401k Plan data: PACIFIC HEALTH INSURANCE, INC. 401(K) PLAN plan

PACIFIC HEALTH INSURANCE, INC. 401(K) PLAN 401k Plan overview

Plan Name	PACIFIC HEALTH INSURANCE, INC. 401(K) PLAN
Plan identification number	001

PACIFIC HEALTH INSURANCE, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PACIFIC HEALTH INSURANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PACIFIC HEALTH INSURANCE, INC.

Employer identification number (EIN): 200871147

NAIC Classification: 524140

Additional information about PACIFIC HEALTH INSURANCE, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2004-03-10

Company Identification Number: 602375120

Legal Registered Office Address: 1601 S 32ND CT

RIDGEFIELD
United States of America (USA)
986420000

More information about PACIFIC HEALTH INSURANCE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC HEALTH INSURANCE, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 RICH W. KELLY 2024-08-20
001 2022-01-01 RICH W. KELLY 2023-06-29
001 2021-01-01 RICH W. KELLY 2022-09-13
001 2020-01-01 RICH W. KELLY 2021-07-28
001 2019-01-01 RICH W. KELLY 2020-07-30
001 2018-01-01 RICH W. KELLY 2019-09-24
001 2017-01-01 RICH W. KELLY 2018-05-31
001 2016-01-01 RICH W. KELLY 2017-05-12
001 2015-01-01 RICH W. KELLY 2016-04-22
001 2014-01-01 RICH W. KELLY 2015-04-22
001 2013-01-01 RICH W. KELLY 2014-05-12
001 2012-01-01 RICH W. KELLY 2013-04-05
001 2011-01-01 RICH W. KELLY 2012-04-18
001 2010-01-01 RICH KELLY 2011-05-31 RICH KELLY 2011-05-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	RICH W. KELLY	2024-08-20
001	2022-01-01	RICH W. KELLY	2023-06-29
001	2021-01-01	RICH W. KELLY	2022-09-13
001	2020-01-01	RICH W. KELLY	2021-07-28
001	2019-01-01	RICH W. KELLY	2020-07-30
001	2018-01-01	RICH W. KELLY	2019-09-24
001	2017-01-01	RICH W. KELLY	2018-05-31
001	2016-01-01	RICH W. KELLY	2017-05-12
001	2015-01-01	RICH W. KELLY	2016-04-22
001	2014-01-01	RICH W. KELLY	2015-04-22
001	2013-01-01	RICH W. KELLY	2014-05-12
001	2012-01-01	RICH W. KELLY	2013-04-05
001	2011-01-01	RICH W. KELLY	2012-04-18
001	2010-01-01	RICH KELLY	2011-05-31	RICH KELLY	2011-05-31

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Company Name:	PACIFIC HEALTH INSURANCE, INC.
Employer identification number (EIN):	200871147
NAIC Classification:	524140

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2004-03-10
Company Identification Number:	602375120
Legal Registered Office Address:	1601 S 32ND CT RIDGEFIELD United States of America (USA) 986420000