ASSOCIATION OF WASHINGTON BUSINESS has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022 : AWB HEALTHCHOICE 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-10-31 | $0 |
| Total income from all sources (including contributions) | 2022-10-31 | $8,779,447 |
| Total loss/gain on sale of assets | 2022-10-31 | $0 |
| Total of all expenses incurred | 2022-10-31 | $8,553,361 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-10-31 | $8,439,204 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-10-31 | $8,779,264 |
| Value of total assets at end of year | 2022-10-31 | $3,655,834 |
| Value of total assets at beginning of year | 2022-10-31 | $3,429,748 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-10-31 | $114,157 |
| Total interest from all sources | 2022-10-31 | $183 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-10-31 | $0 |
| Administrative expenses professional fees incurred | 2022-10-31 | $24,385 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-10-31 | No |
| Income. Received or receivable in cash from other sources (including rollovers) | 2022-10-31 | $253,923 |
| Administrative expenses (other) incurred | 2022-10-31 | $6,409 |
| Total non interest bearing cash at end of year | 2022-10-31 | $3,655,834 |
| Total non interest bearing cash at beginning of year | 2022-10-31 | $3,429,748 |
| Value of net income/loss | 2022-10-31 | $226,086 |
| Value of net assets at end of year (total assets less liabilities) | 2022-10-31 | $3,655,834 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-10-31 | $3,429,748 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-10-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-10-31 | $183 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-10-31 | $8,439,204 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-10-31 | No |
| Contributions received in cash from employer | 2022-10-31 | $8,525,341 |
| Contract administrator fees | 2022-10-31 | $83,363 |
| Did the plan have assets held for investment | 2022-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-10-31 | Unqualified |
| Accountancy firm name | 2022-10-31 | FROST & COMPANY PLLC |
| Accountancy firm EIN | 2022-10-31 | 275137616 |
| 2021 : AWB HEALTHCHOICE 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-10-31 | $0 |
| Total income from all sources (including contributions) | 2021-10-31 | $9,877,932 |
| Total loss/gain on sale of assets | 2021-10-31 | $0 |
| Total of all expenses incurred | 2021-10-31 | $10,003,615 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-10-31 | $9,484,784 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-10-31 | $9,877,744 |
| Value of total assets at end of year | 2021-10-31 | $3,429,748 |
| Value of total assets at beginning of year | 2021-10-31 | $3,555,431 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-10-31 | $518,831 |
| Total interest from all sources | 2021-10-31 | $188 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-10-31 | $0 |
| Administrative expenses professional fees incurred | 2021-10-31 | $407,955 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-10-31 | No |
| Administrative expenses (other) incurred | 2021-10-31 | $6,588 |
| Total non interest bearing cash at end of year | 2021-10-31 | $3,429,748 |
| Total non interest bearing cash at beginning of year | 2021-10-31 | $3,555,431 |
| Value of net income/loss | 2021-10-31 | $-125,683 |
| Value of net assets at end of year (total assets less liabilities) | 2021-10-31 | $3,429,748 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-10-31 | $3,555,431 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-10-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-10-31 | $188 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-10-31 | $9,484,784 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-10-31 | No |
| Contributions received in cash from employer | 2021-10-31 | $9,877,744 |
| Contract administrator fees | 2021-10-31 | $104,288 |
| Did the plan have assets held for investment | 2021-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-10-31 | Unqualified |
| Accountancy firm name | 2021-10-31 | FROST & COMPANY PLLC |
| Accountancy firm EIN | 2021-10-31 | 275137616 |
| 2020 : AWB HEALTHCHOICE 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-10-31 | $0 |
| Total income from all sources (including contributions) | 2020-10-31 | $10,820,040 |
| Total loss/gain on sale of assets | 2020-10-31 | $0 |
| Total of all expenses incurred | 2020-10-31 | $10,668,144 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-10-31 | $9,759,442 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-10-31 | $10,801,775 |
| Value of total assets at end of year | 2020-10-31 | $3,555,431 |
| Value of total assets at beginning of year | 2020-10-31 | $3,403,535 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-10-31 | $908,702 |
| Total interest from all sources | 2020-10-31 | $18,265 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-10-31 | $0 |
| Administrative expenses professional fees incurred | 2020-10-31 | $795,407 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-10-31 | No |
| Administrative expenses (other) incurred | 2020-10-31 | $2,760 |
