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WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 401k Plan overview

Plan NameWASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN
Plan identification number 501

WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name:WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST
Employer identification number (EIN):467048407
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DEB BRADY2023-10-16
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01

Plan Statistics for WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN

401k plan membership statisitcs for WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN

Measure Date Value
2022: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,213
Total number of active participants reported on line 7a of the Form 55002022-01-012,034
Total of all active and inactive participants2022-01-012,034
2021: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,835
Total number of active participants reported on line 7a of the Form 55002021-01-013,213
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-013,213
2020: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,500
Total number of active participants reported on line 7a of the Form 55002020-01-012,835
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,835
2019: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,612
Total number of active participants reported on line 7a of the Form 55002019-01-012,500
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,500
2018: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,902
Total number of active participants reported on line 7a of the Form 55002018-01-012,612
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,612
2017: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,546
Total number of active participants reported on line 7a of the Form 55002017-01-011,902
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,902
2016: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-015,455
Total number of active participants reported on line 7a of the Form 55002016-01-011,546
Total of all active and inactive participants2016-01-011,546
2015: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-016,383
Total number of active participants reported on line 7a of the Form 55002015-01-015,455
Total of all active and inactive participants2015-01-015,455
2014: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-016,383
Total of all active and inactive participants2014-01-016,383

