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| Plan Name | OUTSIDE IN HEALTH BENEFITS |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OUTSIDE IN |
| Employer identification number (EIN): | 930567549 |
| NAIC Classification: | 624200 |
Additional information about OUTSIDE IN
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 2068-09-23 |
| Company Identification Number: | 8446411 |
| Legal Registered Office Address: |
1132 SW 13TH AVE PORTLAND United States of America (USA) 97205 |
More information about OUTSIDE IN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-07-01 | BONNIE ROSS | |||
| 502 | 2016-07-01 | ||||
| 502 | 2015-07-01 | BONNIE ROSS | BONNIE ROSS | 2017-01-31 |
| Measure | Date | Value |
|---|---|---|
| 2017: OUTSIDE IN HEALTH BENEFITS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 114 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 114 |
| 2016: OUTSIDE IN HEALTH BENEFITS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-07-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 124 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 124 |
| 2015: OUTSIDE IN HEALTH BENEFITS 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-07-01 | 92 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 98 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 1 |
| Total of all active and inactive participants | 2015-07-01 | 99 |
| Total participants | 2015-07-01 | 99 |
| Measure | Date | Value |
|---|---|---|
| 2016 : OUTSIDE IN HEALTH BENEFITS 2016 401k financial data | ||
| Total income from all sources | 2016-06-30 | $426,442 |
| Expenses. Total of all expenses incurred | 2016-06-30 | $0 |
| Total plan assets at end of year | 2016-06-30 | $426,442 |
| Net income (gross income less expenses) | 2016-06-30 | $426,442 |
| Net plan assets at end of year (total assets less liabilities) | 2016-06-30 | $426,442 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-06-30 | $0 |
| Total contributions received or receivable from employer(s) | 2016-06-30 | $426,442 |
| 2017: OUTSIDE IN HEALTH BENEFITS 2017 form 5500 responses | ||
|---|---|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | No |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: OUTSIDE IN HEALTH BENEFITS 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | No |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: OUTSIDE IN HEALTH BENEFITS 2015 form 5500 responses | ||
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | First time form 5500 has been submitted | Yes |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | No |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 11662 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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