WASHINGTON MANUFACTURING HEALTH TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WASHINGTON MANUFACTURING HEALTH TRUST PLAN
| Measure | Date | Value |
|---|
| 2022 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $73,379 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $73,723 |
| Total income from all sources (including contributions) | 2022-12-31 | $5,775,163 |
| Total of all expenses incurred | 2022-12-31 | $5,800,270 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $5,156,087 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $5,775,163 |
| Value of total assets at end of year | 2022-12-31 | $305,530 |
| Value of total assets at beginning of year | 2022-12-31 | $330,981 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $644,183 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Administrative expenses professional fees incurred | 2022-12-31 | $482,288 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Participant contributions at end of year | 2022-12-31 | $136,571 |
| Participant contributions at beginning of year | 2022-12-31 | $144,109 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $4,028 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $2,846 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $36,600 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $37,158 |
| Administrative expenses (other) incurred | 2022-12-31 | $9,937 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $36,779 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $36,565 |
| Total non interest bearing cash at end of year | 2022-12-31 | $162,004 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $183,551 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Income. Non cash contributions | 2022-12-31 | $333 |
| Value of net income/loss | 2022-12-31 | $-25,107 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $232,151 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $257,258 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $15,359 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $5,156,087 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $5,774,830 |
| Employer contributions (assets) at end of year | 2022-12-31 | $2,927 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $475 |
| Contract administrator fees | 2022-12-31 | $136,599 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
| Did the plan have assets held for investment | 2022-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2022-12-31 | 208149084 |
| 2021 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $73,723 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $127,497 |
| Total income from all sources (including contributions) | 2021-12-31 | $5,795,062 |
| Total of all expenses incurred | 2021-12-31 | $5,798,199 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $5,168,238 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $5,794,753 |
| Value of total assets at end of year | 2021-12-31 | $330,981 |
| Value of total assets at beginning of year | 2021-12-31 | $387,892 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $629,961 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $482,821 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $147,430 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $155,542 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $37,158 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $89,893 |
| Other income not declared elsewhere | 2021-12-31 | $309 |
| Administrative expenses (other) incurred | 2021-12-31 | $9,750 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $36,565 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $37,604 |
| Total non interest bearing cash at end of year | 2021-12-31 | $183,551 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $232,350 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $-3,137 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $257,258 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $260,395 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $15,180 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $5,168,238 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $5,794,753 |
| Contract administrator fees | 2021-12-31 | $122,210 |
| Did the plan have assets held for investment | 2021-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2021-12-31 | 200079326 |
| 2020 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $127,497 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $182,713 |
| Total income from all sources (including contributions) | 2020-12-31 | $5,825,975 |
| Total of all expenses incurred | 2020-12-31 | $5,832,966 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $5,135,555 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $5,824,893 |
| Value of total assets at end of year | 2020-12-31 | $387,892 |
| Value of total assets at beginning of year | 2020-12-31 | $450,099 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $697,411 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $486,305 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $155,542 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $163,450 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $89,893 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $147,076 |
| Other income not declared elsewhere | 2020-12-31 | $1,082 |
| Administrative expenses (other) incurred | 2020-12-31 | $17,681 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $37,604 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $35,637 |
| Total non interest bearing cash at end of year | 2020-12-31 | $232,350 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $286,649 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-6,991 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $260,395 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $267,386 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $15,725 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $5,135,555 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $5,824,893 |
| Contract administrator fees | 2020-12-31 | $177,700 |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2020-12-31 | 200079326 |
| 2019 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $182,713 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $182,713 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $267,292 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $267,292 |
| Total income from all sources (including contributions) | 2019-12-31 | $6,020,627 |
| Total of all expenses incurred | 2019-12-31 | $5,838,709 |
| Total of all expenses incurred | 2019-12-31 | $5,838,709 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $5,176,293 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $5,853,960 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $5,853,960 |
| Value of total assets at end of year | 2019-12-31 | $450,099 |
| Value of total assets at end of year | 2019-12-31 | $450,099 |
| Value of total assets at beginning of year | 2019-12-31 | $352,760 |
| Value of total assets at beginning of year | 2019-12-31 | $352,760 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $662,416 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $662,416 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $481,603 |
| Administrative expenses professional fees incurred | 2019-12-31 | $481,603 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $163,450 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $163,450 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $147,076 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $147,076 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $228,912 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $228,912 |
| Other income not declared elsewhere | 2019-12-31 | $166,667 |
| Other income not declared elsewhere | 2019-12-31 | $166,667 |
| Administrative expenses (other) incurred | 2019-12-31 | $1,081 |
