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| Plan Name | LIFE WORKS GROUP MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LIFE WORKS |
| Employer identification number (EIN): | 911224762 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about LIFE WORKS
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1983-09-20 |
| Company Identification Number: | 601149791 |
| Legal Registered Office Address: |
906 NEW YORK ST LONGVIEW United States of America (USA) 986324132 |
More information about LIFE WORKS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2014-01-01 | DAVID HILL | DAVID HILL | 2019-07-15 |
| Measure | Date | Value |
|---|---|---|
| 2014: LIFE WORKS GROUP MEDICAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 0 |
| 2014: LIFE WORKS GROUP MEDICAL PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Submission has been amended | Yes |
| 2014-01-01 | This submission is the final filing | Yes |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||
| Policy contract number | 9634 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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