| Total non interest bearing cash at end of year | 2020-10-31 | $3,555,431 |
| Total non interest bearing cash at beginning of year | 2020-10-31 | $3,403,535 |
| Value of net income/loss | 2020-10-31 | $151,896 |
| Value of net assets at end of year (total assets less liabilities) | 2020-10-31 | $3,555,431 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-10-31 | $3,403,535 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-10-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-10-31 | $18,265 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-10-31 | $9,759,442 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-10-31 | No |
| Contributions received in cash from employer | 2020-10-31 | $10,801,775 |
| Contract administrator fees | 2020-10-31 | $110,535 |
| Did the plan have assets held for investment | 2020-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-10-31 | Unqualified |
| Accountancy firm name | 2020-10-31 | FROST & COMPANY PLLC |
| Accountancy firm EIN | 2020-10-31 | 275137616 |
| 2019 : AWB HEALTHCHOICE 2019 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2019-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-10-31 | $0 |
| Total income from all sources (including contributions) | 2019-10-31 | $11,362,733 |
| Total loss/gain on sale of assets | 2019-10-31 | $0 |
| Total of all expenses incurred | 2019-10-31 | $11,221,623 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-10-31 | $10,265,886 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-10-31 | $11,286,220 |
| Value of total assets at end of year | 2019-10-31 | $3,403,535 |
| Value of total assets at beginning of year | 2019-10-31 | $3,262,425 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-10-31 | $955,737 |
| Total interest from all sources | 2019-10-31 | $76,513 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-10-31 | $0 |
| Administrative expenses professional fees incurred | 2019-10-31 | $834,751 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-10-31 | No |
| Administrative expenses (other) incurred | 2019-10-31 | $4,444 |
| Total non interest bearing cash at end of year | 2019-10-31 | $3,403,535 |
| Total non interest bearing cash at beginning of year | 2019-10-31 | $3,262,425 |
| Value of net income/loss | 2019-10-31 | $141,110 |
| Value of net assets at end of year (total assets less liabilities) | 2019-10-31 | $3,403,535 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-10-31 | $3,262,425 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-10-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-10-31 | $76,513 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-10-31 | $10,265,886 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-10-31 | No |
| Contributions received in cash from employer | 2019-10-31 | $11,286,220 |
| Contract administrator fees | 2019-10-31 | $116,542 |
| Did the plan have assets held for investment | 2019-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-10-31 | Unqualified |
| Accountancy firm name | 2019-10-31 | FROST & COMPANY PLLC |
| Accountancy firm EIN | 2019-10-31 | 275137616 |
| 2018 : AWB HEALTHCHOICE 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-10-31 | $0 |
| Total income from all sources (including contributions) | 2018-10-31 | $11,524,440 |
| Total loss/gain on sale of assets | 2018-10-31 | $0 |
| Total of all expenses incurred | 2018-10-31 | $11,515,028 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-10-31 | $10,525,662 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-10-31 | $11,487,235 |
| Value of total assets at end of year | 2018-10-31 | $3,262,425 |
| Value of total assets at beginning of year | 2018-10-31 | $3,253,013 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-10-31 | $989,366 |
| Total interest from all sources | 2018-10-31 | $37,205 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-10-31 | $0 |
| Administrative expenses professional fees incurred | 2018-10-31 | $859,725 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-10-31 | No |
| Administrative expenses (other) incurred | 2018-10-31 | $7,218 |
| Value of net income/loss | 2018-10-31 | $9,412 |
| Value of net assets at end of year (total assets less liabilities) | 2018-10-31 | $3,262,425 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-10-31 | $3,253,013 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-10-31 | $3,262,425 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-10-31 | $3,253,013 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-10-31 | $3,253,013 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-10-31 | $37,205 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-10-31 | $10,525,662 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-10-31 | No |
| Contributions received in cash from employer | 2018-10-31 | $11,487,235 |
| Contract administrator fees | 2018-10-31 | $122,423 |
| Did the plan have assets held for investment | 2018-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-10-31 | Unqualified |
| Accountancy firm name | 2018-10-31 | FROST & COMPANY PLLC |
| Accountancy firm EIN | 2018-10-31 | 275137616 |
