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EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 401k Plan overview

Plan NameEMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST
Plan identification number 501

EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • 10 or more employer plan under Code section 419A(f)(6).
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

WASHINGTON STATE LODGE OF THE FRATERNAL ORDER OF POLICE has sponsored the creation of one or more 401k plans.

Company Name:WASHINGTON STATE LODGE OF THE FRATERNAL ORDER OF POLICE
Employer identification number (EIN):911739886
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MARK COLEMAN MARK COLEMAN2018-10-08
5012016-01-01MARK COLEMAN MARK COLEMAN2017-10-16
5012015-01-01MARK COLEMAN MARK COLEMAN2016-10-13
5012014-01-01MARK COLEMAN MARK COLEMAN2015-09-01
5012013-01-01MARK COLEMAN MARK COLEMAN2014-09-23
5012012-01-01MARK COLEMAN MARK COLEMAN2013-10-07
5012011-01-01CHARLES REISENAUER CHARLES REISENAUER2012-10-12
5012009-01-01CHARLES REISENAUER

Plan Statistics for EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST

401k plan membership statisitcs for EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST

Measure Date Value
2022: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-011,575
Total number of active participants reported on line 7a of the Form 55002022-01-011,583
Total of all active and inactive participants2022-01-011,583
Number of employers contributing to the scheme2022-01-0136
2021: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,584
Total number of active participants reported on line 7a of the Form 55002021-01-011,575
Total of all active and inactive participants2021-01-011,575
Number of employers contributing to the scheme2021-01-0138
2020: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,541
Total number of active participants reported on line 7a of the Form 55002020-01-011,584
Total of all active and inactive participants2020-01-011,584
Number of employers contributing to the scheme2020-01-0139
2019: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,502
Total number of active participants reported on line 7a of the Form 55002019-01-011,541
Total of all active and inactive participants2019-01-011,541
Number of employers contributing to the scheme2019-01-0129
2018: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,511
Total number of active participants reported on line 7a of the Form 55002018-01-011,502
Total of all active and inactive participants2018-01-011,502
Number of employers contributing to the scheme2018-01-0124
2017: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01929
Total number of active participants reported on line 7a of the Form 55002017-01-011,511
Total of all active and inactive participants2017-01-011,511
Number of employers contributing to the scheme2017-01-0125
2016: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01885
Total number of active participants reported on line 7a of the Form 55002016-01-01929
Total of all active and inactive participants2016-01-01929
Number of employers contributing to the scheme2016-01-0117
2015: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01520
Total number of active participants reported on line 7a of the Form 55002015-01-01885
Total of all active and inactive participants2015-01-01885
Number of employers contributing to the scheme2015-01-0119
2014: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01484
Total number of active participants reported on line 7a of the Form 55002014-01-01498
Number of retired or separated participants receiving benefits2014-01-0122
Total of all active and inactive participants2014-01-01520
Number of employers contributing to the scheme2014-01-0115
2013: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01485
Total number of active participants reported on line 7a of the Form 55002013-01-01457
Number of retired or separated participants receiving benefits2013-01-0127
Total of all active and inactive participants2013-01-01484
Number of employers contributing to the scheme2013-01-0112
2012: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01402
Total number of active participants reported on line 7a of the Form 55002012-01-01443
Number of retired or separated participants receiving benefits2012-01-0142
Total of all active and inactive participants2012-01-01485
Number of employers contributing to the scheme2012-01-0112
2011: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01402
Total number of active participants reported on line 7a of the Form 55002011-01-01359
Number of retired or separated participants receiving benefits2011-01-0143
Total of all active and inactive participants2011-01-01402
Number of employers contributing to the scheme2011-01-0111
2009: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01323
Total number of active participants reported on line 7a of the Form 55002009-01-01324
Number of retired or separated participants receiving benefits2009-01-0136
Total of all active and inactive participants2009-01-01360
Number of employers contributing to the scheme2009-01-0110

Financial Data on EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST

Measure Date Value
2022 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-915,960
Total unrealized appreciation/depreciation of assets2022-12-31$-915,960
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$84,053
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$59,202
Total income from all sources (including contributions)2022-12-31$1,137,617
Total loss/gain on sale of assets2022-12-31$205,725
Total of all expenses incurred2022-12-31$1,358,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,197,172
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,739,247
Value of total assets at end of year2022-12-31$6,086,167
Value of total assets at beginning of year2022-12-31$6,281,981
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$161,110
Total interest from all sources2022-12-31$50,266
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$58,339
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$58,339
Administrative expenses professional fees incurred2022-12-31$24,751
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$200,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$183,575
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$100,486
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$27,014
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$24,472
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$10,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$14,448
Administrative expenses (other) incurred2022-12-31$16,543
Liabilities. Value of operating payables at end of year2022-12-31$50,177
Liabilities. Value of operating payables at beginning of year2022-12-31$1,635
Total non interest bearing cash at end of year2022-12-31$379,127
Total non interest bearing cash at beginning of year2022-12-31$423,790
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-220,665
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,002,114
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,222,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$41,516
