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CONSEJO COUNSELING AND REFERRAL SERVICE HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCONSEJO COUNSELING AND REFERRAL SERVICE HEALTH AND WELFARE PLAN
Plan identification number 501

CONSEJO COUNSELING AND REFERRAL SERVICE HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare 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='911021247' AND PlanID='501'

401k Sponsoring company profile

CONSEJO COUNSELING & REFERRAL SERVICE has sponsored the creation of one or more 401k plans.

Company Name:CONSEJO COUNSELING & REFERRAL SERVICE
Employer identification number (EIN):911021247
NAIC Classification:624200

Additional information about CONSEJO COUNSELING & REFERRAL SERVICE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1978-02-06
Company Identification Number: 600287044
Legal Registered Office Address: 723 SW 10TH ST

RENTON
United States of America (USA)
980575223

More information about CONSEJO COUNSELING & REFERRAL SERVICE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSEJO COUNSELING AND REFERRAL SERVICE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01IRINA ROJKOVA2024-04-10
5012022-01-01IRINA ROJKOVA2023-03-30
5012021-01-01IRINA ROJKOVA2022-08-03
5012020-01-01IRINA ROJKOVA2021-07-19

Insurance Providers Used on plan

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number1936400
Policy instance 1
Insurance contract or identification number1936400
Number of Individuals Covered29
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,172
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229,445
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 number6682700
Policy instance 2
Insurance contract or identification number6682700
Number of Individuals Covered105
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $34,549
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $854,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10165186
Policy instance 3
Insurance contract or identification number10165186
Number of Individuals Covered149
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $7,399
Total amount of fees paid to insurance companyUSD $2,891
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $113,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10165186
Policy instance 1
Insurance contract or identification number10165186
Number of Individuals Covered136
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,506
Total amount of fees paid to insurance companyUSD $396
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10165186
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10165186
Policy instance 1

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