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NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 401k Plan overview

Plan NameNORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST
Plan identification number 501

NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

NW MARINE TRADE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:NW MARINE TRADE ASSOCIATION
Employer identification number (EIN):462934809
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01ALEX SUTTER2024-09-25 GEORGE HARRIS2024-09-25
5012022-01-01ALEX SUTTER2023-10-06 GEORGE HARRIS2023-10-06
5012021-01-01ALEX SUTTER2022-10-11 GEORGE HARRIS2022-10-11
5012020-01-01ALEX SUTTER2021-10-11 GEORGE HARRIS2021-10-08
5012019-01-01ALEX SUTTER2020-08-31 GEORGE HARRIS2020-09-25
5012017-01-01
5012016-01-01
5012015-01-01PATTI SEGULJA-LAU, CHAIRMAN
5012014-01-01PATTI SEGULJA-LAU, CHAIRMAN
5012014-01-01PATTI SEGULJA-LAU, CHAIRMAN

Plan Statistics for NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST

401k plan membership statisitcs for NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST

Measure Date Value
2023: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2023 401k membership
Total participants, beginning-of-year2023-01-012,192
Total number of active participants reported on line 7a of the Form 55002023-01-011,731
Number of retired or separated participants receiving benefits2023-01-0111
Total of all active and inactive participants2023-01-011,742
Total participants2023-01-011,742
2022: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-012,464
Total number of active participants reported on line 7a of the Form 55002022-01-012,171
Number of retired or separated participants receiving benefits2022-01-0121
Total of all active and inactive participants2022-01-012,192
Total participants2022-01-012,192
2021: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-012,415
Total number of active participants reported on line 7a of the Form 55002021-01-012,436
Number of retired or separated participants receiving benefits2021-01-0128
Total of all active and inactive participants2021-01-012,464
Total participants2021-01-012,464
2020: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-013,382
Total number of active participants reported on line 7a of the Form 55002020-01-013,548
Number of retired or separated participants receiving benefits2020-01-0172
Total of all active and inactive participants2020-01-013,620
2019: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-013,402
Total number of active participants reported on line 7a of the Form 55002019-01-013,349
Number of retired or separated participants receiving benefits2019-01-0133
Total of all active and inactive participants2019-01-013,382
2017: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-013,406
Total number of active participants reported on line 7a of the Form 55002017-01-013,789
Total of all active and inactive participants2017-01-013,789
2016: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-012,836
Total number of active participants reported on line 7a of the Form 55002016-01-013,406
Total of all active and inactive participants2016-01-013,406
2015: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-012,811
Total number of active participants reported on line 7a of the Form 55002015-01-012,836
Total of all active and inactive participants2015-01-012,836
2014: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-012,811
Total of all active and inactive participants2014-01-012,811