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,067,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,268,952
Interest earned on other investments2022-12-31$1,735
Income. Interest from corporate debt instruments2022-12-31$48,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$259,248
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$265,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$265,262
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$613,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,739,247
Employer contributions (assets) at end of year2022-12-31$131,519
Employer contributions (assets) at beginning of year2022-12-31$51,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$583,843
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$2,038,392
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$2,147,993
Contract administrator fees2022-12-31$78,300
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$23,354
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$43,119
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,777,972
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,572,247
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2022-12-31910614823
2021 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$320,600
Total unrealized appreciation/depreciation of assets2021-12-31$320,600
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$59,202
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$35,910
Total income from all sources (including contributions)2021-12-31$2,209,536
Total loss/gain on sale of assets2021-12-31$122,034
Total of all expenses incurred2021-12-31$1,305,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,200,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,666,063
Value of total assets at end of year2021-12-31$6,281,981
Value of total assets at beginning of year2021-12-31$5,354,940
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$104,963
Total interest from all sources2021-12-31$59,034
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$41,805
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$41,805
Administrative expenses professional fees incurred2021-12-31$19,637
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$200,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$100,486
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$24,472
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$14,448
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$13,354
Administrative expenses (other) incurred2021-12-31$12,314
Liabilities. Value of operating payables at end of year2021-12-31$1,635
Liabilities. Value of operating payables at beginning of year2021-12-31$950
Total non interest bearing cash at end of year2021-12-31$423,790
Total non interest bearing cash at beginning of year2021-12-31$880,267
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$903,749
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,222,779
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,319,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$41,812
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,268,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,160,193
Interest earned on other investments2021-12-31$943
Income. Interest from corporate debt instruments2021-12-31$58,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$265,262
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$568,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$568,991
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$652,932
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,666,063
Employer contributions (assets) at end of year2021-12-31$51,026
Employer contributions (assets) at beginning of year2021-12-31$54,277
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$547,892
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$2,147,993
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$1,689,086
Contract administrator fees2021-12-31$31,200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$43,119
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$21,606
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$1,245,117
Aggregate carrying amount (costs) on sale of assets2021-12-31$1,123,083
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2021-12-31910614823
2020 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$151,083
Total unrealized appreciation/depreciation of assets2020-12-31$151,083
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$35,910
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$15,791
Total income from all sources (including contributions)2020-12-31$1,747,396
Total loss/gain on sale of assets2020-12-31$-58,883
Total of all expenses incurred2020-12-31$1,159,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,065,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,589,874
Value of total assets at end of year2020-12-31$5,354,940
Value of total assets at beginning of year2020-12-31$4,747,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$94,569
Total interest from all sources2020-12-31$42,238
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$23,084
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$23,084
Administrative expenses professional fees incurred2020-12-31$24,717
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$200,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,126
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$13,354
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$13,930
Administrative expenses (other) incurred2020-12-31$15,036
Liabilities. Value of operating payables at end of year2020-12-31$950
Liabilities. Value of operating payables at beginning of year2020-12-31$1,861
Total non interest bearing cash at end of year2020-12-31$880,267
Total non interest bearing cash at beginning of year2020-12-31$415,430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$587,471
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,319,030
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,731,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$23,616
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,160,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,522,465
Income. Interest from corporate debt instruments2020-12-31$42,238
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$568,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$86,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$86,028
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$674,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,589,874
Employer contributions (assets) at end of year2020-12-31$54,277
Employer contributions (assets) at beginning of year2020-12-31$45,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$391,232
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$1,689,086
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$1,675,869
Contract administrator fees2020-12-31$31,200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$21,606
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$4,812,681
Aggregate carrying amount (costs) on sale of assets2020-12-31$4,871,564
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2020-12-31910614823
