401k Plan data: SEATTLE ACADEMY OF ARTS AND SCIENCES GROUP HEALTH PLAN plan

SEATTLE ACADEMY OF ARTS AND SCIENCES GROUP HEALTH PLAN 401k Plan overview

Plan Name	SEATTLE ACADEMY OF ARTS AND SCIENCES GROUP HEALTH PLAN
Plan identification number	502

SEATTLE ACADEMY OF ARTS AND SCIENCES GROUP HEALTH 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='911223580' AND PlanID='502'

401k Sponsoring company profile

SEATTLE ACADEMY OF ARTS AND SCIENCES has sponsored the creation of one or more 401k plans.

Company Name: SEATTLE ACADEMY OF ARTS AND SCIENCES

Employer identification number (EIN): 911223580

NAIC Classification: 611000

Additional information about SEATTLE ACADEMY OF ARTS AND SCIENCES

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1983-11-02

Company Identification Number: 600507235

Legal Registered Office Address: 2801 ALASKAN WAY STE 300 PIER 70

SEATTLE
United States of America (USA)
981211128

More information about SEATTLE ACADEMY OF ARTS AND SCIENCES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEATTLE ACADEMY OF ARTS AND SCIENCES GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-07-01 GISELLE CONFEHR 2025-01-16
502 2022-07-01 GISELLE CONFEHR 2024-01-29
502 2021-07-01 GISELLE CONFEHR 2022-12-01
502 2020-07-01 GISELLE CONFEHR 2021-12-17
502 2019-07-01 GISELLE CONFEHR 2020-11-12
502 2018-07-01 GISELLE CONFEHR 2019-10-07
502 2017-07-01
502 2016-07-01
502 2015-07-01 MARGARET H NIU
502 2014-07-01 MARGARET H NIU
502 2013-07-01 MARGARET NIU MARGARET NIU 2015-01-09
502 2012-07-01 MARGARET H. NIU MARGARET H. NIU 2014-01-21
502 2011-07-01 MARGARET H. NIU MARGARET H. NIU 2012-12-18
502 2009-07-01 MARGARET H. NIU MARGARET H. NIU 2011-02-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2023-07-01	GISELLE CONFEHR	2025-01-16
502	2022-07-01	GISELLE CONFEHR	2024-01-29
502	2021-07-01	GISELLE CONFEHR	2022-12-01
502	2020-07-01	GISELLE CONFEHR	2021-12-17
502	2019-07-01	GISELLE CONFEHR	2020-11-12
502	2018-07-01	GISELLE CONFEHR	2019-10-07
502	2017-07-01
502	2016-07-01
502	2015-07-01	MARGARET H NIU
502	2014-07-01	MARGARET H NIU
502	2013-07-01	MARGARET NIU		MARGARET NIU	2015-01-09
502	2012-07-01	MARGARET H. NIU		MARGARET H. NIU	2014-01-21
502	2011-07-01	MARGARET H. NIU		MARGARET H. NIU	2012-12-18
502	2009-07-01	MARGARET H. NIU		MARGARET H. NIU	2011-02-25

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-018264-00

Policy instance

Insurance contract or identification number	01-018264-00
Number of Individuals Covered	235
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $9,852
Total amount of fees paid to insurance company	USD $2,912
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $65,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

Insurance contract or identification number	8719
Number of Individuals Covered	294
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $9,803
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-018264-00

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-018264-00

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-018264-00

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

5784100

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

1447200

Policy instance

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

Policy contract number

5784100

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

1447200

Policy instance

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

Policy contract number

5784100

Policy instance

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

Policy contract number

1447200

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

6144700

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

5784100

Policy instance

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

Policy contract number

5784100

Policy instance

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

Policy contract number

6144700

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

6144700

Policy instance

DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )

Policy contract number

8719

Policy instance

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

Policy contract number

5784100

Policy instance

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Company Name:	SEATTLE ACADEMY OF ARTS AND SCIENCES
Employer identification number (EIN):	911223580
NAIC Classification:	611000

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1983-11-02
Company Identification Number:	600507235
Legal Registered Office Address:	2801 ALASKAN WAY STE 300 PIER 70 SEATTLE United States of America (USA) 981211128