Financial Data on NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST

Measure Date Value
2023 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$653,906
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$806,459
Total income from all sources (including contributions)2023-12-31$15,148,458
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$15,006,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$14,679,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$15,132,934
Value of total assets at end of year2023-12-31$1,470,243
Value of total assets at beginning of year2023-12-31$1,481,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$327,035
Total interest from all sources2023-12-31$15,524
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$148,118
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$160,398
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$164,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$653,906
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$806,459
Administrative expenses (other) incurred2023-12-31$35,939
Total non interest bearing cash at end of year2023-12-31$250,000
Total non interest bearing cash at beginning of year2023-12-31$1,316,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$141,615
Value of net assets at end of year (total assets less liabilities)2023-12-31$816,337
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$674,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,059,845
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$15,524
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$14,679,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$15,132,934
Contract administrator fees2023-12-31$272,632
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2023-12-31911301672
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$653,906
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$806,459
Total income from all sources (including contributions)2023-01-01$15,148,458
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$15,006,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$14,679,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$15,132,934
Value of total assets at end of year2023-01-01$1,470,243
Value of total assets at beginning of year2023-01-01$1,481,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$327,035
Total interest from all sources2023-01-01$15,524
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$148,118
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$160,398
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$164,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$653,906
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$806,459
Administrative expenses (other) incurred2023-01-01$35,939
Total non interest bearing cash at end of year2023-01-01$250,000
Total non interest bearing cash at beginning of year2023-01-01$1,316,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$141,615
Value of net assets at end of year (total assets less liabilities)2023-01-01$816,337
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$674,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$1,059,845
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$15,524
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$14,679,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$15,132,934
Contract administrator fees2023-01-01$272,632
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-01-01No
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01SWEENEY CONRAD, P.S.
Accountancy firm EIN2023-01-01911301672
2022 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$806,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,161,318
Total income from all sources (including contributions)2022-12-31$18,421,836
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$18,190,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$17,812,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$18,421,726
Value of total assets at end of year2022-12-31$1,481,181
Value of total assets at beginning of year2022-12-31$1,604,208
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$377,982
Total interest from all sources2022-12-31$110
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$16,008
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$160,421
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$164,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$806,459
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$580,659
Administrative expenses (other) incurred2022-12-31$28,670
Liabilities. Value of operating payables at beginning of year2022-12-31$580,659
Total non interest bearing cash at end of year2022-12-31$1,316,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$231,832
Value of net assets at end of year (total assets less liabilities)2022-12-31$674,722
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$442,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,604,208
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,604,208
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$110
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$17,812,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$18,421,726
Contract administrator fees2022-12-31$333,304
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2022-12-31911301672
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$806,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,161,318
Total income from all sources (including contributions)2022-01-01$18,421,836
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$18,190,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$17,812,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$18,421,726
Value of total assets at end of year2022-01-01$1,481,181
Value of total assets at beginning of year2022-01-01$1,604,208
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$377,982
Total interest from all sources2022-01-01$110
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$16,008
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$160,421
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$164,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$806,459
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$580,659
Administrative expenses (other) incurred2022-01-01$28,670
Liabilities. Value of operating payables at beginning of year2022-01-01$580,659
Total non interest bearing cash at end of year2022-01-01$1,316,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$231,832
Value of net assets at end of year (total assets less liabilities)2022-01-01$674,722
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$442,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$110
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$17,812,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$18,421,726
Contract administrator fees2022-01-01$333,304
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01No
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01SWEENEY CONRAD, P.S.
Accountancy firm EIN2022-01-01911301672
2021 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,161,318
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$962,981
Total income from all sources (including contributions)2021-12-31$18,588,448
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$19,265,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$18,867,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$18,588,240
Value of total assets at end of year2021-12-31$1,604,208
Value of total assets at beginning of year2021-12-31$2,083,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$398,248
Total interest from all sources2021-12-31$208
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$17,151
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$10,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$580,659
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$796,415
Administrative expenses (other) incurred2021-12-31$26,939
Liabilities. Value of operating payables at end of year2021-12-31$580,659
Liabilities. Value of operating payables at beginning of year2021-12-31$8,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-677,195
Value of net assets at end of year (total assets less liabilities)2021-12-31$442,890
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,120,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,604,208
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$2,072,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$2,072,934
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$208
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$18,867,395
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$18,588,240
Contract administrator fees2021-12-31$354,158
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$158,344
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2021-12-31911301672
2020 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$962,981
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$798,829
Total income from all sources (including contributions)2020-12-31$18,295,591
Total of all expenses incurred2020-12-31$18,351,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,992,901
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$18,294,862
Value of total assets at end of year2020-12-31$2,083,066
Value of total assets at beginning of year2020-12-31$1,974,367
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,358,143
Total interest from all sources2020-12-31$729
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$987,864
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$308,131
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$10,132
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$8,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$796,415
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$608,228
Administrative expenses (other) incurred2020-12-31$13,646
Liabilities. Value of operating payables at end of year2020-12-31$8,222
Liabilities. Value of operating payables at beginning of year2020-12-31$10,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-55,453
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,120,085
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,175,538
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,072,934
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,953,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,953,268
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$729
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$16,992,901
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$17,986,731
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$12,109
Contract administrator fees2020-12-31$356,633
Liabilities. Value of benefit claims payable at end of year2020-12-31$158,344
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$179,642
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2020-12-31208149084
2019 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$798,829
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$635,251