2019 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$327,351
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$327,351
Total unrealized appreciation/depreciation of assets2019-12-31$327,351
Total unrealized appreciation/depreciation of assets2019-12-31$327,351
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$15,791
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$50,762
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$50,762
Total income from all sources (including contributions)2019-12-31$1,967,425
Total income from all sources (including contributions)2019-12-31$1,967,425
Total loss/gain on sale of assets2019-12-31$-18,338
Total loss/gain on sale of assets2019-12-31$-18,338
Total of all expenses incurred2019-12-31$1,126,710
Total of all expenses incurred2019-12-31$1,126,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,029,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,029,613
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,580,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,580,000
Value of total assets at end of year2019-12-31$4,747,350
Value of total assets at end of year2019-12-31$4,747,350
Value of total assets at beginning of year2019-12-31$3,941,606
Value of total assets at beginning of year2019-12-31$3,941,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$97,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$97,097
Total interest from all sources2019-12-31$58,775
Total interest from all sources2019-12-31$58,775
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$19,637
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$19,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$19,637
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$19,637
Administrative expenses professional fees incurred2019-12-31$23,075
Administrative expenses professional fees incurred2019-12-31$23,075
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$200,000
Value of fidelity bond cover2019-12-31$200,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,126
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$15,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$15,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$50,762
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$50,762
Administrative expenses (other) incurred2019-12-31$16,043
Administrative expenses (other) incurred2019-12-31$16,043
Total non interest bearing cash at end of year2019-12-31$415,430
Total non interest bearing cash at end of year2019-12-31$415,430
Total non interest bearing cash at beginning of year2019-12-31$416,797
Total non interest bearing cash at beginning of year2019-12-31$416,797
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$840,715
Value of net income/loss2019-12-31$840,715
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,731,559
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,731,559
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,890,844
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,890,844
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$30,379
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,074,265
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,074,265
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$513,457
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$513,457
Income. Interest from corporate debt instruments2019-12-31$38,075
Income. Interest from corporate debt instruments2019-12-31$38,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$534,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$534,227
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,541,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,541,513
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,541,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,541,513
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$20,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$20,700
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$643,173
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$643,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,580,000
Contributions received in cash from employer2019-12-31$1,580,000
Employer contributions (assets) at end of year2019-12-31$45,432
Employer contributions (assets) at beginning of year2019-12-31$63,344
Employer contributions (assets) at beginning of year2019-12-31$63,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$386,440
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$386,440
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,675,870
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,675,870
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,404,346
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,404,346
Contract administrator fees2019-12-31$27,600
Contract administrator fees2019-12-31$27,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$680,536
Aggregate proceeds on sale of assets2019-12-31$680,536
Aggregate carrying amount (costs) on sale of assets2019-12-31$698,874
Aggregate carrying amount (costs) on sale of assets2019-12-31$698,874
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31SCHOEDEL & SCHOEDEL CPAS, PLLC
Accountancy firm name2019-12-31SCHOEDEL & SCHOEDEL CPAS, PLLC
Accountancy firm EIN2019-12-31910614823
Accountancy firm EIN2019-12-31910614823
2018 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-235,426
Total unrealized appreciation/depreciation of assets2018-12-31$-235,426
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$135,762
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$117,884
Total income from all sources (including contributions)2018-12-31$1,453,005
Total loss/gain on sale of assets2018-12-31$112,421
Total of all expenses incurred2018-12-31$1,082,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$988,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,510,630
Value of total assets at end of year2018-12-31$3,941,606
Value of total assets at beginning of year2018-12-31$3,553,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$93,463
Total interest from all sources2018-12-31$48,415
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$16,965
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$16,965
Administrative expenses professional fees incurred2018-12-31$21,823
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$200,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,339
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$50,762
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$16,884
Administrative expenses (other) incurred2018-12-31$16,484
Total non interest bearing cash at end of year2018-12-31$416,797
Total non interest bearing cash at beginning of year2018-12-31$431,744
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$370,702
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,805,844
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,435,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$27,556
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$513,457
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,780,623
Income. Interest from corporate debt instruments2018-12-31$41,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,541,513
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$115,724
