WASHINGTON RETAIL HEALTH TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WASHINGTON RETAIL HEALTH TRUST PLAN
| Measure | Date | Value |
|---|
| 2022 : WASHINGTON RETAIL 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 | $134,552 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $145,326 |
| Total income from all sources (including contributions) | 2022-12-31 | $6,116,657 |
| Total of all expenses incurred | 2022-12-31 | $6,127,178 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $5,433,390 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $6,116,324 |
| Value of total assets at end of year | 2022-12-31 | $506,653 |
| Value of total assets at beginning of year | 2022-12-31 | $527,948 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $693,788 |
| 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 | $516,257 |
| 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 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $135,033 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $144,702 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $97,862 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $104,021 |
| Other income not declared elsewhere | 2022-12-31 | $333 |
| Administrative expenses (other) incurred | 2022-12-31 | $9,830 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $36,690 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $41,305 |
| Total non interest bearing cash at end of year | 2022-12-31 | $362,412 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $383,246 |
| 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 |
| Value of net income/loss | 2022-12-31 | $-10,521 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $372,101 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $382,622 |
| 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 | $23,661 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $5,433,390 |
| 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 | $6,116,324 |
| Employer contributions (assets) at end of year | 2022-12-31 | $9,208 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $0 |
| Contract administrator fees | 2022-12-31 | $144,040 |
| 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 RETAIL 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 | $145,326 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $142,654 |
| Total income from all sources (including contributions) | 2021-12-31 | $6,468,145 |
| Total of all expenses incurred | 2021-12-31 | $6,508,116 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $5,796,425 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $6,467,781 |
| Value of total assets at end of year | 2021-12-31 | $527,948 |
| Value of total assets at beginning of year | 2021-12-31 | $565,247 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $711,691 |
| 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 | $540,147 |
| 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 | $144,702 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $152,653 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $104,021 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $105,609 |
| Other income not declared elsewhere | 2021-12-31 | $364 |
| Administrative expenses (other) incurred | 2021-12-31 | $11,947 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $41,305 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $37,045 |
| Total non interest bearing cash at end of year | 2021-12-31 | $383,246 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $412,594 |
| 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 | $-39,971 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $382,622 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $422,593 |
| 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 | $22,887 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $5,796,425 |
| 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 | $6,467,781 |
| Contract administrator fees | 2021-12-31 | $136,710 |
| 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 RETAIL 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 | $142,654 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $191,102 |
| Total income from all sources (including contributions) | 2020-12-31 | $5,852,557 |
| Total of all expenses incurred | 2020-12-31 | $5,844,143 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $5,144,249 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $5,851,475 |
| Value of total assets at end of year | 2020-12-31 | $565,247 |
| Value of total assets at beginning of year | 2020-12-31 | $605,281 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $699,894 |
| 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 | $488,318 |
| 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 | $152,653 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $166,387 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $105,609 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $146,156 |
| Other income not declared elsewhere | 2020-12-31 | $1,082 |
| Administrative expenses (other) incurred | 2020-12-31 | $17,673 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $37,045 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $44,946 |
| Total non interest bearing cash at end of year | 2020-12-31 | $412,594 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $436,007 |
| 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 | $8,414 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $422,593 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $414,179 |
| 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 | $5,144,249 |
| 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 | $5,851,475 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $2,887 |
| Contract administrator fees | 2020-12-31 | $178,178 |
| 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 RETAIL 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 | $191,102 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $191,102 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $266,623 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $266,623 |
| Total income from all sources (including contributions) | 2019-12-31 | $7,554,175 |
| Total income from all sources (including contributions) | 2019-12-31 | $7,554,175 |
| Total of all expenses incurred | 2019-12-31 | $7,344,777 |
| Total of all expenses incurred | 2019-12-31 | $7,344,777 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $6,516,475 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $6,516,475 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $7,387,508 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $7,387,508 |
| Value of total assets at end of year | 2019-12-31 | $605,281 |
| Value of total assets at end of year | 2019-12-31 | $605,281 |
| Value of total assets at beginning of year | 2019-12-31 | $471,404 |
| Value of total assets at beginning of year | 2019-12-31 | $471,404 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $828,302 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $828,302 |
| 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 | $602,949 |
| Administrative expenses professional fees incurred | 2019-12-31 | $602,949 |
| 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 | $166,387 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $166,387 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $146,156 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $146,156 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $216,201 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $216,201 |
| 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 | $756 |
| Administrative expenses (other) incurred | 2019-12-31 | $756 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $44,946 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $44,946 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $50,422 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $50,422 |
| Total non interest bearing cash at end of year | 2019-12-31 | $436,007 |
| Total non interest bearing cash at end of year | 2019-12-31 | $436,007 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $470,219 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $470,219 |
| 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 | $209,398 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $414,179 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $414,179 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $204,781 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $204,781 |