| 2017 : AWB HEALTHCHOICE 2017 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2017-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-10-31 | $0 |
| Total income from all sources (including contributions) | 2017-10-31 | $12,576,528 |
| Total loss/gain on sale of assets | 2017-10-31 | $0 |
| Total of all expenses incurred | 2017-10-31 | $12,707,965 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-10-31 | $11,615,652 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-10-31 | $12,558,369 |
| Value of total assets at end of year | 2017-10-31 | $3,253,013 |
| Value of total assets at beginning of year | 2017-10-31 | $3,384,450 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-10-31 | $1,092,313 |
| Total interest from all sources | 2017-10-31 | $18,159 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-10-31 | $0 |
| Administrative expenses professional fees incurred | 2017-10-31 | $945,656 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-10-31 | Yes |
| Amount of non-exempt transactions with any party-in-interest | 2017-10-31 | $3,099 |
| Administrative expenses (other) incurred | 2017-10-31 | $3,475 |
| Value of net income/loss | 2017-10-31 | $-131,437 |
| Value of net assets at end of year (total assets less liabilities) | 2017-10-31 | $3,253,013 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-10-31 | $3,384,450 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-10-31 | $3,253,013 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-10-31 | $3,384,450 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-10-31 | $3,384,450 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-10-31 | $18,159 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-10-31 | $11,615,652 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-10-31 | No |
| Contributions received in cash from employer | 2017-10-31 | $12,558,369 |
| Contract administrator fees | 2017-10-31 | $143,182 |
| Did the plan have assets held for investment | 2017-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-10-31 | Unqualified |
| Accountancy firm name | 2017-10-31 | FROST AND COMPANY PLLC |
| Accountancy firm EIN | 2017-10-31 | 275137616 |
| 2016 : AWB HEALTHCHOICE 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-10-31 | $0 |
| Total transfer of assets from this plan | 2016-10-31 | $8,798,534 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-10-31 | $0 |
| Total income from all sources (including contributions) | 2016-10-31 | $15,016,692 |
| Total loss/gain on sale of assets | 2016-10-31 | $0 |
| Total of all expenses incurred | 2016-10-31 | $15,009,653 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-10-31 | $13,683,662 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-10-31 | $15,008,133 |
| Value of total assets at end of year | 2016-10-31 | $3,384,450 |
| Value of total assets at beginning of year | 2016-10-31 | $12,175,945 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-10-31 | $1,325,991 |
| Total interest from all sources | 2016-10-31 | $8,559 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-10-31 | $0 |
| Administrative expenses professional fees incurred | 2016-10-31 | $1,132,819 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-10-31 | No |
| Administrative expenses (other) incurred | 2016-10-31 | $4,952 |
| Value of net income/loss | 2016-10-31 | $7,039 |
| Value of net assets at end of year (total assets less liabilities) | 2016-10-31 | $3,384,450 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-10-31 | $12,175,945 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-10-31 | $3,384,450 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-10-31 | $12,175,945 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-10-31 | $12,175,945 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-10-31 | $8,559 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-10-31 | $13,683,662 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-10-31 | No |
| Contributions received in cash from employer | 2016-10-31 | $15,008,133 |
| Contract administrator fees | 2016-10-31 | $188,220 |
| Did the plan have assets held for investment | 2016-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-10-31 | Unqualified |
| Accountancy firm name | 2016-10-31 | FROST & COMPANY, PS |
| Accountancy firm EIN | 2016-10-31 | 911136436 |
| 2015 : AWB HEALTHCHOICE 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-10-31 | $0 |
| Total income from all sources (including contributions) | 2015-10-31 | $20,792,615 |
| Total loss/gain on sale of assets | 2015-10-31 | $0 |
| Total of all expenses incurred | 2015-10-31 | $24,209,540 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-10-31 | $22,080,085 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-10-31 | $20,780,003 |
| Value of total assets at end of year | 2015-10-31 | $12,175,945 |
| Value of total assets at beginning of year | 2015-10-31 | $15,592,870 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-10-31 | $2,129,455 |
| Total interest from all sources | 2015-10-31 | $12,612 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-10-31 | $0 |
| Administrative expenses professional fees incurred | 2015-10-31 | $1,851,811 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-10-31 | No |