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$115,724
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$6,844
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$701,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,510,630
Employer contributions (assets) at end of year2018-12-31$63,344
Employer contributions (assets) at beginning of year2018-12-31$25,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$287,516
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$1,404,346
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,197,114
Contract administrator fees2018-12-31$27,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$85,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$101,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$2,079,613
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,967,192
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31SCHOEDEL & SCHOEDEL CPAS, PLLC
Accountancy firm EIN2018-12-31910614823
2017 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$276,909
Total unrealized appreciation/depreciation of assets2017-12-31$276,909
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$117,884
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$82,849
Total income from all sources (including contributions)2017-12-31$1,866,922
Total loss/gain on sale of assets2017-12-31$11,441
Total of all expenses incurred2017-12-31$1,111,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,029,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,525,190
Value of total assets at end of year2017-12-31$3,553,026
Value of total assets at beginning of year2017-12-31$2,762,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$82,351
Total interest from all sources2017-12-31$30,826
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$22,556
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$22,556
Administrative expenses professional fees incurred2017-12-31$19,011
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$200,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$2,339
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,530
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$16,884
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$26,849
Administrative expenses (other) incurred2017-12-31$13,140
Total non interest bearing cash at end of year2017-12-31$431,744
Total non interest bearing cash at beginning of year2017-12-31$421,116
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$755,082
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,435,142
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,680,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$22,600
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,780,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,096,905
Income. Interest from corporate debt instruments2017-12-31$30,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$115,724
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$262,801
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$262,801
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$82
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$727,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,525,190
Employer contributions (assets) at end of year2017-12-31$25,482
Employer contributions (assets) at beginning of year2017-12-31$29,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$302,365
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,197,114
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$949,628
Contract administrator fees2017-12-31$27,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$101,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$56,000
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$465,209
Aggregate carrying amount (costs) on sale of assets2017-12-31$453,768
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2017-12-31910614823
2016 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$25,551
Total unrealized appreciation/depreciation of assets2016-12-31$25,551
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$82,849
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$91,619
Total income from all sources (including contributions)2016-12-31$1,283,773
Total loss/gain on sale of assets2016-12-31$-37,648
Total of all expenses incurred2016-12-31$953,272
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$873,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,268,326
Value of total assets at end of year2016-12-31$2,762,909
Value of total assets at beginning of year2016-12-31$2,441,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$79,438
Total interest from all sources2016-12-31$19,164
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$8,380
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$8,380
Administrative expenses professional fees incurred2016-12-31$20,384
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$200,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,530
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$7,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$26,849
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$16,619
Administrative expenses (other) incurred2016-12-31$13,594
Total non interest bearing cash at end of year2016-12-31$421,116
Total non interest bearing cash at beginning of year2016-12-31$324,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$330,501
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,680,060
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,349,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$17,860
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,096,905
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$324,890
Income. Interest from corporate debt instruments2016-12-31$19,108
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$262,801
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$694,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$694,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$56
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$640,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,268,326
Employer contributions (assets) at end of year2016-12-31$29,929
Employer contributions (assets) at beginning of year2016-12-31$25,506
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$233,050
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$949,628
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$811,832
Contract administrator fees2016-12-31$27,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$252,616
Liabilities. Value of benefit claims payable at end of year2016-12-31$56,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$75,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$6,372,103
Aggregate carrying amount (costs) on sale of assets2016-12-31$6,409,751
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2016-12-31910614823
2015 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-138,209
Total unrealized appreciation/depreciation of assets2015-12-31$-138,209
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$91,619
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$85,435
Total income from all sources (including contributions)2015-12-31$1,047,156