Financial Data on WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN

Measure Date Value
2022 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$617,906
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$364,929
Total income from all sources (including contributions)2022-12-31$18,805,872
Total of all expenses incurred2022-12-31$18,828,070
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$16,795,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$18,805,539
Value of total assets at end of year2022-12-31$1,211,460
Value of total assets at beginning of year2022-12-31$980,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,032,917
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$1,537,599
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$128,827
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$142,799
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$249,397
Other income not declared elsewhere2022-12-31$333
Administrative expenses (other) incurred2022-12-31$16,464
Liabilities. Value of operating payables at end of year2022-12-31$117,906
Liabilities. Value of operating payables at beginning of year2022-12-31$115,532
Total non interest bearing cash at end of year2022-12-31$913,170
Total non interest bearing cash at beginning of year2022-12-31$835,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-22,198
Value of net assets at end of year (total assets less liabilities)2022-12-31$593,554
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$615,752
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
Investment advisory and management fees2022-12-31$33,430
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$16,795,153
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$18,805,539
Employer contributions (assets) at end of year2022-12-31$169,463
Employer contributions (assets) at beginning of year2022-12-31$2,306
Contract administrator fees2022-12-31$445,424
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 investment2022-12-31No
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 COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$364,929
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$479,940
Total income from all sources (including contributions)2021-12-31$16,528,463
Total of all expenses incurred2021-12-31$16,514,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$14,769,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$16,528,039
Value of total assets at end of year2021-12-31$980,681
Value of total assets at beginning of year2021-12-31$1,081,363
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,744,398
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$1,341,851
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
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$145,105
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$155,718
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$249,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$365,454
Other income not declared elsewhere2021-12-31$424
Administrative expenses (other) incurred2021-12-31$22,684
Liabilities. Value of operating payables at end of year2021-12-31$115,532
Liabilities. Value of operating payables at beginning of year2021-12-31$114,486
Total non interest bearing cash at end of year2021-12-31$835,576
Total non interest bearing cash at beginning of year2021-12-31$925,645
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$14,329
Value of net assets at end of year (total assets less liabilities)2021-12-31$615,752
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$601,423
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
Investment advisory and management fees2021-12-31$30,783
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$14,769,736
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$16,528,039
Contract administrator fees2021-12-31$349,080
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 name2021-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN2021-12-31200079326
2020 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$479,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$480,813
Total income from all sources (including contributions)2020-12-31$13,663,836
Total of all expenses incurred2020-12-31$13,602,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$12,028,477
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,662,784
Value of total assets at end of year2020-12-31$1,081,363
Value of total assets at beginning of year2020-12-31$1,020,731
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,573,854
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$1,121,178
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$155,718
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$163,450
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$365,454
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$404,315
Other income not declared elsewhere2020-12-31$1,052
Administrative expenses (other) incurred2020-12-31$19,539
Liabilities. Value of operating payables at end of year2020-12-31$114,486
Liabilities. Value of operating payables at beginning of year2020-12-31$76,498
Total non interest bearing cash at end of year2020-12-31$925,645
Total non interest bearing cash at beginning of year2020-12-31$857,281
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$61,505
Value of net assets at end of year (total assets less liabilities)2020-12-31$601,423
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$539,918
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
Investment advisory and management fees2020-12-31$15,725
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$12,028,477
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$13,662,784
Contract administrator fees2020-12-31$417,412
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 name2020-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN2020-12-31200079326
2019 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$480,813
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$480,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$536,914
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$536,914
Total income from all sources (including contributions)2019-12-31$13,282,791
Total income from all sources (including contributions)2019-12-31$13,282,791
Total of all expenses incurred2019-12-31$13,054,249
Total of all expenses incurred2019-12-31$13,054,249
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,594,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,116,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,116,124
Value of total assets at end of year2019-12-31$1,020,731
Value of total assets at end of year2019-12-31$1,020,731
Value of total assets at beginning of year2019-12-31$848,290
Value of total assets at beginning of year2019-12-31$848,290
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,459,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,459,271
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
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$1,059,283
Administrative expenses professional fees incurred2019-12-31$1,059,283
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$163,450
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$163,450
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$404,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$404,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$457,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$457,047
Other income not declared elsewhere2019-12-31$166,667
Other income not declared elsewhere2019-12-31$166,667
Administrative expenses (other) incurred2019-12-31$1,172
Administrative expenses (other) incurred2019-12-31$1,172
Liabilities. Value of operating payables at end of year2019-12-31$76,498
Liabilities. Value of operating payables at end of year2019-12-31$76,498
Liabilities. Value of operating payables at beginning of year2019-12-31$79,867
Liabilities. Value of operating payables at beginning of year2019-12-31$79,867
Total non interest bearing cash at end of year2019-12-31$857,281
Total non interest bearing cash at end of year2019-12-31$857,281
Total non interest bearing cash at beginning of year2019-12-31$841,697
Total non interest bearing cash at beginning of year2019-12-31$841,697
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
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$228,542
Value of net income/loss2019-12-31$228,542
Value of net assets at end of year (total assets less liabilities)2019-12-31$539,918
Value of net assets at end of year (total assets less liabilities)2019-12-31$539,918
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$311,376
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$311,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$3,217
Investment advisory and management fees2019-12-31$3,217
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,594,978
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,594,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$13,116,124
Contributions received in cash from employer2019-12-31$13,116,124
Employer contributions (assets) at beginning of year2019-12-31$6,593
Employer contributions (assets) at beginning of year2019-12-31$6,593
Contract administrator fees2019-12-31$395,599
Contract administrator fees2019-12-31$395,599
Did the plan have assets held for investment2019-12-31No
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
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm name2019-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN2019-12-31200079326
Accountancy firm EIN2019-12-31200079326
2018 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$536,914
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$426,918
Total income from all sources (including contributions)2018-12-31$13,080,804
Total of all expenses incurred2018-12-31$13,050,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$11,593,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$13,080,804
Value of total assets at end of year2018-12-31$848,290
Value of total assets at beginning of year2018-12-31$708,313
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,456,974
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$930,022
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$457,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$371,894
Administrative expenses (other) incurred2018-12-31$1,269
Liabilities. Value of operating payables at end of year2018-12-31$79,867
Liabilities. Value of operating payables at beginning of year2018-12-31$55,024
Total non interest bearing cash at end of year2018-12-31$841,697
Total non interest bearing cash at beginning of year2018-12-31$708,313
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$29,981
Value of net assets at end of year (total assets less liabilities)2018-12-31$311,376
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$281,395
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
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$11,593,849
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$13,080,804
Employer contributions (assets) at end of year2018-12-31$6,593
Contract administrator fees2018-12-31$525,683
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 name2018-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN2018-12-31200079326
2017 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$426,918
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$263,840
Total income from all sources (including contributions)2017-12-31$8,768,197
Total of all expenses incurred2017-12-31$8,731,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,757,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,768,197
Value of total assets at end of year2017-12-31$708,313
Value of total assets at beginning of year2017-12-31$508,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$973,891
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$618,620
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
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
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$371,894
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$220,307
Administrative expenses (other) incurred2017-12-31$4,494
Liabilities. Value of operating payables at end of year2017-12-31$55,024
Liabilities. Value of operating payables at beginning of year2017-12-31$43,533
Total non interest bearing cash at end of year2017-12-31$708,313
Total non interest bearing cash at beginning of year2017-12-31$493,841
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$36,577
Value of net assets at end of year (total assets less liabilities)2017-12-31$281,395
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$244,818
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
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$7,757,729
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$8,768,197
Employer contributions (assets) at beginning of year2017-12-31$14,817
Contract administrator fees2017-12-31$350,777
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 name2017-12-31DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN2017-12-31200079326
2016 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$276,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$177,704
Total income from all sources (including contributions)2016-12-31$6,566,809
Total of all expenses incurred2016-12-31$6,536,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,807,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,566,809
Value of total assets at end of year2016-12-31$508,658
Value of total assets at beginning of year2016-12-31$379,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$729,488
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$141,125
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 beginning of year2016-12-31$35,436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$220,307
Administrative expenses (other) incurred2016-12-31$327,627
Liabilities. Value of operating payables at end of year2016-12-31$56,629
Liabilities. Value of operating payables at beginning of year2016-12-31$177,704
Total non interest bearing cash at end of year2016-12-31$493,841
Total non interest bearing cash at beginning of year2016-12-31$332,702
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$30,294
Value of net assets at end of year (total assets less liabilities)2016-12-31$231,722
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$201,428
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
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$5,807,027
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$6,566,809
Employer contributions (assets) at end of year2016-12-31$14,817
Employer contributions (assets) at beginning of year2016-12-31$10,994
Contract administrator fees2016-12-31$260,736
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
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 name2016-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2016-12-31910614823
2015 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$177,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$669,061
Total income from all sources (including contributions)2015-12-31$25,383,280
Total of all expenses incurred2015-12-31$25,289,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$22,471,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$25,382,611
Value of total assets at end of year2015-12-31$379,132
Value of total assets at beginning of year2015-12-31$777,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,818,206
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$513,683
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$35,436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$522,513
Other income not declared elsewhere2015-12-31$669
Administrative expenses (other) incurred2015-12-31$1,289,384
Liabilities. Value of operating payables at end of year2015-12-31$177,704
Liabilities. Value of operating payables at beginning of year2015-12-31$146,548
Total non interest bearing cash at end of year2015-12-31$332,702
Total non interest bearing cash at beginning of year2015-12-31$752,037
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$93,394
Value of net assets at end of year (total assets less liabilities)2015-12-31$201,428
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$108,034
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$22,471,680
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$25,382,611
Employer contributions (assets) at end of year2015-12-31$10,994
Employer contributions (assets) at beginning of year2015-12-31$25,058
Contract administrator fees2015-12-31$1,015,139
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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 name2015-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2015-12-31910614823
2014 : WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$669,061
Total income from all sources (including contributions)2014-12-31$14,679,669
Total of all expenses incurred2014-12-31$14,571,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$12,983,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$14,679,332
Value of total assets at end of year2014-12-31$777,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,587,820
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$269,021
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
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
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$522,513
Other income not declared elsewhere2014-12-31$337
Administrative expenses (other) incurred2014-12-31$733,499
Liabilities. Value of operating payables at end of year2014-12-31$146,548
Total non interest bearing cash at end of year2014-12-31$752,037
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$108,034
Value of net assets at end of year (total assets less liabilities)2014-12-31$108,034
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$12,983,815
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$14,679,332
Employer contributions (assets) at end of year2014-12-31$25,058
Contract administrator fees2014-12-31$585,300
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
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 name2014-12-31SCHOEDEL & SCHOEDEL CPAS PLLC
Accountancy firm EIN2014-12-31910614823