| Administrative expenses (other) incurred | 2015-10-31 | $9,253 |
| Value of net income/loss | 2015-10-31 | $-3,416,925 |
| Value of net assets at end of year (total assets less liabilities) | 2015-10-31 | $12,175,945 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-10-31 | $15,592,870 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-10-31 | $12,175,945 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-10-31 | $15,592,870 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-10-31 | $15,592,870 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-10-31 | $12,612 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-10-31 | $22,080,085 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-10-31 | No |
| Contributions received in cash from employer | 2015-10-31 | $20,780,003 |
| Contract administrator fees | 2015-10-31 | $268,391 |
| Did the plan have assets held for investment | 2015-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-10-31 | Unqualified |
| Accountancy firm name | 2015-10-31 | FROST & COMPANY |
| Accountancy firm EIN | 2015-10-31 | 911136436 |
| 2014 : AWB HEALTHCHOICE 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-10-31 | $0 |
| Total income from all sources (including contributions) | 2014-10-31 | $120,045,773 |
| Total loss/gain on sale of assets | 2014-10-31 | $0 |
| Total of all expenses incurred | 2014-10-31 | $116,932,343 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-10-31 | $107,750,757 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-10-31 | $120,036,522 |
| Value of total assets at end of year | 2014-10-31 | $15,592,870 |
| Value of total assets at beginning of year | 2014-10-31 | $12,479,440 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-10-31 | $9,181,586 |
| Total interest from all sources | 2014-10-31 | $9,251 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-10-31 | $0 |
| Administrative expenses professional fees incurred | 2014-10-31 | $8,253,824 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-10-31 | No |
| Administrative expenses (other) incurred | 2014-10-31 | $13,053 |
| Value of net income/loss | 2014-10-31 | $3,113,430 |
| Value of net assets at end of year (total assets less liabilities) | 2014-10-31 | $15,592,870 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-10-31 | $12,479,440 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-10-31 | $15,592,870 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-10-31 | $12,479,440 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-10-31 | $12,479,440 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-10-31 | $9,251 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-10-31 | $107,750,757 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-10-31 | No |
| Contributions received in cash from employer | 2014-10-31 | $120,036,522 |
| Contract administrator fees | 2014-10-31 | $914,709 |
| Did the plan have assets held for investment | 2014-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-10-31 | Unqualified |
| Accountancy firm name | 2014-10-31 | FROST & COMPANY |
| Accountancy firm EIN | 2014-10-31 | 911136436 |
| 2013 : AWB HEALTHCHOICE 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-10-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-31 | $0 |
| Total income from all sources (including contributions) | 2013-10-31 | $129,149,693 |
| Total loss/gain on sale of assets | 2013-10-31 | $0 |
| Total of all expenses incurred | 2013-10-31 | $125,632,340 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-10-31 | $115,236,307 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-10-31 | $129,143,516 |
| Value of total assets at end of year | 2013-10-31 | $12,479,440 |
| Value of total assets at beginning of year | 2013-10-31 | $8,962,087 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-10-31 | $10,396,033 |
| Total interest from all sources | 2013-10-31 | $6,177 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-10-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-10-31 | No |
| Administrative expenses professional fees incurred | 2013-10-31 | $9,323,981 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-10-31 | No |
| Administrative expenses (other) incurred | 2013-10-31 | $15,907 |
| Value of net income/loss | 2013-10-31 | $3,517,353 |
| Value of net assets at end of year (total assets less liabilities) | 2013-10-31 | $12,479,440 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-10-31 | $8,962,087 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-10-31 | $12,479,440 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-10-31 | $8,962,087 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-10-31 | $8,962,087 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-10-31 | $6,177 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-10-31 | $115,236,307 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-10-31 | No |
| Contributions received in cash from employer | 2013-10-31 | $129,143,516 |
| Contract administrator fees | 2013-10-31 | $1,056,145 |
| Did the plan have assets held for investment | 2013-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-10-31 | Unqualified |