Total income from all sources (including contributions)2019-12-31$17,689,652
Total of all expenses incurred2019-12-31$18,041,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,752,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$17,686,252
Value of total assets at end of year2019-12-31$1,974,367
Value of total assets at beginning of year2019-12-31$2,163,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,289,772
Total interest from all sources2019-12-31$3,400
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$952,178
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$266,464
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$8,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$608,228
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$464,878
Administrative expenses (other) incurred2019-12-31$12,148
Liabilities. Value of operating payables at end of year2019-12-31$10,959
Liabilities. Value of operating payables at beginning of year2019-12-31$8,672
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-352,217
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,175,538
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,527,755
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,953,268
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,160,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,160,788
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,400
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$16,752,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$17,419,788
Employer contributions (assets) at end of year2019-12-31$12,109
Employer contributions (assets) at beginning of year2019-12-31$2,218
Contract administrator fees2019-12-31$325,446
Liabilities. Value of benefit claims payable at end of year2019-12-31$179,642
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$161,701
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2019-12-31208149084
2018 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$635,251
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$582,944
Total income from all sources (including contributions)2018-12-31$18,717,060
Total of all expenses incurred2018-12-31$19,237,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$17,842,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$18,713,663
Value of total assets at end of year2018-12-31$2,163,006
Value of total assets at beginning of year2018-12-31$2,631,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,395,187
Total interest from all sources2018-12-31$3,397
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$1,017,450
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$191,405
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$464,878
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$494,023
Administrative expenses (other) incurred2018-12-31$19,353
Liabilities. Value of operating payables at end of year2018-12-31$8,672
Liabilities. Value of operating payables at beginning of year2018-12-31$3,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-520,397
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,527,755
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,048,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,160,788
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,620,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,620,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,397
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$17,842,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$18,522,258
Employer contributions (assets) at end of year2018-12-31$2,218
Employer contributions (assets) at beginning of year2018-12-31$10,594
Contract administrator fees2018-12-31$358,384
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$161,701
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$85,091
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2018-12-31208149084
2017 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$582,944
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$747,326
Total income from all sources (including contributions)2017-12-31$18,805,047
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$18,386,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$16,977,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$18,801,217
Value of total assets at end of year2017-12-31$2,631,096
Value of total assets at beginning of year2017-12-31$2,377,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,408,986
Total interest from all sources2017-12-31$3,830
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$1,043,406
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$143,214
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$8,245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$494,023
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$636,912
Administrative expenses (other) incurred2017-12-31$10,283
Liabilities. Value of operating payables at end of year2017-12-31$3,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$418,234
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,048,152
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,629,918
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,620,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,351,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,351,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,830
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$16,977,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$18,658,003
Employer contributions (assets) at end of year2017-12-31$10,594
Employer contributions (assets) at beginning of year2017-12-31$17,169
Contract administrator fees2017-12-31$355,297
Liabilities. Value of benefit claims payable at end of year2017-12-31$85,091
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$110,414
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2017-12-31208149084
2016 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$747,326
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$360,172
Total income from all sources (including contributions)2016-12-31$14,263,327
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$14,541,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$13,433,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$14,259,752
Value of total assets at end of year2016-12-31$2,377,244
Value of total assets at beginning of year2016-12-31$2,268,437
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,108,372
Total interest from all sources2016-12-31$3,575
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$796,494
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$8,245
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$7,218
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$636,912
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$247,709
Administrative expenses (other) incurred2016-12-31$9,110
Total non interest bearing cash at beginning of year2016-12-31$2,245,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-278,347
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,629,918
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,908,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,351,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$3,575
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$13,433,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$14,259,752
Employer contributions (assets) at end of year2016-12-31$17,169
Employer contributions (assets) at beginning of year2016-12-31$15,761
Contract administrator fees2016-12-31$302,768
Liabilities. Value of benefit claims payable at end of year2016-12-31$110,414
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$112,463
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2016-12-31208149084
2015 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$360,172
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$353,165
Total income from all sources (including contributions)2015-12-31$11,905,841
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$11,064,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,218,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,903,087
Value of total assets at end of year2015-12-31$2,268,437
Value of total assets at beginning of year2015-12-31$1,420,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$846,054
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$601,925
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$7,218
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$4,774
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$247,709
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$263,188
Other income not declared elsewhere2015-12-31$2,754
Administrative expenses (other) incurred2015-12-31$11,803
Total non interest bearing cash at end of year2015-12-31$2,245,458
Total non interest bearing cash at beginning of year2015-12-31$1,405,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$841,271
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,908,265
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,066,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$10,218,516
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$11,903,087
Employer contributions (assets) at end of year2015-12-31$15,761
Employer contributions (assets) at beginning of year2015-12-31$9,470
Contract administrator fees2015-12-31$232,326
Liabilities. Value of benefit claims payable at end of year2015-12-31$112,463
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$89,977
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2015-12-31208149084
2014 : NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$353,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$11,105,940
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$10,038,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$9,412,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$11,104,585
Value of total assets at end of year2014-12-31$1,420,159
Value of total assets at beginning of year2014-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$626,039
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$391,765
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$4,774
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$263,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$1,355
Administrative expenses (other) incurred2014-12-31$24,063
Total non interest bearing cash at end of year2014-12-31$1,405,915
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,066,994
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,066,994
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$9,412,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$11,104,585
Employer contributions (assets) at end of year2014-12-31$9,470
Employer contributions (assets) at beginning of year2014-12-31$0
Contract administrator fees2014-12-31$210,211
Liabilities. Value of benefit claims payable at end of year2014-12-31$89,977
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2014-12-31201849084