| 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 | $6,516,475 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $6,516,475 |
| 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 | $7,387,508 |
| Contributions received in cash from employer | 2019-12-31 | $7,387,508 |
| Employer contributions (assets) at end of year | 2019-12-31 | $2,887 |
| Employer contributions (assets) at end of year | 2019-12-31 | $2,887 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,185 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,185 |
| Contract administrator fees | 2019-12-31 | $221,380 |
| Contract administrator fees | 2019-12-31 | $221,380 |
| 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 EIN | 2019-12-31 | 200079326 |
| Accountancy firm EIN | 2019-12-31 | 200079326 |
| 2018 : WASHINGTON RETAIL 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 | $266,623 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $276,535 |
| Total income from all sources (including contributions) | 2018-12-31 | $8,410,775 |
| Total of all expenses incurred | 2018-12-31 | $8,405,438 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $7,464,924 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $8,410,775 |
| Value of total assets at end of year | 2018-12-31 | $471,404 |
| Value of total assets at beginning of year | 2018-12-31 | $475,979 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $940,514 |
| 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 | $602,035 |
| 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 | $216,201 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $232,083 |
| Administrative expenses (other) incurred | 2018-12-31 | $815 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $50,422 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $44,452 |
| Total non interest bearing cash at end of year | 2018-12-31 | $470,219 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $475,979 |
| 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 | $5,337 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $204,781 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $199,444 |
| 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 |
| Investment advisory and management fees | 2018-12-31 | $337,664 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $7,464,924 |
| 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 | $8,410,775 |
| Employer contributions (assets) at end of year | 2018-12-31 | $1,185 |
| 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 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2018-12-31 | 200079326 |
| 2017 : WASHINGTON RETAIL 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 | $276,535 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $325,862 |
| Total income from all sources (including contributions) | 2017-12-31 | $6,727,892 |
| Total of all expenses incurred | 2017-12-31 | $6,742,224 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $5,994,089 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $6,727,892 |
| Value of total assets at end of year | 2017-12-31 | $475,979 |
| Value of total assets at beginning of year | 2017-12-31 | $539,638 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $748,135 |
| 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 | $476,937 |
| 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 | $232,083 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $274,925 |
| Administrative expenses (other) incurred | 2017-12-31 | $2,607 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $44,452 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $50,937 |
| Total non interest bearing cash at end of year | 2017-12-31 | $475,979 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $481,990 |
| 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 | $-14,332 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $199,444 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $213,776 |
| 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 |
| Investment advisory and management fees | 2017-12-31 | $268,591 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $5,994,089 |
| 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 | $6,727,892 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $57,648 |
| 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 | DINGUS, ZARECOR & ASSOCIATES PLLC |
| Accountancy firm EIN | 2017-12-31 | 200079326 |
| 2016 : WASHINGTON RETAIL 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 | $376,835 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $139,477 |
| Total income from all sources (including contributions) | 2016-12-31 | $7,327,448 |
| Total of all expenses incurred | 2016-12-31 | $7,313,084 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $6,490,296 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $7,327,448 |
| Value of total assets at end of year | 2016-12-31 | $539,638 |
| Value of total assets at beginning of year | 2016-12-31 | $287,916 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $822,788 |
| 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 | $157,000 |
| 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 | $9,098 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $274,925 |
| Administrative expenses (other) incurred | 2016-12-31 | $370,031 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $101,910 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $139,477 |
| Total non interest bearing cash at end of year | 2016-12-31 | $481,990 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $277,163 |
| 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 | $14,364 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $162,803 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $148,439 |
| 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 | $6,490,296 |
| 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 | $7,327,448 |
| Employer contributions (assets) at end of year | 2016-12-31 | $57,648 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $1,655 |
| Contract administrator fees | 2016-12-31 | $295,757 |
| 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 RETAIL 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 | $139,477 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $540,532 |
| Total income from all sources (including contributions) | 2015-12-31 | $20,776,142 |
| Total of all expenses incurred | 2015-12-31 | $20,696,749 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $18,392,506 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $20,775,609 |
| Value of total assets at end of year | 2015-12-31 | $287,916 |
| Value of total assets at beginning of year | 2015-12-31 | $609,578 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $2,304,243 |
| 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 | $422,944 |
| 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 | $9,098 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $448,801 |
| Other income not declared elsewhere | 2015-12-31 | $533 |
| Administrative expenses (other) incurred | 2015-12-31 | $1,048,803 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $139,477 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $91,731 |
| Total non interest bearing cash at end of year | 2015-12-31 | $277,163 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $601,532 |
| 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 | $79,393 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $148,439 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $69,046 |
| 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 | $18,392,506 |
| 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 | $20,775,609 |
| Employer contributions (assets) at end of year | 2015-12-31 | $1,655 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $8,046 |
| Contract administrator fees | 2015-12-31 | $832,496 |
| 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 RETAIL 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 | $540,532 |
| Total income from all sources (including contributions) | 2014-12-31 | $7,955,526 |
| Total of all expenses incurred | 2014-12-31 | $7,886,480 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $7,012,981 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $7,955,372 |
