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VOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan NameVOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN
Plan identification number 501

VOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

VOLUNTEERS OF AMERICA OF OREGON, INC. has sponsored the creation of one or more 401k plans.

Company Name:VOLUNTEERS OF AMERICA OF OREGON, INC.
Employer identification number (EIN):930395591
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about VOLUNTEERS OF AMERICA OF OREGON, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2030-10-03
Company Identification Number: 3434313
Legal Registered Office Address: 3910 SE STARK ST

PORTLAND
United States of America (USA)
97214

More information about VOLUNTEERS OF AMERICA OF OREGON, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01KAY TORAN2024-12-27

Form 5500 Responses for VOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN

2023: VOLUNTEERS OF AMERICA OF OREGON, INC. WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01First time form 5500 has been submittedYes
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PROVIDENCE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95005 )
Policy contract number104327
Policy instance 1
Insurance contract or identification number104327
Number of Individuals Covered177
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $35,685
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,784,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10017388
Policy instance 2
Insurance contract or identification number10017388
Number of Individuals Covered81
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $2,176
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 75069 )
Policy contract numberOR450
Policy instance 3
Insurance contract or identification numberOR450
Number of Individuals Covered104
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $2,457
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30003165
Policy instance 4
Insurance contract or identification number30003165
Number of Individuals Covered137
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $871
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-020462-00
Policy instance 5
Insurance contract or identification number01-020462-00
Number of Individuals Covered214
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $12,183
Total amount of fees paid to insurance companyUSD $4,254
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $73,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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