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SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 401k Plan overview

Plan NameSIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN
Plan identification number 501

SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SIMPLY MEASURED has sponsored the creation of one or more 401k plans.

Company Name:SIMPLY MEASURED
Employer identification number (EIN):800528399
NAIC Classification:519100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-06-01
5012016-06-01
5012015-06-01MONICA FLIFLET
5012014-06-01MONICA FLIFLET

Plan Statistics for SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN

401k plan membership statisitcs for SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN

Measure Date Value
2017: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01127
Total number of active participants reported on line 7a of the Form 55002017-06-01104
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01104
Number of employers contributing to the scheme2017-06-010
2016: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01129
Total number of active participants reported on line 7a of the Form 55002016-06-01127
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01127
2015: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01127
Total number of active participants reported on line 7a of the Form 55002015-06-01129
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01129
2014: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01119
Total number of active participants reported on line 7a of the Form 55002014-06-01123
Number of retired or separated participants receiving benefits2014-06-014
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01127

Form 5500 Responses for SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN

2017: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: SIMPLY MEASURED GROUP HEALTH AND WELLNESS PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL153682
Policy instance 4
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number9519133
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number10170
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30040700
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL153682
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30040700
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number10170
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number9519133
Policy instance 1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50020410
Policy instance 5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL153682
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30040700
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number10170
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number9519133
Policy instance 1

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