401k Plan data: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN plan

TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN
Plan identification number	501

TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Dental
Vision
Temporary disability (accident and sickness)
Long-term disability cover
Death benefits (include travel accident but not life insurance)
Other welfare benefit cover
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

YAKIMA VALLEY COUNCIL ON ALCOHOL has sponsored the creation of one or more 401k plans.

Company Name: YAKIMA VALLEY COUNCIL ON ALCOHOL

Employer identification number (EIN): 910755984

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-10-01 JIM SIMMONS 2024-02-06
501 2021-10-01 JIM SIMMONS 2023-04-21
501 2020-10-01 JIM SIMMONS 2022-04-21
501 2019-10-01 MARC GARCIA 2021-02-08
501 2018-10-01 YARA RODRIGUEZ 2020-06-03
501 2017-10-01 MICHELLE KEY 2019-06-10
501 2016-10-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-10-01	JIM SIMMONS	2024-02-06
501	2021-10-01	JIM SIMMONS	2023-04-21
501	2020-10-01	JIM SIMMONS	2022-04-21
501	2019-10-01	MARC GARCIA	2021-02-08
501	2018-10-01	YARA RODRIGUEZ	2020-06-03
501	2017-10-01	MICHELLE KEY	2019-06-10
501	2016-10-01

Plan Statistics for TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN

401k plan membership statisitcs for TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN

Measure Date Value
2022: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 109
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 90
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 90
Number of employers contributing to the scheme 2022-10-01 0
2021: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 101
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 150
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 150
Number of employers contributing to the scheme 2021-10-01 0
2020: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 65
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 101
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 101
Number of employers contributing to the scheme 2020-10-01 0
2019: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 123
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 65
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 65
Number of employers contributing to the scheme 2019-10-01 0
2018: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 102
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 94
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 94
Number of employers contributing to the scheme 2018-10-01 0
2017: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 104
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 0
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 0
Number of employers contributing to the scheme 2017-10-01 0
2016: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 100
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 102
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 102

Measure	Date	Value
2022: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	90
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	90
Number of employers contributing to the scheme	2022-10-01	0
2021: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	101
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	150
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	150
Number of employers contributing to the scheme	2021-10-01	0
2020: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	65
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	101
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	101
Number of employers contributing to the scheme	2020-10-01	0
2019: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	123
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	65
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	65
Number of employers contributing to the scheme	2019-10-01	0
2018: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	102
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	94
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	94
Number of employers contributing to the scheme	2018-10-01	0
2017: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	104
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	0
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	0
Number of employers contributing to the scheme	2017-10-01	0
2016: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	100
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	102
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	102

Form 5500 Responses for TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN

2022: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: TRIUMPH TREATMENT SERVICES WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	First time form 5500 has been submitted	Yes
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	4
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number	010931
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	2
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	1
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	2
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number	010931
Policy instance	3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	5
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032722
Policy instance	1
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	9485
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	5
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B7TF
Policy instance	7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B7TF
Policy instance	7
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	6
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	5
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	9485
Policy instance	4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	3
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032722
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032722
Policy instance	1
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	9485
Policy instance	4
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	5
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B7TF
Policy instance	7
FIRST CHOICE HEALTH EAP (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	EAP
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010221
Policy instance	3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number	09485
Policy instance	4
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	78756
Policy instance	5
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E3419900
Policy instance	6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0B7TF
Policy instance	7
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1032722
Policy instance	1

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Company Name:	YAKIMA VALLEY COUNCIL ON ALCOHOL
Employer identification number (EIN):	910755984
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers