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MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN 401k Plan overview

Plan NameMT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN
Plan identification number 502

MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • 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

MT. HOOD MEADOWS OREG., LLC has sponsored the creation of one or more 401k plans.

Company Name:MT. HOOD MEADOWS OREG., LLC
Employer identification number (EIN):930555410
NAIC Classification:713900

Additional information about MT. HOOD MEADOWS OREG., LLC

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2066-03-04
Company Identification Number: 89235
Legal Registered Office Address: 760 SW NINTH AVE STE 3000

PORTLAND
United States of America (USA)
97205

More information about MT. HOOD MEADOWS OREG., LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01
5022021-07-01

Plan Statistics for MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN

401k plan membership statisitcs for MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN

Measure Date Value
2022: MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01105
Total number of active participants reported on line 7a of the Form 55002022-07-01109
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01109
2021: MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01105
Total number of active participants reported on line 7a of the Form 55002021-07-0192
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0192

Form 5500 Responses for MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN

2022: MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: MT. HOOD MEADOWS EMPLOYEES ASSISTANCE PROGRAM PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01First time form 5500 has been submittedYes
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANT BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15068922
Policy instance 1
Insurance contract or identification number15068922
Number of Individuals Covered92
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $2,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANT BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15068922
Policy instance 1
Insurance contract or identification number15068922
Number of Individuals Covered92
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $1,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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