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NORRIS & STEVENS INC MEDICAL PLAN 401k Plan overview

Plan NameNORRIS & STEVENS INC MEDICAL PLAN
Plan identification number 501

NORRIS & STEVENS INC MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='930570087' AND PlanID='501'

401k Sponsoring company profile

NORRIS & STEVENS, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORRIS & STEVENS, INC.
Employer identification number (EIN):930570087
NAIC Classification:531210
NAIC Description:Offices of Real Estate Agents and Brokers

Additional information about NORRIS & STEVENS, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2068-07-30
Company Identification Number: 8405516
Legal Registered Office Address: 900 SW 5TH AVE STE 1700

PORTLAND
United States of America (USA)
97204

More information about NORRIS & STEVENS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORRIS & STEVENS INC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01COLLEEN NELMARK2024-07-02
5012022-01-01COLLEEN NELMARK2023-10-06
5012021-01-01COLLEEN NELMARK2022-10-11
5012021-01-01COLLEEN NELMARK2023-11-15

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number3193
Policy instance 1
Insurance contract or identification number3193
Number of Individuals Covered169
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $34,801
Total amount of fees paid to insurance companyUSD $2,500
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,162,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number3193
Policy instance 1
Insurance contract or identification number3193
Number of Individuals Covered157
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $32,163
Total amount of fees paid to insurance companyUSD $147
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,070,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number3193
Policy instance 1

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