Form 5500 · Retirement plan · BELLEVUE, WA
OVERLAKE HOSPITAL MEDICAL CENTER
The filing calls this plan OVERLAKE HOSPITAL MEDICAL CENTER 403(B)RETIREMENT PLAN.
OVERLAKE HOSPITAL MEDICAL CENTER of BELLEVUE, WA's retirement plan holds 2 insurance-company contracts (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0652651 · plan 002 · plan year 2024, filed Oct 14, 2025
Plan brief
Schedule A lists 2 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles, all with EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA.
The contracts held $246,854 at the end of the plan year, as reported on Schedule A.
The filing discloses no agent commission on these contracts.
A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.
The contract year ended in December.
Schedule A insurance contracts
| Carrier | Contract type | Covered | Year ends | Contract value | Commission |
|---|---|---|---|---|---|
| EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA | Annuity / GIC | 32 | December | $180,757 | $0 |
| EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA | Annuity / GIC | 19 | December | $66,097 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 2,891 employees, 105 recordable cases, 946 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
What the plan holds
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
Who runs the plan
The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.
We can name the recordkeeper and the auditor for large plans, the ones that file a Schedule C or a Schedule H. Smaller plans do not have to report either, so for most 401(k) plans in the country that information is not public anywhere.
The filing reports that employee contributions were not forwarded to the plan on time (line 4a).
Other plans filed by this employer
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