Form 5500 Responses for NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST

2023: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443-300443
Policy instance 5
Insurance contract or identification numberWA300443-300443
Number of Individuals Covered1948
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $12,187
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $128,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number24563
Policy instance 4
Insurance contract or identification number24563
Number of Individuals Covered120
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $38,015
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $493,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 3
Insurance contract or identification number24563
Number of Individuals Covered294
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $146,239
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,795,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2
Insurance contract or identification number100000049
Number of Individuals Covered6
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $2,996
Total amount of fees paid to insurance companyUSD $1,691
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $56,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 1
Insurance contract or identification number100000049
Number of Individuals Covered1818
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $548,594
Total amount of fees paid to insurance companyUSD $181,075
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,455,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981-03988
Policy instance 6
Insurance contract or identification number03981-03988
Number of Individuals Covered1783
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $63,467
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 3
Insurance contract or identification number24563
Number of Individuals Covered426
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $166,772
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,458,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2
Insurance contract or identification number100000049
Number of Individuals Covered6
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,030
Total amount of fees paid to insurance companyUSD $1,475
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $49,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number24563
Policy instance 4
Insurance contract or identification number24563
Number of Individuals Covered112
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $37,846
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $532,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443-300443
Policy instance 5
Insurance contract or identification numberWA300443-300443
Number of Individuals Covered2069
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,039
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $172,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981-03988
Policy instance 6
Insurance contract or identification number03981-03988
Number of Individuals Covered2276
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $78,070
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 1
Insurance contract or identification number100000049
Number of Individuals Covered2270
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $637,515
Total amount of fees paid to insurance companyUSD $223,228
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,261,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 1
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 3
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number24563
Policy instance 4
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443-300443
Policy instance 5
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443-300443
Policy instance 6
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981 - 03988
Policy instance 7
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 6
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number24563
Policy instance 5
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981-03988
Policy instance 4
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443
Policy instance 3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 1
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981-03988
Policy instance 4
MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract numberNMTA0-001
Policy instance 5
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number24563
Policy instance 6
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 7
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 1
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number24563
Policy instance 3
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberLM0269785
Policy instance 4
MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract numberNMTA0-001
Policy instance 5
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number03981-03988
Policy instance 2
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 6
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 5
MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract numberNMTA0-001
Policy instance 4
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443
Policy instance 3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 1
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number5942300
Policy instance 2
MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract numberNMTA0-001
Policy instance 1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000049
Policy instance 4
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300443
Policy instance 3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000049
Policy instance 2

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