| Accountancy firm name | 2013-10-31 | FROST & COMPANY PS |
| Accountancy firm EIN | 2013-10-31 | 911136436 |
| 2012 : AWB HEALTHCHOICE 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-10-31 | $118,377,945 |
| Total of all expenses incurred | 2012-10-31 | $115,372,138 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-10-31 | $105,719,122 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-10-31 | $118,370,637 |
| Value of total assets at end of year | 2012-10-31 | $8,962,087 |
| Value of total assets at beginning of year | 2012-10-31 | $5,956,280 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-10-31 | $9,653,016 |
| Total interest from all sources | 2012-10-31 | $7,308 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-10-31 | No |
| Administrative expenses professional fees incurred | 2012-10-31 | $8,599,702 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-10-31 | No |
| Administrative expenses (other) incurred | 2012-10-31 | $18,219 |
| Value of net income/loss | 2012-10-31 | $3,005,807 |
| Value of net assets at end of year (total assets less liabilities) | 2012-10-31 | $8,962,087 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-10-31 | $5,956,280 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-10-31 | $8,962,087 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-10-31 | $5,956,280 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-10-31 | $5,956,280 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-10-31 | $7,308 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-10-31 | $105,719,122 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-10-31 | No |
| Contributions received in cash from employer | 2012-10-31 | $118,370,637 |
| Contract administrator fees | 2012-10-31 | $1,035,095 |
| Did the plan have assets held for investment | 2012-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-10-31 | Unqualified |
| Accountancy firm name | 2012-10-31 | FROST & COMPANY PS |
| Accountancy firm EIN | 2012-10-31 | 911136436 |
| 2011 : AWB HEALTHCHOICE 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-10-31 | $96,258,211 |
| Total of all expenses incurred | 2011-10-31 | $94,862,350 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-10-31 | $86,063,052 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-10-31 | $96,253,682 |
| Value of total assets at end of year | 2011-10-31 | $5,956,280 |
| Value of total assets at beginning of year | 2011-10-31 | $4,560,419 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-10-31 | $8,799,298 |
| Total interest from all sources | 2011-10-31 | $4,529 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-10-31 | No |
| Administrative expenses professional fees incurred | 2011-10-31 | $7,900,166 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-10-31 | No |
| Administrative expenses (other) incurred | 2011-10-31 | $18,703 |
| Value of net income/loss | 2011-10-31 | $1,395,861 |
| Value of net assets at end of year (total assets less liabilities) | 2011-10-31 | $5,956,280 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-10-31 | $4,560,419 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-10-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-10-31 | $5,956,280 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-10-31 | $4,560,419 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-10-31 | $4,560,419 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-10-31 | $4,529 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-10-31 | $86,063,052 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-10-31 | No |
| Contributions received in cash from employer | 2011-10-31 | $96,253,682 |
| Contract administrator fees | 2011-10-31 | $880,429 |
| Did the plan have assets held for investment | 2011-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-10-31 | Unqualified |
| Accountancy firm name | 2011-10-31 | FROST & COMPANY PS |
| Accountancy firm EIN | 2011-10-31 | 911136436 |
| 2021: AWB HEALTHCHOICE 2021 form 5500 responses |
|---|
| 2021-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2021-11-01 | Submission has been amended | No |
| 2021-11-01 | This submission is the final filing | No |
| 2021-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-11-01 | Plan is a collectively bargained plan | No |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: AWB HEALTHCHOICE 2020 form 5500 responses |
|---|
| 2020-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2020-11-01 | Submission has been amended | No |
| 2020-11-01 | This submission is the final filing | No |
| 2020-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-11-01 | Plan is a collectively bargained plan | No |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: AWB HEALTHCHOICE 2019 form 5500 responses |
|---|
| 2019-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2019-11-01 | Submission has been amended | No |
| 2019-11-01 | This submission is the final filing | No |
| 2019-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-11-01 | Plan is a collectively bargained plan | No |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: AWB HEALTHCHOICE 2018 form 5500 responses |
|---|
