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| Plan Name | SPECTRUM GLASS COMPANY INC. MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | SPECTRUM GLASS COMPANY INC. |
| Employer identification number (EIN): | 910988094 |
| NAIC Classification: | 327210 |
Additional information about SPECTRUM GLASS COMPANY INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1977-03-29 |
| Company Identification Number: | 600228519 |
| Legal Registered Office Address: |
1150 KERRON ST WINLOCK United States of America (USA) 985960000 |
More information about SPECTRUM GLASS COMPANY INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2016-05-01 | ||||
| 502 | 2015-06-01 | SUE DAVIS | |||
| 502 | 2014-06-01 | SUE DAVIS | |||
| 502 | 2013-06-01 | SUE DAVIS | |||
| 502 | 2012-06-01 | SUE DAVIS | |||
| 502 | 2011-06-01 | SUE DAVIS | |||
| 502 | 2010-06-01 | SUE DAVIS | |||
| 502 | 2009-06-01 | SUSAN DAVIS |
| Measure | Date | Value |
|---|---|---|
| 2016: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 102 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 102 |
| 2015: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-06-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 109 |
| Number of retired or separated participants receiving benefits | 2015-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 0 |
| Total of all active and inactive participants | 2015-06-01 | 109 |
| 2014: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-06-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 109 |
| Number of retired or separated participants receiving benefits | 2014-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 0 |
| Total of all active and inactive participants | 2014-06-01 | 109 |
| 2013: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-06-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 109 |
| Number of retired or separated participants receiving benefits | 2013-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-06-01 | 0 |
| Total of all active and inactive participants | 2013-06-01 | 109 |
| 2012: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-06-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 117 |
| Number of retired or separated participants receiving benefits | 2012-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-06-01 | 0 |
| Total of all active and inactive participants | 2012-06-01 | 117 |
| 2011: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-06-01 | 139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 145 |
| Number of retired or separated participants receiving benefits | 2011-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-06-01 | 0 |
| Total of all active and inactive participants | 2011-06-01 | 145 |
| 2010: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-06-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 139 |
| Number of retired or separated participants receiving benefits | 2010-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-06-01 | 0 |
| Total of all active and inactive participants | 2010-06-01 | 139 |
| 2009: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-06-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 102 |
| Number of retired or separated participants receiving benefits | 2009-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-06-01 | 0 |
| Total of all active and inactive participants | 2009-06-01 | 102 |
| 2016: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2015 form 5500 responses | ||
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Submission has been amended | No |
| 2015-06-01 | This submission is the final filing | No |
| 2015-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2015-06-01 | Plan is a collectively bargained plan | No |
| 2015-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2014 form 5500 responses | ||
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Submission has been amended | No |
| 2014-06-01 | This submission is the final filing | No |
| 2014-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-06-01 | Plan is a collectively bargained plan | No |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2013 form 5500 responses | ||
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Submission has been amended | No |
| 2013-06-01 | This submission is the final filing | No |
| 2013-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-06-01 | Plan is a collectively bargained plan | No |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2012 form 5500 responses | ||
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | Submission has been amended | No |
| 2012-06-01 | This submission is the final filing | No |
| 2012-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-06-01 | Plan is a collectively bargained plan | No |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2011 form 5500 responses | ||
| 2011-06-01 | Type of plan entity | Single employer plan |
| 2011-06-01 | Submission has been amended | No |
| 2011-06-01 | This submission is the final filing | No |
| 2011-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-06-01 | Plan is a collectively bargained plan | No |
| 2011-06-01 | Plan funding arrangement – Insurance | Yes |
| 2011-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2010 form 5500 responses | ||
| 2010-06-01 | Type of plan entity | Single employer plan |
| 2010-06-01 | Submission has been amended | No |
| 2010-06-01 | This submission is the final filing | No |
| 2010-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-06-01 | Plan is a collectively bargained plan | No |
| 2010-06-01 | Plan funding arrangement – Insurance | Yes |
| 2010-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SPECTRUM GLASS COMPANY INC. MEDICAL PLAN 2009 form 5500 responses | ||
| 2009-06-01 | Type of plan entity | Single employer plan |
| 2009-06-01 | Submission has been amended | No |
| 2009-06-01 | This submission is the final filing | No |
| 2009-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-06-01 | Plan is a collectively bargained plan | No |
| 2009-06-01 | Plan funding arrangement – Insurance | Yes |
| 2009-06-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 744561 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 744561 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 744561 |
| Policy instance | 1 |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |
| Policy contract number | 5397400 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05586381 |
| Policy instance | 2 |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |
| Policy contract number | 5397400 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05586381 |
| Policy instance | 2 |