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| Plan Name | SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BOARD OF TRUSTEES - SALEM CONTRACTORS EXCHANGE EMPLOYEE |
| Employer identification number (EIN): | 900956015 |
| NAIC Classification: | 238900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-04-01 | ||||
| 501 | 2015-04-01 | KAYLEEN EVANS | |||
| 501 | 2014-04-01 | KAYLEEN EVANS | |||
| 501 | 2013-04-01 | KAYLEEN EVANS |
| Measure | Date | Value |
|---|---|---|
| 2016: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-04-01 | 954 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 1,163 |
| Number of retired or separated participants receiving benefits | 2016-04-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 1,170 |
| 2015: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-04-01 | 637 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 954 |
| Number of retired or separated participants receiving benefits | 2015-04-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2015-04-01 | 0 |
| Total of all active and inactive participants | 2015-04-01 | 962 |
| 2014: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-04-01 | 396 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 635 |
| Number of retired or separated participants receiving benefits | 2014-04-01 | 9 |
| Number of other retired or separated participants entitled to future benefits | 2014-04-01 | 0 |
| Total of all active and inactive participants | 2014-04-01 | 644 |
| 2013: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-04-01 | 223 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 392 |
| Number of retired or separated participants receiving benefits | 2013-04-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2013-04-01 | 0 |
| Total of all active and inactive participants | 2013-04-01 | 396 |
| 2016: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2016 form 5500 responses | ||
|---|---|---|
| 2016-04-01 | Type of plan entity | Mulitple employer plan |
| 2016-04-01 | Submission has been amended | No |
| 2016-04-01 | This submission is the final filing | No |
| 2016-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-04-01 | Plan is a collectively bargained plan | No |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2015 form 5500 responses | ||
| 2015-04-01 | Type of plan entity | Mulitple employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2014 form 5500 responses | ||
| 2014-04-01 | Type of plan entity | Mulitple employer plan |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: SALEM CONTRACTORS EXCHANGE EMPLOYEE WELFARE BENEFIT PLAN AND TRUST 2013 form 5500 responses | ||
| 2013-04-01 | Type of plan entity | Mulitple employer plan |
| 2013-04-01 | First time form 5500 has been submitted | Yes |
| 2013-04-01 | Submission has been amended | No |
| 2013-04-01 | This submission is the final filing | No |
| 2013-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-04-01 | Plan is a collectively bargained plan | No |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 18645/18378 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| SAMARITAN HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 12257 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 18645/18378 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 18645/18378 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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