| 2018-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2018-11-01 | Submission has been amended | No |
| 2018-11-01 | This submission is the final filing | No |
| 2018-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-11-01 | Plan is a collectively bargained plan | No |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: AWB HEALTHCHOICE 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | No |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: AWB HEALTHCHOICE 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: AWB HEALTHCHOICE 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2015-11-01 | Submission has been amended | Yes |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: AWB HEALTHCHOICE 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2014-11-01 | Submission has been amended | Yes |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: AWB HEALTHCHOICE 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2013-11-01 | Submission has been amended | No |
| 2013-11-01 | This submission is the final filing | No |
| 2013-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-11-01 | Plan is a collectively bargained plan | No |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: AWB HEALTHCHOICE 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2012-11-01 | Submission has been amended | No |
| 2012-11-01 | This submission is the final filing | No |
| 2012-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-11-01 | Plan is a collectively bargained plan | No |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: AWB HEALTHCHOICE 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2011-11-01 | Submission has been amended | No |
| 2011-11-01 | This submission is the final filing | No |
| 2011-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-11-01 | Plan is a collectively bargained plan | No |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: AWB HEALTHCHOICE 2010 form 5500 responses |
|---|
| 2010-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2010-11-01 | Submission has been amended | No |
| 2010-11-01 | This submission is the final filing | No |
| 2010-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-11-01 | Plan is a collectively bargained plan | No |
| 2010-11-01 | Plan funding arrangement – Insurance | Yes |
| 2010-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: AWB HEALTHCHOICE 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2009-11-01 | Submission has been amended | No |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-11-01 | Plan is a collectively bargained plan | No |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: AWB HEALTHCHOICE 2008 form 5500 responses |
|---|
| 2008-11-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2008-11-01 | Submission has been amended | No |
| 2008-11-01 | This submission is the final filing | No |
| 2008-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-11-01 | Plan is a collectively bargained plan | No |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0234392 |
| Policy instance | 7 |
| Insurance contract or identification number | 0234392 | | Number of Individuals Covered | 835 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,754 | | 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 | 09450-09457 |
| Policy instance | 1 |
| Insurance contract or identification number | 09450-09457 | | Number of Individuals Covered | 297 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 168475-6,168505 |
| Policy instance | 2 |
| Insurance contract or identification number | 168475-6,168505 | | Number of Individuals Covered | 318 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $30,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 200000020 |
| Policy instance | 3 |
| Insurance contract or identification number | 200000020 | | Number of Individuals Covered | 835 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $8,127,197 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020272 |
| Policy instance | 4 |
| Insurance contract or identification number | 50020272 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2021-11-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,112 | | 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 | 12248263011-14 |
| Policy instance | 5 |
| Insurance contract or identification number | 12248263011-14 | | Number of Individuals Covered | 835 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $24,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA385 |
| Policy instance | 6 |
| Insurance contract or identification number | WA385 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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 | 09450-09457 |
| Policy instance | 1 |
| Insurance contract or identification number | 09450-09457 | | Number of Individuals Covered | 290 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 168475-6,168505 |
| Policy instance | 2 |
| Insurance contract or identification number | 168475-6,168505 | | Number of Individuals Covered | 385 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $38,507 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 200000020 |
| Policy instance | 3 |