Total loss/gain on sale of assets2015-12-31$149,868
Total of all expenses incurred2015-12-31$771,636
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$689,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,001,592
Value of total assets at end of year2015-12-31$2,441,178
Value of total assets at beginning of year2015-12-31$2,159,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$81,684
Total interest from all sources2015-12-31$25,102
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$8,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$7,753
Administrative expenses professional fees incurred2015-12-31$20,090
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$200,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$7,050
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$7,190
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$16,619
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$11,256
Administrative expenses (other) incurred2015-12-31$16,022
Total non interest bearing cash at end of year2015-12-31$324,609
Total non interest bearing cash at beginning of year2015-12-31$194,528
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$275,520
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,349,559
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,074,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$17,972
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$324,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$661,679
Income. Interest from corporate debt instruments2015-12-31$25,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$694,675
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$384,782
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$384,782
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$46
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$454,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,001,592
Employer contributions (assets) at end of year2015-12-31$25,506
Employer contributions (assets) at beginning of year2015-12-31$63,254
Income. Dividends from common stock2015-12-31$1,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$235,474
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$811,832
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$716,656
Contract administrator fees2015-12-31$27,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$252,616
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$131,385
Liabilities. Value of benefit claims payable at end of year2015-12-31$75,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$74,179
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$1,288,229
Aggregate carrying amount (costs) on sale of assets2015-12-31$1,138,361
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2015-12-31910614823
2014 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-94,240
Total unrealized appreciation/depreciation of assets2014-12-31$-94,240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$85,435
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$46,008
Total income from all sources (including contributions)2014-12-31$806,531
Total loss/gain on sale of assets2014-12-31$76,551
Total of all expenses incurred2014-12-31$574,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$496,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$791,607
Value of total assets at end of year2014-12-31$2,159,474
Value of total assets at beginning of year2014-12-31$1,888,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$78,164
Total interest from all sources2014-12-31$23,604
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$9,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$8,307
Administrative expenses professional fees incurred2014-12-31$22,422
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$200,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$7,190
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$7,012
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$11,256
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$16,008
Administrative expenses (other) incurred2014-12-31$14,070
Total non interest bearing cash at end of year2014-12-31$194,528
Total non interest bearing cash at beginning of year2014-12-31$134,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$231,963
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,074,039
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,842,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$15,272
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$661,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$726,569
Income. Interest from corporate debt instruments2014-12-31$23,567
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$384,782
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$51,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$51,765
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$37
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$294,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$791,607
Employer contributions (assets) at end of year2014-12-31$63,254
Employer contributions (assets) at beginning of year2014-12-31$51,480
Income. Dividends from common stock2014-12-31$702
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$202,010
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$716,656
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$626,574
Contract administrator fees2014-12-31$26,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$131,385
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$290,245
Liabilities. Value of benefit claims payable at end of year2014-12-31$74,179
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$30,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$1,154,708
Aggregate carrying amount (costs) on sale of assets2014-12-31$1,078,157
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2014-12-31910614823
2013 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$200,395
Total unrealized appreciation/depreciation of assets2013-12-31$200,395
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$46,008
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$65,853
Total income from all sources (including contributions)2013-12-31$825,500
Total loss/gain on sale of assets2013-12-31$9,109
Total of all expenses incurred2013-12-31$468,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$394,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$583,794
Value of total assets at end of year2013-12-31$1,888,084
Value of total assets at beginning of year2013-12-31$1,551,357
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$74,335
Total interest from all sources2013-12-31$22,313
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$9,889
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$8,980
Administrative expenses professional fees incurred2013-12-31$22,035
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$200,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$7,012
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$7,686
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$16,008
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$15,853
Administrative expenses (other) incurred2013-12-31$12,426
