2023 Form 5500 filing — Pacific Northwest Employers Life Health Insurance Trust
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241011085408NAL0022446401001) for Pacific Northwest Employers Life Health Insurance Trust, reported by The Trustees Of The Pacific Northwest Employers Life Health Insurance under EIN 93-6033740 and plan number 501. It reports 461 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241011085408NAL0022446401001
- Filing year
- 2023
- Form type
- 3
- Plan sponsor
- The Trustees Of The Pacific Northwest Employers Life Health Insurance
- EIN
- 93-6033740
- Plan number
- 501
- Location
- Salem, OR
- Participants
- 461
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $291,130
- Total liabilities (EOY)
- $69,256
- Net assets (EOY)
- $221,874
- Employer contributions
- $3,680,475
- Total income / additions
- $3,688,608
- Benefits paid
- $3,572,319
- Administrative expenses
- $68,406
- Total expenses
- $3,640,725
- Net increase / (decrease)
- $47,883
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cascade Employers Association | RELATED PARTY | $30,000 | not reported in the loaded dataset |
| Jones & Roth, P.C. | ACCOUNTANT | $13,400 | not reported in the loaded dataset |
| Csnw Benefits | CONSULTANT | $12,000 | not reported in the loaded dataset |