VINYL NORTHWEST, LLC DBA PELLA-VINYL PORTLAND OPERATIONS has sponsored the creation of one or more 401k plans.
Additional information about VINYL NORTHWEST, LLC DBA PELLA-VINYL PORTLAND OPERATIONS
Submission information for form 5500 for 401k plan VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM
401k plan membership statisitcs for VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM
Measure | Date | Value |
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2022: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 104 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 225 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 226 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2021: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 113 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 104 |
Total of all active and inactive participants | 2021-01-01 | 104 |
Total participants | 2021-01-01 | 104 |
2020: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 178 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 220 |
Total of all active and inactive participants | 2020-01-01 | 220 |
Total participants | 2020-01-01 | 220 |
2019: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 159 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 158 |
Total of all active and inactive participants | 2019-01-01 | 158 |
Total participants | 2019-01-01 | 158 |
2018: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 130 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 159 |
Total of all active and inactive participants | 2018-01-01 | 159 |
Total participants | 2018-01-01 | 159 |
2017: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 141 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 130 |
Total of all active and inactive participants | 2017-01-01 | 130 |
Total participants | 2017-01-01 | 130 |
2016: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 139 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 141 |
Total of all active and inactive participants | 2016-01-01 | 141 |
Total participants | 2016-01-01 | 141 |
2015: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 139 |
Total of all active and inactive participants | 2015-01-01 | 139 |
Total participants | 2015-01-01 | 139 |
2014: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 112 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 109 |
Total of all active and inactive participants | 2014-01-01 | 109 |
Total participants | 2014-01-01 | 109 |
2013: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 93 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 110 |
Number of retired or separated participants receiving benefits | 2013-01-01 | 2 |
Total of all active and inactive participants | 2013-01-01 | 112 |
Total participants | 2013-01-01 | 112 |
2012: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2012 401k membership |
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Total participants, beginning-of-year | 2012-09-01 | 140 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 89 |
Number of retired or separated participants receiving benefits | 2012-09-01 | 4 |
Total of all active and inactive participants | 2012-09-01 | 93 |
Total participants | 2012-09-01 | 93 |
2011: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2011 401k membership |
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Total participants, beginning-of-year | 2011-09-01 | 156 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 137 |
Number of retired or separated participants receiving benefits | 2011-09-01 | 3 |
Total of all active and inactive participants | 2011-09-01 | 140 |
Total participants | 2011-09-01 | 140 |
2010: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2010 401k membership |
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Total participants, beginning-of-year | 2010-09-01 | 165 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-09-01 | 156 |
Total of all active and inactive participants | 2010-09-01 | 156 |
Total participants | 2010-09-01 | 156 |
2009: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2009 401k membership |
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Total participants, beginning-of-year | 2009-09-01 | 189 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 161 |
Number of retired or separated participants receiving benefits | 2009-09-01 | 4 |
Total of all active and inactive participants | 2009-09-01 | 165 |
Total participants | 2009-09-01 | 165 |
2022: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2019: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Submission has been amended | Yes |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2018: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2018 form 5500 responses |
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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: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2017 form 5500 responses |
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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: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2014: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2013: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2013 form 5500 responses |
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2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2012: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2012 form 5500 responses |
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2012-09-01 | Type of plan entity | Single employer plan |
2012-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2012-09-01 | Plan funding arrangement – Insurance | Yes |
2012-09-01 | Plan benefit arrangement – Insurance | Yes |
2011: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2011 form 5500 responses |
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2011-09-01 | Type of plan entity | Single employer plan |
2011-09-01 | Plan funding arrangement – Insurance | Yes |
2011-09-01 | Plan benefit arrangement – Insurance | Yes |
2010: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2010 form 5500 responses |
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2010-09-01 | Type of plan entity | Single employer plan |
2010-09-01 | Plan funding arrangement – Insurance | Yes |
2010-09-01 | Plan benefit arrangement – Insurance | Yes |
2009: VINYL NORTHWEST, INC. HEALTH, LIFE INS., DENTAL, VISION, TEMPORARY DISABILITY & LONG TERM 2009 form 5500 responses |
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2009-09-01 | Type of plan entity | Single employer plan |
2009-09-01 | Plan funding arrangement – Insurance | Yes |
2009-09-01 | Plan benefit arrangement – Insurance | Yes |
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 93-0798039 |
Policy instance | 2 |
Insurance contract or identification number | 93-0798039 | Number of Individuals Covered | 189 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,316,640 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL150922 |
Policy instance | 1 |
Insurance contract or identification number | GL150922 | Number of Individuals Covered | 236 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $120,378 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 186 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,441,364 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 217 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $108,443 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 217 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $19,817 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 175 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $19,299 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 175 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $89,506 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 195 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,465,597 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 158 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $20,330 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 158 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $76,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 189 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,334,239 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 130 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $19,951 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 130 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $70,435 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 185 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,062,863 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 184 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,135,285 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 143 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of fees paid to insurance company | USD $1,391 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $54,902 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 1391 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 143 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of fees paid to insurance company | USD $403 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $15,941 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 403 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 109 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of fees paid to insurance company | USD $366 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $16,780 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 366 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 200 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,107,113 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 109 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of fees paid to insurance company | USD $1,141 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $54,123 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 1141 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 111 | Insurance policy start date | 2013-11-01 | Insurance policy end date | 2014-10-31 | Total amount of fees paid to insurance company | USD $565 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $16,471 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 565 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 2 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 111 | Insurance policy start date | 2013-11-01 | Insurance policy end date | 2014-10-31 | Total amount of fees paid to insurance company | USD $1,835 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $51,864 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 1835 | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO. |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 3 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 209 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,240,966 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | G 162685 |
Policy instance | 3 |
Insurance contract or identification number | G 162685 | Number of Individuals Covered | 119 | Insurance policy start date | 2013-02-01 | Insurance policy end date | 2013-12-31 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $45,875 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 2 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 220 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $15,158 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,076,714 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,158 | Insurance broker organization code? | 3 | Insurance broker name | LA MAIR-MULOCK-CONDON CO |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 150922 |
Policy instance | 1 |
Insurance contract or identification number | GL 150922 | Number of Individuals Covered | 119 | Insurance policy start date | 2013-02-01 | Insurance policy end date | 2013-12-31 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $14,113 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 2 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 244 | Insurance policy start date | 2012-09-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $4,532 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $445,382 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,532 | Insurance broker organization code? | 3 | Insurance broker name | FRANK W. BERLIN ASSOC. LLC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 151068 |
Policy instance | 1 |
Insurance contract or identification number | 151068 | Number of Individuals Covered | 130 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $2,436 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,532 | Insurance broker organization code? | 3 | Insurance broker name | LAMAIR MULOCK CONDON CO |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 151068 |
Policy instance | 1 |
Insurance contract or identification number | 151068 | Number of Individuals Covered | 137 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $4,052 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 2 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 244 | Insurance policy start date | 2011-09-01 | Insurance policy end date | 2012-08-31 | Total amount of commissions paid to insurance broker | USD $14,299 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,294,505 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 151068 |
Policy instance | 1 |
Insurance contract or identification number | 151068 | Number of Individuals Covered | 155 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $5,525 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
Policy contract number | 1965 |
Policy instance | 2 |
Insurance contract or identification number | 1965 | Number of Individuals Covered | 283 | Insurance policy start date | 2010-09-01 | Insurance policy end date | 2011-08-31 | Total amount of commissions paid to insurance broker | USD $15,181 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,184,646 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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