401k Plan data: SELCO HEALTH PLAN plan

SELCO HEALTH PLAN 401k Plan overview

Plan Name	SELCO HEALTH PLAN
Plan identification number	510

SELCO HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Severance pay Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

SELCO COMMUNITY CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name: SELCO COMMUNITY CREDIT UNION

Employer identification number (EIN): 930163693

NAIC Classification: 522130
NAIC Description: Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SELCO HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2021-01-01
510 2021-01-01 CHRISTI SHAW
510 2020-01-01
510 2019-01-01
510 2017-01-01 CHRISTI MANNING CHRISTI MANNING 2018-07-13
510 2016-01-01 CHRISTI MANNING CHRISTI MANNING 2017-07-31
510 2014-01-01 CHRISTI MANNING CHRISTI MANNING 2015-07-13
510 2013-01-01 BABS MANION
510 2012-01-01 BABS MANION
510 2011-01-01 CHRISTI MANNING
510 2009-01-01 CHRISTI MANNING

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
510	2021-01-01
510	2021-01-01	CHRISTI SHAW
510	2020-01-01
510	2019-01-01
510	2017-01-01	CHRISTI MANNING	CHRISTI MANNING	2018-07-13
510	2016-01-01	CHRISTI MANNING	CHRISTI MANNING	2017-07-31
510	2014-01-01	CHRISTI MANNING	CHRISTI MANNING	2015-07-13
510	2013-01-01	BABS MANION
510	2012-01-01	BABS MANION
510	2011-01-01	CHRISTI MANNING
510	2009-01-01	CHRISTI MANNING

Plan Statistics for SELCO HEALTH PLAN

401k plan membership statisitcs for SELCO HEALTH PLAN

Measure Date Value
2021: SELCO HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 370
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 384
Total of all active and inactive participants 2021-01-01 384
Total participants 2021-01-01 384
2020: SELCO HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 370
Total of all active and inactive participants 2020-01-01 370
Total participants 2020-01-01 370
2019: SELCO HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 369
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 367
Total of all active and inactive participants 2019-01-01 367
Total participants 2019-01-01 367
2017: SELCO HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 328
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 344
Total of all active and inactive participants 2017-01-01 344
Total participants 2017-01-01 344
2016: SELCO HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 328
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
Number of employers contributing to the scheme 2016-01-01 0
2014: SELCO HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 303
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 300
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 300
2013: SELCO HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 280
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 310
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 310
2012: SELCO HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 280
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 280
2011: SELCO HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 228
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 245
Number of retired or separated participants receiving benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 251
Total participants 2011-01-01 251
2009: SELCO HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 233
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 240

Measure	Date	Value
2021: SELCO HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	370
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	384
Total of all active and inactive participants	2021-01-01	384
Total participants	2021-01-01	384
2020: SELCO HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	370
Total of all active and inactive participants	2020-01-01	370
Total participants	2020-01-01	370
2019: SELCO HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	369
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	367
Total of all active and inactive participants	2019-01-01	367
Total participants	2019-01-01	367
2017: SELCO HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	328
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	344
Total of all active and inactive participants	2017-01-01	344
Total participants	2017-01-01	344
2016: SELCO HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	328
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
Number of employers contributing to the scheme	2016-01-01	0
2014: SELCO HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	303
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	300
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	300
2013: SELCO HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	280
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	310
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	310
2012: SELCO HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	280
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	280
2011: SELCO HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	228
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	245
Number of retired or separated participants receiving benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	251
Total participants	2011-01-01	251
2009: SELCO HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	233
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	240

Form 5500 Responses for SELCO HEALTH PLAN

2021: SELCO HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: SELCO HEALTH PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: SELCO HEALTH PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: SELCO HEALTH PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: SELCO HEALTH PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2014: SELCO HEALTH PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SELCO HEALTH PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SELCO HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SELCO HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: SELCO HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number	OR300864
Policy instance	1
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number	OR300864
Policy instance	1
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number	OR300864
Policy instance	1
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract number	OR300864
Policy instance	1
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract number	G0017120
Policy instance	2

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Company Name:	SELCO COMMUNITY CREDIT UNION
Employer identification number (EIN):	930163693
NAIC Classification:	522130
NAIC Description:	Credit Unions