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NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 401k Plan overview

Plan NameNORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN
Plan identification number 501

NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN Benefits

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

401k Sponsoring company profile

NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION
Employer identification number (EIN):911972449
NAIC Classification:238900

Additional information about NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1999-01-21
Company Identification Number: 601928484
Legal Registered Office Address: 209 N HAVANA

SPOKANE
United States of America (USA)
992020000

More information about NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01STAN WAGNER2023-11-20
5012021-05-01STAN WAGNER2022-11-14
5012020-05-01STAN WAGNER2021-11-15
5012019-05-01STAN WAGNER2020-11-17

Plan Statistics for NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN

401k plan membership statisitcs for NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN

Measure Date Value
2022: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2022 401k membership
Total participants, beginning-of-year2022-05-01985
Total number of active participants reported on line 7a of the Form 55002022-05-011,617
Number of retired or separated participants receiving benefits2022-05-016
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-011,623
Number of employers contributing to the scheme2022-05-010
2021: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2021 401k membership
Total participants, beginning-of-year2021-05-011,506
Total number of active participants reported on line 7a of the Form 55002021-05-011,630
Number of retired or separated participants receiving benefits2021-05-0112
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-011,642
Number of employers contributing to the scheme2021-05-010
2020: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2020 401k membership
Total participants, beginning-of-year2020-05-01420
Total number of active participants reported on line 7a of the Form 55002020-05-011,480
Number of retired or separated participants receiving benefits2020-05-0110
Number of other retired or separated participants entitled to future benefits2020-05-0114
Total of all active and inactive participants2020-05-011,504
Number of employers contributing to the scheme2020-05-0174
2019: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2019 401k membership
Total participants, beginning-of-year2019-05-0120
Total number of active participants reported on line 7a of the Form 55002019-05-01419
Number of retired or separated participants receiving benefits2019-05-011
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01420
Number of employers contributing to the scheme2019-05-0124

Form 5500 Responses for NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN

2022: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2022 form 5500 responses
2022-05-01Type of plan entityMulitple employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2021 form 5500 responses
2021-05-01Type of plan entityMulitple employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2020 form 5500 responses
2020-05-01Type of plan entityMulitple employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: NORTHWEST INDEPENDENT PLAN CENTER ASSOCIATION EMPLOYEE WELFARE BENEFIT PALN 2019 form 5500 responses
2019-05-01Type of plan entityMulitple employer plan
2019-05-01First time form 5500 has been submittedYes
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5374327
Policy instance 4
Insurance contract or identification number5374327
Number of Individuals Covered1601
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $2,952
Total amount of fees paid to insurance companyUSD $12
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,952
Amount paid for insurance broker fees12
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered1617
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $10,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-050638
Policy instance 2
Insurance contract or identification number010-050638
Number of Individuals Covered608
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000134
Policy instance 1
Insurance contract or identification number100000134
Number of Individuals Covered2419
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,766,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5374327
Policy instance 4
Insurance contract or identification number5374327
Number of Individuals Covered1648
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $3,718
Total amount of fees paid to insurance companyUSD $10
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $74,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,718
Amount paid for insurance broker fees10
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered1644
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $14,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-050638
Policy instance 2
Insurance contract or identification number010-050638
Number of Individuals Covered1373
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000134
Policy instance 1
Insurance contract or identification number100000134
Number of Individuals Covered2419
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,269,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5374327
Policy instance 4
Insurance contract or identification number5374327
Number of Individuals Covered1480
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $3,266
Total amount of fees paid to insurance companyUSD $907
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $61,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,266
Amount paid for insurance broker fees907
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered1491
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $10,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-050638
Policy instance 2
Insurance contract or identification number010-050638
Number of Individuals Covered917
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000134
Policy instance 1
Insurance contract or identification number100000134
Number of Individuals Covered2150
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,022,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5374327
Policy instance 4
Insurance contract or identification number5374327
Number of Individuals Covered427
Insurance policy start date2019-07-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $39
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered430
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-050638
Policy instance 2
Insurance contract or identification number010-050638
Number of Individuals Covered116
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000134
Policy instance 1
Insurance contract or identification number100000134
Number of Individuals Covered602
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,154,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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