Total non interest bearing cash at end of year2013-12-31$134,439
Total non interest bearing cash at beginning of year2013-12-31$32,637
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$356,572
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,842,076
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,485,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$15,874
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$726,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$341,846
Income. Interest from US Government securities2013-12-31$175
Income. Interest from corporate debt instruments2013-12-31$22,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$51,765
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$473,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$473,666
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$14
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$270,587
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$50,133
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$583,794
Employer contributions (assets) at end of year2013-12-31$51,480
Employer contributions (assets) at beginning of year2013-12-31$42,684
Income. Dividends from common stock2013-12-31$909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$124,006
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$626,574
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$540,339
Contract administrator fees2013-12-31$24,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$290,245
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$62,366
Liabilities. Value of benefit claims payable at end of year2013-12-31$30,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$50,000
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$447,163
Aggregate carrying amount (costs) on sale of assets2013-12-31$438,054
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2013-12-31910614823
2012 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$18,850
Total unrealized appreciation/depreciation of assets2012-12-31$18,850
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$65,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$72,928
Total income from all sources (including contributions)2012-12-31$536,496
Total loss/gain on sale of assets2012-12-31$-23,667
Total of all expenses incurred2012-12-31$516,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$439,412
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$511,504
Value of total assets at end of year2012-12-31$1,551,357
Value of total assets at beginning of year2012-12-31$1,537,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$76,636
Total interest from all sources2012-12-31$21,990
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$7,819
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$6,164
Administrative expenses professional fees incurred2012-12-31$22,423
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$200,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$3,528
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$7,686
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$8,987
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$15,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$3,412
Administrative expenses (other) incurred2012-12-31$15,200
Total non interest bearing cash at end of year2012-12-31$32,637
Total non interest bearing cash at beginning of year2012-12-31$47,767
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$20,448
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,485,504
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,465,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$15,013
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$341,846
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Income. Interest from US Government securities2012-12-31$2,288
Income. Interest from corporate debt instruments2012-12-31$19,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$473,666
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$802,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$802,384
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$33
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$240,266
Asset value of US Government securities at end of year2012-12-31$50,133
Asset value of US Government securities at beginning of year2012-12-31$102,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$511,504
Employer contributions (assets) at end of year2012-12-31$42,684
Employer contributions (assets) at beginning of year2012-12-31$20,602
Income. Dividends from common stock2012-12-31$1,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$199,146
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$540,339
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$501,169
Contract administrator fees2012-12-31$24,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$62,366
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$51,516
Liabilities. Value of benefit claims payable at end of year2012-12-31$50,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$69,516
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$1,147,044
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,170,711
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2012-12-31910614823
2011 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$18,363
Total unrealized appreciation/depreciation of assets2011-12-31$18,363
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$72,928
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$27,984
Total income from all sources (including contributions)2011-12-31$434,009
Total loss/gain on sale of assets2011-12-31$-60,071
Total of all expenses incurred2011-12-31$467,827
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$357,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$448,712
Value of total assets at end of year2011-12-31$1,537,984
Value of total assets at beginning of year2011-12-31$1,526,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$109,944
Total interest from all sources2011-12-31$23,972
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$3,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$2,187
Administrative expenses professional fees incurred2011-12-31$51,660
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$200,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$9,273
Participant contributions at end of year2011-12-31$3,528
Participant contributions at beginning of year2011-12-31$4,735
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$8,987
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$15,873
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$3,412
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$10,651
Administrative expenses (other) incurred2011-12-31$15,424
Total non interest bearing cash at end of year2011-12-31$47,767
Total non interest bearing cash at beginning of year2011-12-31$74,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-33,818
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,465,056
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,498,874
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$14,860
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$589,606
