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| Plan Name | COLUMBIA WELLNESS GROUP LIFE AND DISABILITY PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COLUMBIA WELLNESS |
| Employer identification number (EIN): | 910598130 |
| NAIC Classification: | 621330 |
| NAIC Description: | Offices of Mental Health Practitioners (except Physicians) |
Additional information about COLUMBIA WELLNESS
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1953-07-03 |
| Company Identification Number: | 600333335 |
| Legal Registered Office Address: |
921 14TH AVE LONGVIEW United States of America (USA) 986320000 |
More information about COLUMBIA WELLNESS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2018-02-01 | DALE HUDSON | 2019-08-13 | ||
| 502 | 2018-02-01 | DAVID MCCLAY | 2020-10-19 | ||
| 502 | 2017-02-01 | DALE HUDSON | 2019-05-06 |
| Measure | Date | Value |
|---|---|---|
| 2018: COLUMBIA WELLNESS GROUP LIFE AND DISABILITY PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-02-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 169 |
| Number of retired or separated participants receiving benefits | 2018-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-02-01 | 0 |
| Total of all active and inactive participants | 2018-02-01 | 169 |
| Number of employers contributing to the scheme | 2018-02-01 | 0 |
| 2017: COLUMBIA WELLNESS GROUP LIFE AND DISABILITY PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-02-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 108 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
| Total of all active and inactive participants | 2017-02-01 | 108 |
| Number of employers contributing to the scheme | 2017-02-01 | 0 |
| 2018: COLUMBIA WELLNESS GROUP LIFE AND DISABILITY PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-02-01 | Type of plan entity | Single employer plan |
| 2018-02-01 | Submission has been amended | Yes |
| 2018-02-01 | This submission is the final filing | Yes |
| 2018-02-01 | Plan funding arrangement – Insurance | Yes |
| 2018-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: COLUMBIA WELLNESS GROUP LIFE AND DISABILITY PLAN 2017 form 5500 responses | ||
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | First time form 5500 has been submitted | Yes |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 414627 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 414627 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 414627 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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