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SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameSIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN
Plan identification number 506

SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

SIERRA PACIFIC INDUSTRIES has sponsored the creation of one or more 401k plans.

Company Name:SIERRA PACIFIC INDUSTRIES
Employer identification number (EIN):680396272
NAIC Classification:321110

Additional information about SIERRA PACIFIC INDUSTRIES

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2001-01-23
Company Identification Number: 0013677906
Legal Registered Office Address: PO BOX 8489

RED BLUFF
United States of America (USA)
96080

More information about SIERRA PACIFIC INDUSTRIES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062020-01-01
5062019-01-01
5062018-01-01
5062017-01-01ANTON JAEGEL MICHAEL J. DALGLISH2018-07-31
5062016-01-01ANTON JAEGEL MICHAEL J. DALGLISH2017-09-27
5062015-01-01ANTON JAEGEL MICHAEL J. DALGLISH2016-07-29
5062014-01-01TRACEY MOORE PAT MCEUEN2015-07-23
5062013-01-01TRACEY MOORE PAT MCEUEN2014-07-16
5062012-01-01TRACEY MOORE PAT MCEUEN2013-06-17
5062011-01-01TRACEY MOORE
5062009-01-01TRACEY MOORE

Plan Statistics for SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN

Measure Date Value
2020: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01801
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
2019: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01777
Total number of active participants reported on line 7a of the Form 55002019-01-01801
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01801
2018: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01716
Total number of active participants reported on line 7a of the Form 55002018-01-01777
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01777
Total participants2018-01-01777
2017: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01564
Total number of active participants reported on line 7a of the Form 55002017-01-01716
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01716
Total participants2017-01-01716
2016: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01502
Total number of active participants reported on line 7a of the Form 55002016-01-01564
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01564
Total participants2016-01-01564
2015: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01497
Total number of active participants reported on line 7a of the Form 55002015-01-01502
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01502
Total participants2015-01-01502
2014: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01494
Total number of active participants reported on line 7a of the Form 55002014-01-01497
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01497
Total participants2014-01-01497
2013: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01487
Total number of active participants reported on line 7a of the Form 55002013-01-01494
Total of all active and inactive participants2013-01-01494
Total participants2013-01-01494
2012: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01439
Total number of active participants reported on line 7a of the Form 55002012-01-01487
Total of all active and inactive participants2012-01-01487
Total participants2012-01-01487
2011: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01427
Total number of active participants reported on line 7a of the Form 55002011-01-01439
Total of all active and inactive participants2011-01-01439
Total participants2011-01-01439
2009: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01499
Total number of active participants reported on line 7a of the Form 55002009-01-01433
Total of all active and inactive participants2009-01-01433
Total participants2009-01-01433

Form 5500 Responses for SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN

2020: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: SIERRA PACIFIC INDUSTRIES WASHINGTON STATE SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered801
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered801
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,793
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,793
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered716
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,746
Total amount of fees paid to insurance companyUSD $300
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,746
Amount paid for insurance broker fees300
Insurance broker nameMERCER HEALTH & BENEFITS LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered502
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,486
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,486
Insurance broker nameMERCER HEALTH & BENEFITS LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered497
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,893
Total amount of fees paid to insurance companyUSD $551
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,893
Amount paid for insurance broker fees551
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker nameMERCER HEALTH & BENEFITS LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered494
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,276
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,276
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered487
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,274
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,274
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS, LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered439
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $29,692
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000210
Policy instance 1
Insurance contract or identification numberWBT000210
Number of Individuals Covered427
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,893
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,153
Commission paid to Insurance BrokerUSD $3,893
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS, LLC

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