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WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 401k Plan overview

Plan NameWASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST
Plan identification number 501

WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST Benefits

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

401k Sponsoring company profile

WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name:WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST
Employer identification number (EIN):463751550
NAIC Classification:811110
NAIC Description: Automotive Mechanical and Electrical Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01RYAN WELD2023-10-13
5012021-01-01RYAN WELD2022-10-17
5012020-01-01RYAN WELD2021-07-29
5012019-01-01RYAN WELD2020-06-10
5012018-01-01RYAN WELD2019-08-28
5012017-01-01
5012016-01-01
5012016-01-01
5012015-01-01RYAN WELD
5012014-01-01RYAN WELD

Plan Statistics for WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST

401k plan membership statisitcs for WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST

Measure Date Value
2022: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-012,379
Total number of active participants reported on line 7a of the Form 55002022-01-012,534
Number of retired or separated participants receiving benefits2022-01-015
Total of all active and inactive participants2022-01-012,539
2021: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-012,424
Total number of active participants reported on line 7a of the Form 55002021-01-012,370
Number of retired or separated participants receiving benefits2021-01-019
Total of all active and inactive participants2021-01-012,379
2020: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-012,303
Total number of active participants reported on line 7a of the Form 55002020-01-012,414
Number of retired or separated participants receiving benefits2020-01-0110
Total of all active and inactive participants2020-01-012,424
2019: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-012,450
Total number of active participants reported on line 7a of the Form 55002019-01-012,284
Number of retired or separated participants receiving benefits2019-01-0119
Total of all active and inactive participants2019-01-012,303
2018: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,876
Total number of active participants reported on line 7a of the Form 55002018-01-012,437
Number of retired or separated participants receiving benefits2018-01-0113
Total of all active and inactive participants2018-01-012,450
2017: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,426
Total number of active participants reported on line 7a of the Form 55002017-01-011,866
Number of retired or separated participants receiving benefits2017-01-0110
Total of all active and inactive participants2017-01-011,876
2016: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,591
Total number of active participants reported on line 7a of the Form 55002016-01-011,423
Number of retired or separated participants receiving benefits2016-01-013
Total of all active and inactive participants2016-01-011,426
Number of employers contributing to the scheme2016-01-01119
2015: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-012,321
Total number of active participants reported on line 7a of the Form 55002015-01-011,591
Total of all active and inactive participants2015-01-011,591
Number of employers contributing to the scheme2015-01-01139
2014: WASHINGTON AUTOMOTIVE INDUSTRY 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 55002014-01-012,321
Total of all active and inactive participants2014-01-012,321
Number of employers contributing to the scheme2014-01-01205