| Value of total assets at end of year | 2014-12-31 | $609,578 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $873,499 |
| 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 | $158,276 |
| 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 | $448,801 |
| Other income not declared elsewhere | 2014-12-31 | $154 |
| Administrative expenses (other) incurred | 2014-12-31 | $397,649 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $91,731 |
| Total non interest bearing cash at end of year | 2014-12-31 | $601,532 |
| 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 | $69,046 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $69,046 |
| 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 | $7,012,981 |
| 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 | $7,955,372 |
| Employer contributions (assets) at end of year | 2014-12-31 | $8,046 |
| Contract administrator fees | 2014-12-31 | $317,574 |
| 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 |
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,720 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $561,672 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,320 | | Insurance broker organization code? | 3 |
|
| MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | ASET00-01 |
| Policy instance | 6 |
| Insurance contract or identification number | ASET00-01 | | Number of Individuals Covered | 80 | | 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 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $1,530 | | 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 | 675 | | 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 |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00154, 00156 |
| Policy instance | 4 |
| Insurance contract or identification number | 00154, 00156 | | Number of Individuals Covered | 244 | | 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 |
|
| 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 | 410 | | 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 | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 726 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $10,080 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,667,338 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,800 | | 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 | 13 | | 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 | 649225 |
| Policy instance | 5 |
| Insurance contract or identification number | 649225 | | Number of Individuals Covered | 742 | | 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 |
|
| 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 | 462 | | 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 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 837 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $8,140 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,794,581 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,440 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $2,160 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $711,010 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,160 | | Insurance broker organization code? | 3 |
|
| 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 | 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 |
|
| 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 | 460 | | 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 $38,927 | | 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 | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 818 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $9,900 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,231,525 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,240 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,180 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $700,122 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,000 | | Insurance broker organization code? | 3 |
|
| 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 | 424 | | 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 $28,698 | | 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 | 587 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $285 | | 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 $285 | | Insurance broker organization code? | 3 |
|
| 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 | 352 | | 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 |
|
| 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 |
|
| 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 | 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 | 12 | | 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 | 6 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 14 | | 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 | 730 | | 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 |
|
| 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 | 638 | | 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 $33,524 | | 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 | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 1223 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $13,620 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,426,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,560 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 211 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,320 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $839,960 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $900 | | Insurance broker organization code? | 3 |
|
| 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 | 349 | | 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 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 1252 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $21,440 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,699,449 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,140 | | Insurance broker organization code? | 3 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 382 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $3,680 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,440,851 | | 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 |
|
| 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 | 507 | | 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 $36,716 | | 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 | 326 | | 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 |
|
| 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 | 838 | | 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 |
|
| 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 | 15 | | 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 | 649240 |
| Policy instance | 7 |
| Insurance contract or identification number | 649240 | | Number of Individuals Covered | 15 | | 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 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000074 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 359 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,420 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,140,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $880 | | Insurance broker organization code? | 3 | | Insurance broker name | CORKERY & JONES BENEFITS INC |
|
| 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 | 224 | | 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 | 910 | | 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 |
|
| 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 | 411 | | 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 $20,511 | | 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 | 100000074 |
| Policy instance | 2 |
| Insurance contract or identification number | 100000074 | | Number of Individuals Covered | 1244 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $13,680 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,650,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,680 | | Insurance broker organization code? | 3 | | Insurance broker name | CLG EMPLOYER RESOURCES LLC |
|
| MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 47098 ) |
| Policy contract number | 100000032 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000032 | | Number of Individuals Covered | 4251 | | 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 | 100000032 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000032 | | Number of Individuals Covered | 3877 | | 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 |
|