| Insurance contract or identification number | 200000020 | | Number of Individuals Covered | 1108 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,116,931 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020272 |
| Policy instance | 4 |
| Insurance contract or identification number | 50020272 | | Number of Individuals Covered | 1100 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,449 | | 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 | 12248263011-014 |
| Policy instance | 5 |
| Insurance contract or identification number | 12248263011-014 | | Number of Individuals Covered | 1108 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $32,432 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA385 |
| Policy instance | 6 |
| Insurance contract or identification number | WA385 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA385 |
| Policy instance | 6 |
| Insurance contract or identification number | WA385 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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 | 12248263001-004 |
| Policy instance | 5 |
| Insurance contract or identification number | 12248263001-004 | | Number of Individuals Covered | 1197 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $38,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020272 |
| Policy instance | 4 |
| Insurance contract or identification number | 50020272 | | Number of Individuals Covered | 1191 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $55,676 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 200000020 |
| Policy instance | 3 |
| Insurance contract or identification number | 200000020 | | Number of Individuals Covered | 1197 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,376,447 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 168475-6,168505 |
| Policy instance | 2 |
| Insurance contract or identification number | 168475-6,168505 | | Number of Individuals Covered | 373 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,321 | | 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 | 09450-09457 |
| Policy instance | 1 |
| Insurance contract or identification number | 09450-09457 | | Number of Individuals Covered | 288 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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 | 09450-09457 |
| Policy instance | 1 |
| Insurance contract or identification number | 09450-09457 | | Number of Individuals Covered | 304 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 400168476-68505 |
| Policy instance | 2 |
| Insurance contract or identification number | 400168476-68505 | | Number of Individuals Covered | 403 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,020 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 200000020 |
| Policy instance | 3 |
| Insurance contract or identification number | 200000020 | | Number of Individuals Covered | 1290 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,878,242 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020272 |
| Policy instance | 4 |
| Insurance contract or identification number | 50020272 | | Number of Individuals Covered | 1276 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $59,103 | | 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 | 12248263001-004 |
| Policy instance | 5 |
| Insurance contract or identification number | 12248263001-004 | | Number of Individuals Covered | 1290 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $40,519 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA385 |
| Policy instance | 6 |
| Insurance contract or identification number | WA385 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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 | 09450-09457 |
| Policy instance | 6 |
| Insurance contract or identification number | 09450-09457 | | Number of Individuals Covered | 284 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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 | 12248263 |
| Policy instance | 5 |
| Insurance contract or identification number | 12248263 | | Number of Individuals Covered | 1317 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $43,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 400168475-6/505 |
| Policy instance | 4 |
| Insurance contract or identification number | 400168475-6/505 | | Number of Individuals Covered | 447 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $33,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020272 |
| Policy instance | 3 |
| Insurance contract or identification number | 50020272 | | Number of Individuals Covered | 1306 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $59,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 200000020 |
| Policy instance | 2 |
| Insurance contract or identification number | 200000020 | | Number of Individuals Covered | 1318 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $10,167,171 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA385/Z1428 |
| Policy instance | 1 |
| Insurance contract or identification number | WA385/Z1428 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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