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| Plan Name | SEATTLE INDIAN HEALTH BOARD MEDICAL/RX PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SEATTLE INDIAN HEALTH BOARD |
| Employer identification number (EIN): | 910869056 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
Additional information about SEATTLE INDIAN HEALTH BOARD
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1970-03-26 |
| Company Identification Number: | 600440936 |
| Legal Registered Office Address: |
611 12TH AVE S SEATTLE United States of America (USA) 981442007 |
More information about SEATTLE INDIAN HEALTH BOARD
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2023-01-01 | PAM GRINDLEY | 2024-09-17 |
| Measure | Date | Value |
|---|---|---|
| 2023: SEATTLE INDIAN HEALTH BOARD MEDICAL/RX PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 129 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 129 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2023: SEATTLE INDIAN HEALTH BOARD MEDICAL/RX PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |||||||||||||||||||
| Policy contract number | 8161700 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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