Form 5500 Responses for WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN

2022: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 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 COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 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 COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 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 COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 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 COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: WASHINGTON COMMERCIAL CONSTRUCTION HEALTH TRUST PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MAGELLAN HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberASET00-01
Policy instance 6
Insurance contract or identification numberASET00-01
Number of Individuals Covered280
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
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $5,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered2252
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability 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 number00154, 00156
Policy instance 4
Insurance contract or identification number00154, 00156
Number of Individuals Covered800
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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered1099
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
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered3060
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $39,900
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,772,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,880
Insurance broker organization code?3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered397
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,960
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,335,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $540
Insurance broker organization code?3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered282
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $840
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $975,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $620
Insurance broker organization code?3
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered2931
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $26,780
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,053,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,560
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered1054
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,179
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 number151-156
Policy instance 4
Insurance contract or identification number151-156
Number of Individuals Covered1199
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered1550
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 6
Insurance contract or identification number649240
Number of Individuals Covered27
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 7
Insurance contract or identification number649240
Number of Individuals Covered19
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 7
Insurance contract or identification number649240
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 6
Insurance contract or identification number649240
Number of Individuals Covered18
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered1419
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $689
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $689
Insurance broker organization code?3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number151-156
Policy instance 4
Insurance contract or identification number151-156
Number of Individuals Covered1079
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
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 number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered886
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,933
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 number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered2628
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $31,040
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,750,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,880
Insurance broker organization code?3
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered207
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,520
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $694,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $620
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered1556
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
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 number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered280
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,020
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,311,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,600
Insurance broker organization code?3
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered2220
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,640
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,637,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,600
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered1089
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,215
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 number151-156
Policy instance 4
Insurance contract or identification number151-156
Number of Individuals Covered863
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 6
Insurance contract or identification number649240
Number of Individuals Covered31
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 7
Insurance contract or identification number649240
Number of Individuals Covered26
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 7
Insurance contract or identification number649240
Number of Individuals Covered23
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Temporary Disability Insurance Welfare BenefitYes
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 number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered283
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,200
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,058,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,400
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649240
Policy instance 6
Insurance contract or identification number649240
Number of Individuals Covered23
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered1254
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life 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 number151-156, 3873
Policy instance 4
Insurance contract or identification number151-156, 3873
Number of Individuals Covered852
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
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 number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered799
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,869
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 number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered2329
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,460
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,845,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,460
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649225
Policy instance 5
Insurance contract or identification number649225
Number of Individuals Covered1111
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life 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 number151-156, 3873
Policy instance 4
Insurance contract or identification number151-156, 3873
Number of Individuals Covered703
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
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 number12319758
Policy instance 3
Insurance contract or identification number12319758
Number of Individuals Covered551
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,481
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 number100000070
Policy instance 2
Insurance contract or identification number100000070
Number of Individuals Covered1645
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $12,360
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,286,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,560
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE INC
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number100000070
Policy instance 1
Insurance contract or identification number100000070
Number of Individuals Covered257
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,740
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,104,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,280
Insurance broker organization code?3
Insurance broker nameHUB INTERNATIONAL NORTHWEST LLC

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