Covered	14
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85573-01

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

03428

Policy instance

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Company Name:	SWEDISH HEALTH SERVICES
Employer identification number (EIN):	910433740
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1908-07-20
Company Identification Number:	178049719
Legal Registered Office Address:	711 CAPITOL WAY S STE 204 OLYMPIA United States of America (USA) 985011267

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
019	2024-01-01	REBECCA BROWN
019	2023-01-01
019	2023-01-01	REBECCA BROWN
019	2022-01-01
019	2022-01-01	REBECCA BROWN
019	2021-01-01
019	2021-01-01	REBECCA BROWN
019	2020-01-01
019	2019-01-01
019	2018-01-01
019	2017-01-01	REBECCA BROWN
019	2016-01-01	REBECCA BROWN
019	2015-01-01	REBECCA BROWN
019	2014-01-01	REBECCA BROWN
019	2013-01-01	REBECCA J. BROWN
019	2012-01-01	REBECCA J. BROWN
019	2011-01-01	REBECCA J. BROWN
019	2010-01-01	STEVE ANDERSON	JOANNE SUFFIS	2011-09-12
019	2009-01-01	STEVE ANDERSON	JOANNE SUFFIS	2010-10-14