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GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 401k Plan overview

Plan NameGLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN
Plan identification number 501

GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

GLACIER FISH COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:GLACIER FISH COMPANY, LLC
Employer identification number (EIN):911875007
NAIC Classification:114110

Additional information about GLACIER FISH COMPANY, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1997-10-29
Company Identification Number: 601828301
Legal Registered Office Address: 1780 BARNES BLVD SW

TUMWATER
United States of America (USA)
98512

More information about GLACIER FISH COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01NICHOLE ASINO2024-04-10
5012021-12-01NICHOLE ASINO2023-04-12
5012020-12-01NICHOLE ASINO2022-06-13
5012019-12-01NICHOLE ASINO2021-04-28
5012018-12-01NICHOLE ASINO2020-05-27
5012017-12-01JAMES C. JOHNSON2019-06-28
5012016-12-01
5012015-12-01JAMES C JOHNSON
5012014-12-01JAMES C JOHNSON
5012013-12-01JAMES C. JOHNSON
5012012-12-01JAMES JOHNSON
5012011-12-01JAMES JOHNSON
5012010-12-01JAMES JOHNSON
5012009-12-01JAMES C JOHNSON

Plan Statistics for GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN

401k plan membership statisitcs for GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN

Measure Date Value
2022: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01243
Total number of active participants reported on line 7a of the Form 55002022-12-01251
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01251
Number of employers contributing to the scheme2022-12-010
2021: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01232
Total number of active participants reported on line 7a of the Form 55002021-12-01243
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01243
Number of employers contributing to the scheme2021-12-010
2020: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01247
Total number of active participants reported on line 7a of the Form 55002020-12-01232
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01232
Number of employers contributing to the scheme2020-12-010
2019: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01229
Total number of active participants reported on line 7a of the Form 55002019-12-01242
Number of retired or separated participants receiving benefits2019-12-015
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01247
Number of employers contributing to the scheme2019-12-010
2018: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01295
Total number of active participants reported on line 7a of the Form 55002018-12-01229
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01229
Number of employers contributing to the scheme2018-12-010
2017: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01309
Total number of active participants reported on line 7a of the Form 55002017-12-01295
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01295
Number of employers contributing to the scheme2017-12-010
2016: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01311
Total number of active participants reported on line 7a of the Form 55002016-12-01309
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01309
2015: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01314
Total number of active participants reported on line 7a of the Form 55002015-12-01311
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01311
2014: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01268
Total number of active participants reported on line 7a of the Form 55002014-12-01314
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01314
2013: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01246
Total number of active participants reported on line 7a of the Form 55002013-12-01268
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01268
2012: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01246
Total number of active participants reported on line 7a of the Form 55002012-12-01246
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01246
2011: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01246
Total number of active participants reported on line 7a of the Form 55002011-12-01246
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01246
2010: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01246
Total number of active participants reported on line 7a of the Form 55002010-12-01246
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01246
2009: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01297
Total number of active participants reported on line 7a of the Form 55002009-12-01246
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01246

Form 5500 Responses for GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN

2022: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes
2015: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – General assets of the sponsorYes
2014: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – General assets of the sponsorYes
2013: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – General assets of the sponsorYes
2012: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – General assets of the sponsorYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – General assets of the sponsorYes
2011: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – General assets of the sponsorYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – General assets of the sponsorYes
2010: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – General assets of the sponsorYes
2010-12-01Plan benefit arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – General assets of the sponsorYes
2009: GLACIER FISH COMPANY, LLC HEALTH CARE BENEFITS PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – General assets of the sponsorYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25021
Policy instance 1
Insurance contract or identification number25021
Number of Individuals Covered243
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $8,527
Total amount of fees paid to insurance companyUSD $34
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $46,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,527
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25021
Policy instance 1
Insurance contract or identification number25021
Number of Individuals Covered232
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $11,320
Total amount of fees paid to insurance companyUSD $46
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $53,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,954
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25021
Policy instance 1
Insurance contract or identification number25021
Number of Individuals Covered242
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $6,665
Total amount of fees paid to insurance companyUSD $54
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $36,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,665
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25021
Policy instance 1
Insurance contract or identification number25021
Number of Individuals Covered229
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $7,374
Total amount of fees paid to insurance companyUSD $394
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $40,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,374
Amount paid for insurance broker fees394
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number25021
Policy instance 1
Insurance contract or identification number25021
Number of Individuals Covered295
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $7,933
Total amount of fees paid to insurance companyUSD $246
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $42,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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