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Plan Name | ALLIANCE FOR SOUTH SOUND HEALTH DBA WELLFOUND BEHAVIORAL HEALTH HOSPITAL WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ALLIANCE FOR SOUTH SOUND HEALTH |
Employer identification number (EIN): | 474654897 |
NAIC Classification: | 622000 |
NAIC Description: | Hospitals |
Additional information about ALLIANCE FOR SOUTH SOUND HEALTH
Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
Incorporation Date: | 2014-12-11 |
Company Identification Number: | 603458691 |
Legal Registered Office Address: |
711 CAPITOL WAY S SUITE 204 OLYMPIA United States of America (USA) 985011267 |
More information about ALLIANCE FOR SOUTH SOUND HEALTH
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-01-01 | LACY RANGER | 2023-04-26 | ||
501 | 2021-01-01 | CHRIS RAKUNAS | 2022-05-31 |
Measure | Date | Value |
---|---|---|
2022: ALLIANCE FOR SOUTH SOUND HEALTH DBA WELLFOUND BEHAVIORAL HEALTH HOSPITAL WELFARE BENEFIT PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 137 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 111 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 1 |
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 | 112 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2021: ALLIANCE FOR SOUTH SOUND HEALTH DBA WELLFOUND BEHAVIORAL HEALTH HOSPITAL WELFARE BENEFIT PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 145 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 136 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 137 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2022: ALLIANCE FOR SOUTH SOUND HEALTH DBA WELLFOUND BEHAVIORAL HEALTH HOSPITAL WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: ALLIANCE FOR SOUTH SOUND HEALTH DBA WELLFOUND BEHAVIORAL HEALTH HOSPITAL WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | First time form 5500 has been submitted | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||
Policy contract number | 168223 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||
Policy contract number | 168223 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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