Financial Data on WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST

Measure Date Value
2022 : WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,144,749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$643,686
Total income from all sources (including contributions)2022-12-31$22,237,246
Total of all expenses incurred2022-12-31$22,062,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$19,582,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$22,233,952
Value of total assets at end of year2022-12-31$2,367,407
Value of total assets at beginning of year2022-12-31$1,691,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,479,108
Total interest from all sources2022-12-31$3,294
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$129,306
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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
Contributions received from participants2022-12-31$103,204
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$7,143
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$7,106
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$891,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$527,611
Administrative expenses (other) incurred2022-12-31$16,491
Liabilities. Value of operating payables at end of year2022-12-31$30,147
Liabilities. Value of operating payables at beginning of year2022-12-31$13,666
Total non interest bearing cash at end of year2022-12-31$79,623
Total non interest bearing cash at beginning of year2022-12-31$110,370
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$175,182
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,222,658
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,047,476
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,225,058
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,537,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,537,147
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,294
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$22,130,748
Employer contributions (assets) at end of year2022-12-31$55,583
Employer contributions (assets) at beginning of year2022-12-31$36,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$19,582,956
Contract administrator fees2022-12-31$2,333,311
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
Liabilities. Value of benefit claims payable at end of year2022-12-31$223,202
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$102,409
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2022-12-31ANASTASI, MOORE, & MARTIN, PLLC.
Accountancy firm EIN2022-12-31208149084
2021 : WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$643,686
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$827,926
Total income from all sources (including contributions)2021-12-31$19,762,426
Total of all expenses incurred2021-12-31$19,590,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$17,398,236
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$19,760,244
Value of total assets at end of year2021-12-31$1,691,162
Value of total assets at beginning of year2021-12-31$1,703,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,192,609
Total interest from all sources2021-12-31$2,182
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$117,133
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
Contributions received from participants2021-12-31$54,261
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$7,106
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$6,903
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$527,611
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$667,867
Administrative expenses (other) incurred2021-12-31$25,256
Liabilities. Value of operating payables at end of year2021-12-31$13,666
Liabilities. Value of operating payables at beginning of year2021-12-31$17,252
Total non interest bearing cash at end of year2021-12-31$110,370
Total non interest bearing cash at beginning of year2021-12-31$183,002
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$171,581
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,047,476
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$875,895
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$1,537,147
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,483,226
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,483,226
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2,182
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$19,705,983
Employer contributions (assets) at end of year2021-12-31$36,539
Employer contributions (assets) at beginning of year2021-12-31$30,690
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$17,398,236
Contract administrator fees2021-12-31$2,050,220
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 end of year2021-12-31$102,409
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$142,807
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2021-12-31208149084
2020 : WASHINGTON AUTOMOTIVE INDUSTRY 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$827,926
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,128,936
Total income from all sources (including contributions)2020-12-31$18,768,110
Total of all expenses incurred2020-12-31$18,601,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,518,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$18,764,682
Value of total assets at end of year2020-12-31$1,703,821
Value of total assets at beginning of year2020-12-31$1,838,043
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,082,564
Total interest from all sources2020-12-31$3,428
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$107,672
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$104,647
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$6,903
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$6,713
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$667,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$594,638
Administrative expenses (other) incurred2020-12-31$15,239
Liabilities. Value of operating payables at end of year2020-12-31$17,252
Liabilities. Value of operating payables at beginning of year2020-12-31$67,850
Total non interest bearing cash at end of year2020-12-31$183,002
Total non interest bearing cash at beginning of year2020-12-31$383,748
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$166,788
Value of net assets at end of year (total assets less liabilities)2020-12-31$875,895
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$709,107
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$1,483,226
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,373,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,373,008
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$3,428
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$18,660,035
Employer contributions (assets) at end of year2020-12-31$30,690
Employer contributions (assets) at beginning of year2020-12-31$74,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$16,518,758
Contract administrator fees2020-12-31$1,959,653
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$142,807
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$466,448
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
2019 : WASHINGTON AUTOMOTIVE INDUSTRY 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$1,128,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$690,339
Total income from all sources (including contributions)2019-12-31$19,621,047
Total of all expenses incurred2019-12-31$19,432,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$17,255,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$19,616,506
Value of total assets at end of year2019-12-31$1,838,043
Value of total assets at beginning of year2019-12-31$1,211,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,177,420
Total interest from all sources2019-12-31$4,541
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$116,399
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$106,822
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$6,713
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$594,638
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$463,440
Administrative expenses (other) incurred2019-12-31$18,095
Liabilities. Value of operating payables at end of year2019-12-31$67,850
Liabilities. Value of operating payables at beginning of year2019-12-31$27,407
Total non interest bearing cash at end of year2019-12-31$383,748
Total non interest bearing cash at beginning of year2019-12-31$769,844
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$188,413
Value of net assets at end of year (total assets less liabilities)2019-12-31$709,107
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$520,694
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$1,373,008
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$414,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$414,119
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$4,541
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$19,509,684
Employer contributions (assets) at end of year2019-12-31$74,574
Employer contributions (assets) at beginning of year2019-12-31$27,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$17,255,214
Contract administrator fees2019-12-31$2,042,926
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$466,448
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$199,492
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 : WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$690,339
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$545,836
Total income from all sources (including contributions)2018-12-31$16,036,105
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$15,864,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,101,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$16,033,053