Income. Interest from US Government securities2011-12-31$3,225
Income. Interest from corporate debt instruments2011-12-31$19,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$802,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$21,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$21,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$775
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$231,559
Asset value of US Government securities at end of year2011-12-31$102,031
Asset value of US Government securities at beginning of year2011-12-31$103,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$439,439
Employer contributions (assets) at end of year2011-12-31$20,602
Employer contributions (assets) at beginning of year2011-12-31$32,557
Income. Dividends from common stock2011-12-31$846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$126,324
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$501,169
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$427,630
Contract administrator fees2011-12-31$28,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$51,516
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$256,589
Liabilities. Value of benefit claims payable at end of year2011-12-31$69,516
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$17,333
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$1,245,607
Aggregate carrying amount (costs) on sale of assets2011-12-31$1,305,678
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2011-12-31910614823
2010 : EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$231,164
Total unrealized appreciation/depreciation of assets2010-12-31$231,164
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$27,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$19,675
Total income from all sources (including contributions)2010-12-31$483,486
Total loss/gain on sale of assets2010-12-31$-156,678
Total of all expenses incurred2010-12-31$362,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$281,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$383,174
Value of total assets at end of year2010-12-31$1,526,858
Value of total assets at beginning of year2010-12-31$1,397,685
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$80,713
Total interest from all sources2010-12-31$7,269
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$18,557
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$18,299
Administrative expenses professional fees incurred2010-12-31$43,089
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$200,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$45,712
Participant contributions at end of year2010-12-31$4,735
Participant contributions at beginning of year2010-12-31$2,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$15,873
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$10,651
Administrative expenses (other) incurred2010-12-31$11,160
Total non interest bearing cash at end of year2010-12-31$74,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$120,864
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,498,874
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,378,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$6,464
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$589,606
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,351,797
Income. Interest from US Government securities2010-12-31$879
Income. Interest from corporate debt instruments2010-12-31$6,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$21,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$15,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$15,199
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$222
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$229,951
Asset value of US Government securities at end of year2010-12-31$103,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$337,462
Employer contributions (assets) at end of year2010-12-31$32,557
Employer contributions (assets) at beginning of year2010-12-31$28,513
Income. Dividends from common stock2010-12-31$258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$51,958
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$427,630
Contract administrator fees2010-12-31$20,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$256,589
Liabilities. Value of benefit claims payable at end of year2010-12-31$17,333
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$19,675
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$2,322,208
Aggregate carrying amount (costs) on sale of assets2010-12-31$2,478,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2010-12-31910614823

Form 5500 Responses for EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST

2022: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: EMPLOYEE WELFARE BENEFIT PLAN OF THE NORTHWEST PUBLIC EMPLOYEES MEDICAL SAVINGS TRUST / WESTERN STATES POLICE BENEFITS TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 156688
Policy instance 1
Insurance contract or identification numberGL 156688
Number of Individuals Covered944
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $16,956
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $105,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,956
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 128092
Policy instance 2
Insurance contract or identification numberLTD 128092
Number of Individuals Covered944
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $57,279
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $357,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,279
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG 165181
Policy instance 3
Insurance contract or identification numberG 165181
Number of Individuals Covered944
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $25,461
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $159,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,461
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number128092 ETC
Policy instance 1
Insurance contract or identification number128092 ETC
Number of Individuals Covered839
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $104,014
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $650,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,141
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number128092 ETC
Policy instance 1
Insurance contract or identification number128092 ETC
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $652,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG163383
Policy instance 1
Insurance contract or identification numberG163383
Number of Individuals Covered897
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $643,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG163383
Policy instance 1
Insurance contract or identification numberG163383
Number of Individuals Covered893
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $701,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG163383
Policy instance 1
Insurance contract or identification numberG163383
Number of Individuals Covered1059
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $727,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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