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KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 401k Plan overview

Plan NameKALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN
Plan identification number 501

KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

KALISPEL TRIBAL ECONOMIC AUTHORITY has sponsored the creation of one or more 401k plans.

Company Name:KALISPEL TRIBAL ECONOMIC AUTHORITY
Employer identification number (EIN):912054433
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01SARAH BEITO2024-07-02
5012022-01-01SARAH BEITO2023-04-27
5012021-01-01SARAH BEITO2022-06-08
5012020-01-01SARAH BEITO2021-10-06
5012019-01-01SARAH BEITO2020-06-15
5012018-01-01
5012017-01-01
5012016-01-01DEANA STUDNICKA
5012015-01-01DEANA STUDNICKA

Plan Statistics for KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN

401k plan membership statisitcs for KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN

Measure Date Value
2023: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,368
Total number of active participants reported on line 7a of the Form 55002023-01-011,389
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-011,389
Number of employers contributing to the scheme2023-01-010
2022: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,295
Total number of active participants reported on line 7a of the Form 55002022-01-011,368
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,368
Number of employers contributing to the scheme2022-01-010
2021: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,017
Total number of active participants reported on line 7a of the Form 55002021-01-011,295
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 participants2021-01-011,295
Number of employers contributing to the scheme2021-01-010
2020: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,017
Total number of active participants reported on line 7a of the Form 55002020-01-011,017
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 participants2020-01-011,017
Number of employers contributing to the scheme2020-01-010
2019: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,017
Total number of active participants reported on line 7a of the Form 55002019-01-011,017
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 participants2019-01-011,017
Number of employers contributing to the scheme2019-01-010
2018: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,017
Total number of active participants reported on line 7a of the Form 55002018-01-011,017
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 participants2018-01-011,017
Number of employers contributing to the scheme2018-01-010
2017: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01889
Total number of active participants reported on line 7a of the Form 55002017-01-01889
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 participants2017-01-01889
2016: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01889
Total number of active participants reported on line 7a of the Form 55002016-01-01889
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01889
2015: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01950
Total number of active participants reported on line 7a of the Form 55002015-01-01889
Number of retired or separated participants receiving benefits2015-01-0110
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01899

Form 5500 Responses for KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN

2023: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: KALISPEL TRIBAL ECONOMIC AUTHORITY MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number4178100
Policy instance 1
Insurance contract or identification number4178100
Number of Individuals Covered322
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,088,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number8800800
Policy instance 2
Insurance contract or identification number8800800
Number of Individuals Covered1587
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,608,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number4178100
Policy instance 1
Insurance contract or identification number4178100
Number of Individuals Covered320
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,054,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number8800800
Policy instance 2
Insurance contract or identification number8800800
Number of Individuals Covered1580
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,465,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number4178100
Policy instance 1
Insurance contract or identification number4178100
Number of Individuals Covered322
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,500
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,719,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,500
Amount paid for insurance broker fees0
Insurance broker organization code?3
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number8800800
Policy instance 2
Insurance contract or identification number8800800
Number of Individuals Covered1515
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,370,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number8005400
Policy instance 1
Insurance contract or identification number8005400
Number of Individuals Covered1124
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,119,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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