401k Plan data: PROVAIL GROUP HEALTH AND WELFARE PLAN plan

PROVAIL GROUP HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	PROVAIL GROUP HEALTH AND WELFARE PLAN
Plan identification number	501

PROVAIL GROUP HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='910593488' AND PlanID='501'

401k Sponsoring company profile

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

Company Name: PROVAIL

Employer identification number (EIN): 910593488

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about PROVAIL

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1953-12-02

Company Identification Number: 578015784

Legal Registered Office Address: 1001 4TH AVE STE 4400

SEATTLE
United States of America (USA)
981541192

More information about PROVAIL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVAIL GROUP HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-07-01 SUMMER KORST 2024-11-11
501 2022-07-01 SUMMER KORST 2023-12-12
501 2021-07-01 SUMMER KORST 2023-01-25
501 2020-07-01 CHRISTINE BEATTY 2022-01-27
501 2019-07-01 BEN ROBINSON 2021-03-01
501 2019-01-01 CHRISTINE BEATTY 2020-01-30
501 2018-01-01 CHRISTINE BEATTY 2019-07-30
501 2017-01-01
501 2016-01-01 JIM MACKELLAR-HERTAN
501 2015-01-01 MAC MACKELAR HERTAN
501 2014-01-01 JIM MACKELLAR-HERTAN
501 2013-01-01 JIM MACKELLAR-HERTAN
501 2012-01-01 JIM MACKELLER-HERTAN
501 2011-01-01 JIM MACKELLAR-HERTAN
501 2010-01-01 MAC MACKELLER-HERTAN
501 2009-01-01 MIKE HATZENBELER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-07-01	SUMMER KORST	2024-11-11
501	2022-07-01	SUMMER KORST	2023-12-12
501	2021-07-01	SUMMER KORST	2023-01-25
501	2020-07-01	CHRISTINE BEATTY	2022-01-27
501	2019-07-01	BEN ROBINSON	2021-03-01
501	2019-01-01	CHRISTINE BEATTY	2020-01-30
501	2018-01-01	CHRISTINE BEATTY	2019-07-30
501	2017-01-01
501	2016-01-01	JIM MACKELLAR-HERTAN
501	2015-01-01	MAC MACKELAR HERTAN
501	2014-01-01	JIM MACKELLAR-HERTAN
501	2013-01-01	JIM MACKELLAR-HERTAN
501	2012-01-01	JIM MACKELLER-HERTAN
501	2011-01-01	JIM MACKELLAR-HERTAN
501	2010-01-01	MAC MACKELLER-HERTAN
501	2009-01-01	MIKE HATZENBELER

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

Insurance contract or identification number	454026
Number of Individuals Covered	233
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $9,192
Total amount of fees paid to insurance company	USD $2,825
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $128,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

Insurance contract or identification number	1651900
Number of Individuals Covered	226
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $46,983
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,468,203
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 number

8154100

Policy instance

Insurance contract or identification number	8154100
Number of Individuals Covered	41
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $10,707
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $310,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

1651900

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8154100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

6185100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

6185100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

454026

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

6185100

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

6185100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00454026

Policy instance

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

6185100

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00454026

Policy instance

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	PROVAIL
Employer identification number (EIN):	910593488
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1953-12-02
Company Identification Number:	578015784
Legal Registered Office Address:	1001 4TH AVE STE 4400 SEATTLE United States of America (USA) 981541192