| Administrative expenses (other) incurred | 2019-12-31 | $1,081 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $35,637 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $35,637 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $38,380 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $38,380 |
| Total non interest bearing cash at end of year | 2019-12-31 | $286,649 |
| Total non interest bearing cash at end of year | 2019-12-31 | $286,649 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $351,689 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $351,689 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $181,918 |
| Value of net income/loss | 2019-12-31 | $181,918 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $267,386 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $267,386 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $85,468 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $85,468 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $3,217 |
| Investment advisory and management fees | 2019-12-31 | $3,217 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $5,176,293 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $5,176,293 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $5,853,960 |
| Contributions received in cash from employer | 2019-12-31 | $5,853,960 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,071 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,071 |
| Contract administrator fees | 2019-12-31 | $176,515 |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm name | 2019-12-31 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2019-12-31 | 200079326 |
| Accountancy firm EIN | 2019-12-31 | 200079326 |
| 2018 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $267,292 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $233,180 |
| Total income from all sources (including contributions) | 2018-12-31 | $6,474,638 |
| Total of all expenses incurred | 2018-12-31 | $6,460,865 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $5,734,715 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $6,474,638 |
| Value of total assets at end of year | 2018-12-31 | $352,760 |
| Value of total assets at beginning of year | 2018-12-31 | $304,875 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $726,150 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $466,192 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $228,912 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $196,526 |
| Administrative expenses (other) incurred | 2018-12-31 | $772 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $38,380 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $36,654 |
| Total non interest bearing cash at end of year | 2018-12-31 | $351,689 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $303,838 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $13,773 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $85,468 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $71,695 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $5,734,715 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $6,474,638 |
| Employer contributions (assets) at end of year | 2018-12-31 | $1,071 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $1,037 |
| Contract administrator fees | 2018-12-31 | $259,186 |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | DINGS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2018-12-31 | 200079326 |
| 2017 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $233,180 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $238,447 |
| Total income from all sources (including contributions) | 2017-12-31 | $5,439,799 |
| Total of all expenses incurred | 2017-12-31 | $5,446,284 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $4,837,208 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $5,439,799 |
| Value of total assets at end of year | 2017-12-31 | $304,875 |
| Value of total assets at beginning of year | 2017-12-31 | $316,627 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $609,076 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $389,132 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $196,526 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $213,346 |
| Administrative expenses (other) incurred | 2017-12-31 | $2,060 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $36,654 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $25,101 |
| Total non interest bearing cash at end of year | 2017-12-31 | $303,838 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $297,235 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-6,485 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $71,695 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $78,180 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $4,837,208 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $5,439,799 |
| Employer contributions (assets) at end of year | 2017-12-31 | $1,037 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $19,392 |
| Contract administrator fees | 2017-12-31 | $217,884 |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | DINGS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2017-12-31 | 200079326 |
| 2016 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $255,106 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $17,050 |
| Total income from all sources (including contributions) | 2016-12-31 | $2,804,822 |
| Total of all expenses incurred | 2016-12-31 | $2,810,079 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $2,492,231 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $2,804,822 |
| Value of total assets at end of year | 2016-12-31 | $316,627 |
| Value of total assets at beginning of year | 2016-12-31 | $83,828 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $317,848 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $9,522 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $23,900 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $213,346 |
| Administrative expenses (other) incurred | 2016-12-31 | $196,592 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $41,760 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $17,050 |
| Total non interest bearing cash at end of year | 2016-12-31 | $297,235 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $59,928 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-5,257 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $61,521 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $66,778 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $2,492,231 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $2,804,822 |
| Employer contributions (assets) at end of year | 2016-12-31 | $19,392 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $0 |
| Contract administrator fees | 2016-12-31 | $111,734 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2016-12-31 | 910614823 |
| 2015 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $17,050 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $179,562 |
| Total income from all sources (including contributions) | 2015-12-31 | $7,283,389 |
| Total of all expenses incurred | 2015-12-31 | $7,256,900 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $6,439,687 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $7,282,851 |
| Value of total assets at end of year | 2015-12-31 | $83,828 |
| Value of total assets at beginning of year | 2015-12-31 | $219,851 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $817,213 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $154,754 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $23,900 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $133,449 |
| Other income not declared elsewhere | 2015-12-31 | $538 |
| Administrative expenses (other) incurred | 2015-12-31 | $370,583 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $17,050 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $46,113 |