Value of total assets at end of year2018-12-31$1,211,033
Value of total assets at beginning of year2018-12-31$895,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,762,967
Total interest from all sources2018-12-31$3,052
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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$93,368
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$89,696
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$6,373
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$463,440
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$453,474
Administrative expenses (other) incurred2018-12-31$14,676
Liabilities. Value of operating payables at end of year2018-12-31$27,407
Liabilities. Value of operating payables at beginning of year2018-12-31$10,521
Total non interest bearing cash at end of year2018-12-31$769,844
Total non interest bearing cash at beginning of year2018-12-31$324,608
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$171,300
Value of net assets at end of year (total assets less liabilities)2018-12-31$520,694
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$349,394
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$414,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$542,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$542,829
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,052
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$14,101,838
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$15,943,357
Employer contributions (assets) at end of year2018-12-31$27,070
Employer contributions (assets) at beginning of year2018-12-31$21,420
Contract administrator fees2018-12-31$1,654,923
Liabilities. Value of benefit claims payable at end of year2018-12-31$199,492
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$81,841
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 : WASHINGTON AUTOMOTIVE INDUSTRY 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$545,836
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$715,785
Total income from all sources (including contributions)2017-12-31$11,370,290
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$11,274,952
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$9,985,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,367,600
Value of total assets at end of year2017-12-31$895,230
Value of total assets at beginning of year2017-12-31$969,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,289,209
Total interest from all sources2017-12-31$2,690
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$25,114
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$30,212
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$6,373
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$437
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$453,474
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$523,163
Administrative expenses (other) incurred2017-12-31$69,698
Liabilities. Value of operating payables at end of year2017-12-31$10,521
Liabilities. Value of operating payables at beginning of year2017-12-31$15,966
Total non interest bearing cash at end of year2017-12-31$324,608
Total non interest bearing cash at beginning of year2017-12-31$80,796
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$95,338
Value of net assets at end of year (total assets less liabilities)2017-12-31$349,394
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$254,056
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$542,829
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$835,868
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$835,868
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,690
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$9,985,743
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$11,337,388
Employer contributions (assets) at end of year2017-12-31$21,420
Employer contributions (assets) at beginning of year2017-12-31$52,740
Contract administrator fees2017-12-31$1,194,397
Liabilities. Value of benefit claims payable at end of year2017-12-31$81,841
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$176,656
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 : WASHINGTON AUTOMOTIVE INDUSTRY 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$715,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$721,201
Total income from all sources (including contributions)2016-12-31$11,775,683
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$11,679,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,352,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$11,775,460
Value of total assets at end of year2016-12-31$969,841
Value of total assets at beginning of year2016-12-31$878,951
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,326,387
Total interest from all sources2016-12-31$223
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$18,183
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$437
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$472
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$523,163
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$551,147
Administrative expenses (other) incurred2016-12-31$70,748
Liabilities. Value of operating payables at end of year2016-12-31$15,966
Liabilities. Value of operating payables at beginning of year2016-12-31$27,108
Total non interest bearing cash at end of year2016-12-31$80,796
Total non interest bearing cash at beginning of year2016-12-31$847,573
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$96,306
Value of net assets at end of year (total assets less liabilities)2016-12-31$254,056
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$157,750
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$835,868
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$223
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$10,352,990
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$11,775,460
Employer contributions (assets) at end of year2016-12-31$52,740
Employer contributions (assets) at beginning of year2016-12-31$30,906
Contract administrator fees2016-12-31$1,237,456
Liabilities. Value of benefit claims payable at end of year2016-12-31$176,656
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$142,946
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 : WASHINGTON AUTOMOTIVE INDUSTRY 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$721,201
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$856,338
Total income from all sources (including contributions)2015-12-31$12,027,892
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$11,938,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,576,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$12,027,892
Value of total assets at end of year2015-12-31$878,951
Value of total assets at beginning of year2015-12-31$924,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,361,697
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$22,821
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$472
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$5,954
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$551,147
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$570,213
Administrative expenses (other) incurred2015-12-31$73,434
Liabilities. Value of operating payables at end of year2015-12-31$27,108
Liabilities. Value of operating payables at beginning of year2015-12-31$27,346
Total non interest bearing cash at end of year2015-12-31$847,573
Total non interest bearing cash at beginning of year2015-12-31$911,016
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$89,658
Value of net assets at end of year (total assets less liabilities)2015-12-31$157,750
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$68,092
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
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$12,027,892
Employer contributions (assets) at end of year2015-12-31$30,906
Employer contributions (assets) at beginning of year2015-12-31$7,460
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$10,576,537
Contract administrator fees2015-12-31$1,265,442
Liabilities. Value of benefit claims payable at end of year2015-12-31$142,946
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$258,779
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 : WASHINGTON AUTOMOTIVE INDUSTRY 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$856,338
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$7,531,965
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$7,463,873
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$6,626,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$7,531,965
Value of total assets at end of year2014-12-31$924,430
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$837,745
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$3,329
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$5,954
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$570,213
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$47,930
Liabilities. Value of operating payables at end of year2014-12-31$27,346
Liabilities. Value of operating payables at beginning of year2014-12-31$0
Total non interest bearing cash at end of year2014-12-31$911,016
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$68,092
Value of net assets at end of year (total assets less liabilities)2014-12-31$68,092
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
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$7,531,965
Employer contributions (assets) at end of year2014-12-31$7,460
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$6,626,128
Contract administrator fees2014-12-31$786,486
Liabilities. Value of benefit claims payable at end of year2014-12-31$258,779
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 EIN2014-12-31208149084

