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PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 401k Plan overview

Plan NamePACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE
Plan identification number 502

PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

PACIFICSOURCE HEALTH PLANS has sponsored the creation of one or more 401k plans.

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022012-01-01PETER DAVIDSON
5022011-01-01PETER DAVIDSON
5022009-01-01PETER DAVIDSON

Plan Statistics for PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE

401k plan membership statisitcs for PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE

Measure Date Value
2012: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-01-01582
Total number of active participants reported on line 7a of the Form 55002012-01-01626
Number of retired or separated participants receiving benefits2012-01-017
Total of all active and inactive participants2012-01-01633
Total participants2012-01-01633
2011: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-01-01563
Total number of active participants reported on line 7a of the Form 55002011-01-01576
Number of retired or separated participants receiving benefits2011-01-016
Total of all active and inactive participants2011-01-01582
Total participants2011-01-01582
2009: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-01-011,011
Total number of active participants reported on line 7a of the Form 55002009-01-01377
Total of all active and inactive participants2009-01-01377
Total participants2009-01-01377

Form 5500 Responses for PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE

2012: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PACIFICSOURCE HEALTH PLANS, EMPLOYEE HEALTH INSURANCE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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