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NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 401k Plan overview

Plan NameNORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES
Plan identification number 503

NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

NORTHWEST ADMINISTRATORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTHWEST ADMINISTRATORS, INC.
Employer identification number (EIN):910680697
NAIC Classification:524290

Additional information about NORTHWEST ADMINISTRATORS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1958-06-13
Company Identification Number: 578036111
Legal Registered Office Address: 2323 EASTLAKE AVE E

SEATTLE
United States of America (USA)
981020000

More information about NORTHWEST ADMINISTRATORS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-06-01
5032017-06-01GAYLE BUSHNELL2019-12-20
5032016-06-01
5032015-06-01GAYLE R BUSHNELL
5032015-02-01GAYLE R. BUSHNELL
5032014-02-01GAYLE R. BUSHNELL
5032013-02-01GAYLE BUSHNELL
5032012-02-01GAYLE BUSHNELL
5032011-02-01GAYLE BUSHNELL
5032009-02-01GAYLE BUSHNELL

Plan Statistics for NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES

401k plan membership statisitcs for NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES

Measure Date Value
2017: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-06-01312
Total number of active participants reported on line 7a of the Form 55002017-06-01328
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01328
Number of employers contributing to the scheme2017-06-010
2016: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-06-01270
Total number of active participants reported on line 7a of the Form 55002016-06-01312
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01312
2015: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-06-01262
Total number of active participants reported on line 7a of the Form 55002015-06-01267
Number of retired or separated participants receiving benefits2015-06-013
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01270
Total participants, beginning-of-year2015-02-01273
Total number of active participants reported on line 7a of the Form 55002015-02-01324
Total of all active and inactive participants2015-02-01324
Total participants2015-02-010
2014: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-02-01265
Total number of active participants reported on line 7a of the Form 55002014-02-01273
Total of all active and inactive participants2014-02-01273
Total participants2014-02-010
2013: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-02-01244
Total number of active participants reported on line 7a of the Form 55002013-02-01265
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01265
2012: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-02-01236
Total number of active participants reported on line 7a of the Form 55002012-02-01244
Total of all active and inactive participants2012-02-01244
Total participants2012-02-01244
2011: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-02-01236
Total number of active participants reported on line 7a of the Form 55002011-02-01236
Total of all active and inactive participants2011-02-01236
Total participants2011-02-01236
2009: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-02-01195
Total number of active participants reported on line 7a of the Form 55002009-02-01214
Total of all active and inactive participants2009-02-01214
Total participants2009-02-01214

Form 5500 Responses for NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES

2017: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedYes
2017-06-01This submission is the final filingYes
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2015-02-01Type of plan entitySingle employer plan
2015-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: NORTHWEST BENEFIT NETWORK VISION CARE PLAN FOR THE NORTH WEST ADMINSTRATORS, INC. SALARIED EMPLOYEES 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05924469
Policy instance 1
Insurance contract or identification numberKM05924469
Number of Individuals Covered119
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
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 $12,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05924469
Policy instance 1
Insurance contract or identification numberKM05924469
Number of Individuals Covered110
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $13,595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05924469
Policy instance 1
Insurance contract or identification numberKM05924469
Number of Individuals Covered111
Insurance policy start date2015-02-01
Insurance policy end date2015-05-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05924469
Policy instance 1
Insurance contract or identification numberKM05924469
Number of Individuals Covered58
Insurance policy start date2015-01-01
Insurance policy end date2015-01-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 )
Policy contract number97125769
Policy instance 2
Insurance contract or identification number97125769
Number of Individuals Covered58
Insurance policy start date2014-02-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 )
Policy contract number97125769
Policy instance 1
Insurance contract or identification number97125769
Number of Individuals Covered57
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $13,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number97215-769
Policy instance 1
Insurance contract or identification number97215-769
Number of Individuals Covered49
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
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 $11,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number97215-769
Policy instance 1
Insurance contract or identification number97215-769
Number of Individuals Covered50
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
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 $11,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number97125-769
Policy instance 1
Insurance contract or identification number97125-769
Number of Individuals Covered49
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
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 $9,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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