Form 5500 Responses for WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST

2022: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: WASHINGTON AUTOMOTIVE INDUSTRY 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: WASHINGTON AUTOMOTIVE INDUSTRY ASSOCIATION HEALTH TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Submission has been amendedYes
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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: WASHINGTON AUTOMOTIVE INDUSTRY 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 – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: WASHINGTON AUTOMOTIVE INDUSTRY 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 – 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 numberWA300444
Policy instance 4
Insurance contract or identification numberWA300444
Number of Individuals Covered2433
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
Insurance contract or identification number30044146
Number of Individuals Covered1464
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
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 number81-84, 99, 111
Policy instance 2
Insurance contract or identification number81-84, 99, 111
Number of Individuals Covered1088
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 1
Insurance contract or identification number100000104
Number of Individuals Covered3502
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,877,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 1
Insurance contract or identification number100000104
Number of Individuals Covered3373
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,899,806
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 number81-84, 99, 111
Policy instance 2
Insurance contract or identification number81-84, 99, 111
Number of Individuals Covered631
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $412,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
Insurance contract or identification number30044146
Number of Individuals Covered1272
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,580
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 numberWA300444
Policy instance 4
Insurance contract or identification numberWA300444
Number of Individuals Covered2895
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $65,779
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 numberWA300444
Policy instance 4
Insurance contract or identification numberWA300444
Number of Individuals Covered2366
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
Insurance contract or identification number30044146
Number of Individuals Covered1291
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,385
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 number81-84, 99, 111
Policy instance 2
Insurance contract or identification number81-84, 99, 111
Number of Individuals Covered647
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $363,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 1
Insurance contract or identification number100000104
Number of Individuals Covered3419
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,357,998
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 numberWA300444
Policy instance 4
Insurance contract or identification numberWA300444
Number of Individuals Covered1842
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
Insurance contract or identification number30044146
Number of Individuals Covered1316
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
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 number81-84, 99, 111
Policy instance 2
Insurance contract or identification number81-84, 99, 111
Number of Individuals Covered485
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 1
Insurance contract or identification number100000104
Number of Individuals Covered2281
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,488,812
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 number81-84,99,111
Policy instance 1
Insurance contract or identification number81-84,99,111
Number of Individuals Covered525
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWA300444
Policy instance 2
Insurance contract or identification numberWA300444
Number of Individuals Covered2148
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
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 $51,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 3
Insurance contract or identification number100000104
Number of Individuals Covered2436
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $13,672,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 4
Insurance contract or identification number30044146
Number of Individuals Covered1528
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 4
Insurance contract or identification number30044146
Number of Individuals Covered1129
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 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
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000104
Policy instance 3
Insurance contract or identification number100000104
Number of Individuals Covered1743
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $9,907,863
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 numberWA300444
Policy instance 2
Insurance contract or identification numberWA300444
Number of Individuals Covered1270
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $36,694
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 number81-84,99,111
Policy instance 1
Insurance contract or identification number81-84,99,111
Number of Individuals Covered126
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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

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