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| Plan Name | NORTH OLYMPIC HEALTHCARE NETWORK EAP PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTH OLYMPIC HEALTHCARE NETWORK |
| Employer identification number (EIN): | 471444061 |
| NAIC Classification: | 621900 |
Additional information about NORTH OLYMPIC HEALTHCARE NETWORK
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2014-07-30 |
| Company Identification Number: | 603424555 |
| Legal Registered Office Address: |
106 N LAUREL ST PORT ANGELES United States of America (USA) 983622611 |
More information about NORTH OLYMPIC HEALTHCARE NETWORK
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-01-01 | ALEX J. LEWIS | 2023-07-19 |
| Measure | Date | Value |
|---|---|---|
| 2022: NORTH OLYMPIC HEALTHCARE NETWORK EAP PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 0 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2022: NORTH OLYMPIC HEALTHCARE NETWORK EAP PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | WCIF | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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