| Total non interest bearing cash at end of year | 2015-12-31 | $59,928 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $219,851 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $26,489 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $66,778 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $40,289 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $6,439,687 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $7,282,851 |
| Contract administrator fees | 2015-12-31 | $291,876 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Did the plan have assets held for investment | 2015-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2015-12-31 | 910614823 |
| 2014 : WASHINGTON MANUFACTURING HEALTH TRUST PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $179,562 |
| Total income from all sources (including contributions) | 2014-12-31 | $4,174,855 |
| Total of all expenses incurred | 2014-12-31 | $4,134,566 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $3,682,744 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $4,174,778 |
| Value of total assets at end of year | 2014-12-31 | $219,851 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $451,822 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $75,681 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $133,449 |
| Other income not declared elsewhere | 2014-12-31 | $77 |
| Administrative expenses (other) incurred | 2014-12-31 | $209,150 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $46,113 |
| Total non interest bearing cash at end of year | 2014-12-31 | $219,851 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $40,289 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $40,289 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $3,682,744 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $4,174,778 |
| Contract administrator fees | 2014-12-31 | $166,991 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Did the plan have assets held for investment | 2014-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2014-12-31 | 910614823 |
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00154, 00156 |
| Policy instance | 5 |
| Insurance contract or identification number | 00154, 00156 | | Number of Individuals Covered | 360 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 4 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 630 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 403 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 839 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $5,600 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,913,104 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,640 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $706,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 403 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 151-156 |
| Policy instance | 4 |
| Insurance contract or identification number | 151-156 | | Number of Individuals Covered | 541 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 473 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $760 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $345,822 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $520 | | Insurance broker organization code? | 3 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 841 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $5,520 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,533,053 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,900 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 6 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 7 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $2,240 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $482,149 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,080 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 6 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 7 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 359 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,282 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 151-156 |
| Policy instance | 4 |
| Insurance contract or identification number | 151-156 | | Number of Individuals Covered | 425 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 925 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $7,340 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,412,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,740 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 547 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $266 | | 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 $266 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 6 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 509 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 151-156 |
| Policy instance | 4 |
| Insurance contract or identification number | 151-156 | | Number of Individuals Covered | 313 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 467 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,521 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 876 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $9,380 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,516,056 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,920 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $394,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 7 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 7 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649240 |
| Policy instance | 6 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 605 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 151-156, 3873 |
| Policy instance | 4 |
| Insurance contract or identification number | 151-156, 3873 | | Number of Individuals Covered | 376 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 370 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $1,240 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $413,252 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 120 | | Insurance broker organization code? | 3 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 1071 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $15,340 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,032,957 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,640 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000072 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,060 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $477,708 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,200 | | Insurance broker organization code? | 3 | | Insurance broker name | PAYNEWEST INSURANCE INC |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000072 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000072 | | Number of Individuals Covered | 976 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $13,160 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,006,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,520 | | Insurance broker organization code? | 3 | | Insurance broker name | THE VITOLO COMPANY |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 12319758 |
| Policy instance | 3 |
| Insurance contract or identification number | 12319758 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,875 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 151-156, 3873 |
| Policy instance | 4 |
| Insurance contract or identification number | 151-156, 3873 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 686 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 47098 ) |
| Policy contract number | 100000031 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000031 | | Number of Individuals Covered | 1381 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 47098 ) |
| Policy contract number | 100000031 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000031 | | Number of Individuals Covered | 1774 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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