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GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 401k Plan overview

Plan NameGROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND
Plan identification number 501

GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision

401k Sponsoring company profile

LIGHTHOUSE FOR THE BLIND, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIGHTHOUSE FOR THE BLIND, INC.
Employer identification number (EIN):910295070
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01DANA VAN DUSSEN2023-04-20
5012020-10-01DANA VAN DUSSEN2022-05-09
5012019-10-01DANA VAN DUSSEN2021-04-20
5012018-10-01DANA VAN DUSSEN2020-04-10
5012017-10-01DANA VAN DUSSEN2019-04-23
5012016-10-01
5012015-10-01DANA VAN DUSSEN
5012014-10-01DANA VAN DUSSEN
5012013-10-01DANA VAN DUSSEN
5012012-10-01DANA VAN DUSSEN DANA VAN DUSSEN2014-04-08
5012011-10-01DANA VAN DUSSEN DANA VAN DUSSEN2013-04-18
5012009-10-01DANA VAN DUSSEN

Plan Statistics for GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND

401k plan membership statisitcs for GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND

Measure Date Value
2021: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2021 401k membership
Total participants, beginning-of-year2021-10-01283
Total number of active participants reported on line 7a of the Form 55002021-10-01264
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01264
Number of employers contributing to the scheme2021-10-010
2020: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2020 401k membership
Total participants, beginning-of-year2020-10-01295
Total number of active participants reported on line 7a of the Form 55002020-10-01283
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01283
Number of employers contributing to the scheme2020-10-010
2019: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2019 401k membership
Total participants, beginning-of-year2019-10-01292
Total number of active participants reported on line 7a of the Form 55002019-10-01295
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01295
Number of employers contributing to the scheme2019-10-010
2018: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2018 401k membership
Total participants, beginning-of-year2018-10-01280
Total number of active participants reported on line 7a of the Form 55002018-10-01292
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01292
Number of employers contributing to the scheme2018-10-010
2017: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2017 401k membership
Total participants, beginning-of-year2017-10-01272
Total number of active participants reported on line 7a of the Form 55002017-10-01199
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01199
Number of employers contributing to the scheme2017-10-010
2016: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2016 401k membership
Total participants, beginning-of-year2016-10-01281
Total number of active participants reported on line 7a of the Form 55002016-10-01272
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01272
2015: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2015 401k membership
Total participants, beginning-of-year2015-10-01268
Total number of active participants reported on line 7a of the Form 55002015-10-01277
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01277
2014: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2014 401k membership
Total participants, beginning-of-year2014-10-01227
Total number of active participants reported on line 7a of the Form 55002014-10-01268
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01268
2013: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2013 401k membership
Total participants, beginning-of-year2013-10-01223
Total number of active participants reported on line 7a of the Form 55002013-10-01227
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01227
2012: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2012 401k membership
Total participants, beginning-of-year2012-10-01265
Total number of active participants reported on line 7a of the Form 55002012-10-01251
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01251
2011: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2011 401k membership
Total participants, beginning-of-year2011-10-01258
Total number of active participants reported on line 7a of the Form 55002011-10-01265
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01265
2009: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2009 401k membership
Total participants, beginning-of-year2009-10-01246
Total number of active participants reported on line 7a of the Form 55002009-10-01263
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01263

Form 5500 Responses for GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND

2021: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: GROUP HEALTH PLAN FOR THE LIGHTHOUSE FOR THE BLIND 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number152186
Policy instance 3
Insurance contract or identification number152186
Number of Individuals Covered4
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $327
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $327
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1464400
Policy instance 2
Insurance contract or identification number1464400
Number of Individuals Covered190
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $36,394
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,830,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,394
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6233800
Policy instance 1
Insurance contract or identification number6233800
Number of Individuals Covered150
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $29,607
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,379,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,607
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number152186
Policy instance 3
Insurance contract or identification number152186
Number of Individuals Covered1
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $49
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1464400
Policy instance 2
Insurance contract or identification number1464400
Number of Individuals Covered216
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $35,370
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,937,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,370
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6233800
Policy instance 1
Insurance contract or identification number6233800
Number of Individuals Covered141
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $24,106
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,356,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,106
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number152186
Policy instance 3
Insurance contract or identification number152186
Number of Individuals Covered2
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $197
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $197
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1464400
Policy instance 2
Insurance contract or identification number1464400
Number of Individuals Covered241
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $55,514
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,721,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,514
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6233800
Policy instance 1
Insurance contract or identification number6233800
Number of Individuals Covered138
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $30,647
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,000,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,647
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number152186
Policy instance 3
Insurance contract or identification number152186
Number of Individuals Covered1
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $72
Total amount of fees paid to insurance companyUSD $3
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72
Amount paid for insurance broker fees3
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1464400
Policy instance 2
Insurance contract or identification number1464400
Number of Individuals Covered261
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $52,302
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,055,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $52,302
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6233800
Policy instance 1
Insurance contract or identification number6233800
Number of Individuals Covered130
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $28,174
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,679,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $28,174
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1464400
Policy instance 2
Insurance contract or identification number1464400
Number of Individuals Covered265
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $59,691
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,418,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6233800
Policy instance 1
Insurance contract or identification number6233800
Number of Individuals Covered99
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $23,356
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,196,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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