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Plan Name | PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PACIFICSOURCE HEALTH PLANS |
Employer identification number (EIN): | 930245545 |
NAIC Classification: | 524140 |
Additional information about PACIFICSOURCE HEALTH PLANS
Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
Incorporation Date: | 2033-04-12 |
Company Identification Number: | 3651213 |
Legal Registered Office Address: |
110 INTERNATIONAL WAY SPRINGFIELD United States of America (USA) 97477 |
More information about PACIFICSOURCE HEALTH PLANS
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2012-01-01 | PETER DAVIDSON | |||
502 | 2011-01-01 | PETER DAVIDSON | |||
502 | 2009-01-01 | PETER DAVIDSON |
Measure | Date | Value |
---|---|---|
2012: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2012 401k membership | ||
Total participants, beginning-of-year | 2012-01-01 | 582 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 626 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 7 |
Total of all active and inactive participants | 2012-01-01 | 633 |
Total participants | 2012-01-01 | 633 |
2011: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2011 401k membership | ||
Total participants, beginning-of-year | 2011-01-01 | 563 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 576 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 6 |
Total of all active and inactive participants | 2011-01-01 | 582 |
Total participants | 2011-01-01 | 582 |
2009: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2009 401k membership | ||
Total participants, beginning-of-year | 2009-01-01 | 1,011 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 377 |
Total of all active and inactive participants | 2009-01-01 | 377 |
Total participants | 2009-01-01 | 377 |
2012: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2012 form 5500 responses | ||
---|---|---|
2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | No |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | No |
2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2011 form 5500 responses | ||
2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | No |
2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2009 form 5500 responses | ||
2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | No |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | No |
2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |