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| Plan Name | CENTER FOR HUMAN SERVICES WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | Center for Human Services |
| Employer identification number (EIN): | 237082323 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about Center for Human Services
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1984-05-14 |
| Company Identification Number: | 600035344 |
| Legal Registered Office Address: |
17018 15TH AVE NE SHORELINE United States of America (USA) 981555126 |
More information about Center for Human Services
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | BERATTA GOMILLION | 2024-06-06 |
| Measure | Date | Value |
|---|---|---|
| 2023: CENTER FOR HUMAN SERVICES WELFARE BENEFIT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 132 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 132 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2023: CENTER FOR HUMAN SERVICES WELFARE BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 6473200 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 3060 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 12280189 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 10172489 | ||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||
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