MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN
401k plan membership statisitcs for MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2021: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 392 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 440 |
| Total of all active and inactive participants | 2021-10-01 | 440 |
| 2020: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 326 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 392 |
| Total of all active and inactive participants | 2020-10-01 | 392 |
| 2019: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 285 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 326 |
| Total of all active and inactive participants | 2019-10-01 | 326 |
| 2018: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 247 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 285 |
| Total of all active and inactive participants | 2018-10-01 | 285 |
| 2017: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 267 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 247 |
| Total of all active and inactive participants | 2017-10-01 | 247 |
| 2016: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 369 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 267 |
| Total of all active and inactive participants | 2016-10-01 | 267 |
| 2015: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 384 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 369 |
| Total of all active and inactive participants | 2015-10-01 | 369 |
| 2014: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 383 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 384 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 0 |
| Total of all active and inactive participants | 2014-10-01 | 384 |
| 2013: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 391 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 382 |
| Number of retired or separated participants receiving benefits | 2013-10-01 | 1 |
| Total of all active and inactive participants | 2013-10-01 | 383 |
| 2012: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 411 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 389 |
| Number of retired or separated participants receiving benefits | 2012-10-01 | 2 |
| Total of all active and inactive participants | 2012-10-01 | 391 |
| 2011: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 400 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 407 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 4 |
| Total of all active and inactive participants | 2011-10-01 | 411 |
| 2021: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY WELFARE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 759577 |
| Policy instance | 2 |
| Insurance contract or identification number | 759577 | | Number of Individuals Covered | 440 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $3,507 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,507 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 3447 |
| Policy instance | 1 |
| Insurance contract or identification number | 3447 | | Number of Individuals Covered | 357 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $53,150 | | Total amount of fees paid to insurance company | USD $1,250 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,657,508 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $53,150 | | Amount paid for insurance broker fees | 1250 | | Additional information about fees paid to insurance broker | RETENTION BONUS | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 759577 |
| Policy instance | 2 |
| Insurance contract or identification number | 759577 | | Number of Individuals Covered | 392 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $3,287 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,287 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 3447 |
| Policy instance | 1 |
| Insurance contract or identification number | 3447 | | Number of Individuals Covered | 337 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $50,463 | | Total amount of fees paid to insurance company | USD $600 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,126,150 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50,463 | | Amount paid for insurance broker fees | 600 | | Additional information about fees paid to insurance broker | RETENTION BONUS | | Insurance broker organization code? | 3 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | GRP00004170 |
| Policy instance | 2 |
| Insurance contract or identification number | GRP00004170 | | Number of Individuals Covered | 326 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $6,216 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,216 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 3447 |
| Policy instance | 1 |
| Insurance contract or identification number | 3447 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $42,434 | | Total amount of fees paid to insurance company | USD $5,600 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,952,975 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $42,434 | | Amount paid for insurance broker fees | 5600 | | Additional information about fees paid to insurance broker | RETENTION BONUS | | Insurance broker organization code? | 3 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | GRP00004170 |
| Policy instance | 2 |
| Insurance contract or identification number | GRP00004170 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $6,009 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,772 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,009 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 3447 |
| Policy instance | 1 |
| Insurance contract or identification number | 3447 | | Number of Individuals Covered | 251 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $41,303 | | Total amount of fees paid to insurance company | USD $600 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,981,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,303 | | Amount paid for insurance broker fees | 600 | | Additional information about fees paid to insurance broker | RETENTION BONUS | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 3447 |
| Policy instance | 1 |
| Insurance contract or identification number | 3447 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $43,674 | | Total amount of fees paid to insurance company | USD $2,100 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,575,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | 1080508 |
| Policy instance | 2 |
| Insurance contract or identification number | 1080508 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $6,848 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $47,853 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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