| Plan Name | THE COMMUNITY SUPPORTS NETWORK HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | DEVELOPMENTAL SERVICES OF IOWA, INC . |
| Employer identification number (EIN): | 205999406 |
| NAIC Classification: | 611000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-01-01 | JUSTIN GULBRANDSON | |||
| 501 | 2023-01-01 | ||||
| 501 | 2023-01-01 | A2771537 | |||
| 501 | 2022-01-01 | ||||
| 501 | 2022-01-01 | JUSTIN GULBRANDSON | |||
| 501 | 2021-01-01 | ||||
| 501 | 2021-01-01 | JUSTIN GULBRANDSON |
| 2023: THE COMMUNITY SUPPORTS NETWORK HEALTH PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: THE COMMUNITY SUPPORTS NETWORK HEALTH PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: THE COMMUNITY SUPPORTS NETWORK HEALTH PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| FAIRCO (National Association of Insurance Commissioners NAIC id number: 19453 ) | |
| Policy contract number | MSL2000093-02 |
| Policy instance | 1 |