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GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 401k Plan overview

Plan NameGROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST
Plan identification number 503

GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

HEALTHCENTER NORTHWEST, LLC has sponsored the creation of one or more 401k plans.

Company Name:HEALTHCENTER NORTHWEST, LLC
Employer identification number (EIN):810540517
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-01-01CRAIG BOYER2021-07-28
5032019-01-01KATHY WELSH2020-07-15
5032018-01-01
5032017-01-01
5032016-01-01

Plan Statistics for GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST

401k plan membership statisitcs for GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST

Measure Date Value
2020: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2020 401k membership
Total participants, beginning-of-year2020-01-01251
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
2019: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2019 401k membership
Total participants, beginning-of-year2019-01-01250
Total number of active participants reported on line 7a of the Form 55002019-01-01251
Total of all active and inactive participants2019-01-01251
2018: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2018 401k membership
Total participants, beginning-of-year2018-01-01260
Total number of active participants reported on line 7a of the Form 55002018-01-01250
Total of all active and inactive participants2018-01-01250
2017: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2017 401k membership
Total participants, beginning-of-year2017-01-01257
Total number of active participants reported on line 7a of the Form 55002017-01-01260
Total of all active and inactive participants2017-01-01260
2016: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2016 401k membership
Total participants, beginning-of-year2016-01-01193
Total number of active participants reported on line 7a of the Form 55002016-01-01257
Total of all active and inactive participants2016-01-01257
Total participants2016-01-01257

Form 5500 Responses for GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST

2020: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF HEALTHCENTER NORTHWEST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM607066
Policy instance 1
Insurance contract or identification numberSGM607066
Number of Individuals Covered228
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,392
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,392
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM607066
Policy instance 1
Insurance contract or identification numberSGM607066
Number of Individuals Covered251
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $7,042
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,042
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM607066
Policy instance 1
Insurance contract or identification numberSGM607066
Number of Individuals Covered250
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $5,129
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,129
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM607066
Policy instance 1
Insurance contract or identification numberSGM607066
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $6,770
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,770
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameALLEGIANCE BENEFIT PLAN

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