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| Plan Name | DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HEALTHCENTER NORTHWEST, LLC |
| Employer identification number (EIN): | 810540517 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2020-01-01 | CRAIG BOYER | 2021-07-28 | ||
| 502 | 2019-01-01 | KATHY WELSH | 2020-07-13 | ||
| 502 | 2018-01-01 | ||||
| 502 | 2017-01-01 | ||||
| 502 | 2016-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 370 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 0 |
| 2019: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 307 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 370 |
| Total of all active and inactive participants | 2019-01-01 | 370 |
| 2018: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 161 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 307 |
| Total of all active and inactive participants | 2018-01-01 | 307 |
| 2017: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 161 |
| Total of all active and inactive participants | 2017-01-01 | 161 |
| 2016: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 139 |
| Total of all active and inactive participants | 2016-01-01 | 139 |
| 2020: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DENTAL PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | First time form 5500 has been submitted | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5948416 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | KM05948416 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | KM05948416 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00001D031360 00 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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