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601-604-132:UNITED BEHAVIORAL HEALTH

Site:United Behavioral Health, Inc., Tax Year:2011

Business Information
Name of Business as Registered: UNITED BEHAVIORAL HEALTH
UBI Number used with Department of Employment Security
(if this number differs from Revenue's Tax Registration Number)
075631100
Total number of employees statewide (as reported to
Employment Security) on December 31, 2011
467
Employment Security Reference Number(s)
Check this box if you are a tooling manufacturer.
Check this box if you have no sites in Washington
Check this box if you have no business sites and no employees in Washington State.
How many manufacturing sites do you have in Washington that were supported by tax incentives during this calendar year?
1
Selected Incentives:
Government Funded Mental Health Services Deduction
Manufacturing Site Details
Site Name:
United Behavioral Health, Inc.
Contact Name:
Address line 1
3315 S 23rd Street
Address line 2
City
Tacoma
Zip
98405
State
WA
Email Address
Daytime phone
Fax
Activity begin date
1/1/2010
mm/dd/yyyy
Activity end date

mm/dd/yyyy
SECTION 1a - EMPLOYMENT INFORMATION
Percentage of activities reflected in this report supported by tax incentives: 70.0%
OCCUPATIONS/STANDARD OCCUPATION CODE 1
Total no. of employees in this occupation
2a
Minimum Wage - $10(%)
2b
$10.01 - $15(%)
2c
$15.01 - $20(%)
2d
$20.01 - $30(%)
2e
$30.01 & Over(%)
Management 98 0.0 0.0 0.0 0.0 100.0
Business, financial, and legal operations 136 0.0 0.0 42.9 42.9 14.3
Computer, mathematical, architecture, and engineering 19 0.0 0.0 0.0 0.0 100.0
Life, physical, and social science 19 0.0 0.0 0.0 100.0 0.0
Community and social services 39 0.0 0.0 0.0 100.0 0.0
Education, training, and library 0
Healthcare practitioners, technical, and support 117 0.0 0.0 0.0 83.3 16.7
Protective services, building, and grounds maintenance 0
Sales and service 0
Office and administrative support 39 0.0 50.0 50.0 0.0 0.0
Construction and extraction 0
Installation, maintenance, and repair 0
Production, non-construction trades, and craft 0
Transportation and material moving 0
Other (forest, fishery, agriculture, military, arts, entertainment, and media) 0


OCCUPATIONS/STANDARD OCCUPATION CODE 3a
Full-Time Employees(%)
3b
Part-Time Employees(%)
3c
Temporary Employees(%)
4
Medical Benefits % Eligible
5
Retirement Benefits % Eligible
Management 100.0 0.0 0.0 100.0 100.0
Business, financial, and legal operations 100.0 0.0 0.0 100.0 100.0
Computer, mathematical, architecture, and engineering 100.0 0.0 0.0 100.0 100.0
Life, physical, and social science 100.0 0.0 0.0 100.0 100.0
Community and social services 100.0 0.0 0.0 100.0 100.0
Education, training, and library
Healthcare practitioners, technical, and support 100.0 0.0 0.0 100.0 100.0
Protective services, building, and grounds maintenance
Sales and service
Office and administrative support 100.0 0.0 0.0 100.0 100.0
Construction and extraction
Installation, maintenance, and repair
Production, non-construction trades, and craft
Transportation and material moving
Other (forest, fishery, agriculture, military, arts, entertainment, and media)
SECTION 1b - TEMPORARY STAFFING

1. What is the total number of persons obtained through temporary staffing firms? 0

2. What are the top three occupational codes in which those workers were placed?

1.

2.

3.

3. What is the average duration of temporary employees?

SECTION 2a - MEDICAL PLANS No Medical Plans Offered:



Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
HRA - CDHP
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 8.3% 28.0% $ 434.01

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
Yes
Yes $
and/or
20.0%
Yes over $250
Hospital Services
Yes
Yes $0.00
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
Yes $15.00
and/or
0.0%
No $0 - $100 Prenventive Drugs covered at 100% after Co-Pay. Tier 1 - 15, Tier 2 - 35 and Tier 3 - 70




Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
Next Gen PPO
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
37.5% 22.2% 13.7% $ 342.33

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
Yes
Yes $25.00
and/or
20.0%
Yes over $250
Hospital Services
Yes
Yes $
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
Yes $15.00
and/or
%
No $0 - $100 Prenventive Drugs covered at 100% after Co-Pay. Tier 1 - 15, Tier 2 - 35 and Tier 3 - 70




Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
Select Saver - CDHP
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 50.0% 16.5% $ 525.15

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
Yes
Yes $
and/or
20.0%
Yes over $250
Hospital Services
Yes
Yes $
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
Yes $
and/or
20.0%
Yes over $250 Prenventive Drugs covered at 100% after Co-Pay. Tier 1 - 15, Tier 2 - 35 and Tier 3 - 70




Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
Super Saver - CDHP
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 16.7% 13.3% $ 517.95

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
Yes
Yes $
and/or
20.0%
Yes over $250
Hospital Services
Yes
Yes $
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
Yes $
and/or
20.0%
Yes over $250 Prenventive Drugs covered at 100% after Co-Pay. Tier 1 - 15, Tier 2 - 35 and Tier 3 - 70
SECTION 2b - DENTAL PLANS No Dental Plans Offered:


Description of Dental Plan (Fee for service, HMO, PPO, Taft-Hartley, ect.)
Basic PPO
Eligible Enrolled Part-time Eligible Premium Paid
100.0% 20.8% 31.6%
Employer Monthly Rate Annual Maximum Benefit and/or Unlimited Benefit
$15.67 $1,000.00



Description of Dental Plan (Fee for service, HMO, PPO, Taft-Hartley, ect.)
Comprehensive PPO
Eligible Enrolled Part-time Eligible Premium Paid
100.0% 75.0% 59.1%
Employer Monthly Rate Annual Maximum Benefit and/or Unlimited Benefit
$23.73 $1,500.00
SECTION 3 - RETIREMENT BENEFITS No Retirement Plans Offered:


Name: 401(k) Plan
Description: A section 401(k) plan is a type of deferred compensation plan in which an employee can elect to have the employer contribute a portion of his or her wages to the plan on a pre-tax basis. The name of the Plan is derived from the section of the Internal Revenue Code which established it. The employee and the employer can contribute. However, an employer contribution is not required.
Eligible: 100.0%
Enrolled: 88.0%
Max Contribution: $ and/or 4.5%
Type: Contribution
SECTION 4 - ADDITIONAL QUESTIONS FOR ALUMINUM SMELTERS AND ELECTROLYTIC PROCESSING

For an aluminum smelter, what is the quantity of aluminum smelted at the manufacturing site during the calendar year covered by the report?

metric tons (MT = 2204.62 lbs).

For a chlor-alkali electrolytic processing business or sodium chlorate electrolytic processing business, what is the quantity of product produced at the manufacturing site during the calendar year covered by the report?

tons (2000 lbs).

For an aluminum smelter, chlor-alkali electrolytic processing business, or sodium chlorate electrolytic processing business:
What was your actual total employment at the manufacturing site for:

Q1

Q2

Q3

Q4

What is the number of employment positions affected or to be affected by any employment reductions that have been publicly announced during the sixty-day period preceding the date this report is submitted?

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