TRUSTEES OF GRINNELL COLLEGE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST
| Measure | Date | Value |
|---|
| 2015 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-34,400 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-34,400 |
| Total transfer of assets to this plan | 2015-12-31 | $4,188,311 |
| Total transfer of assets from this plan | 2015-12-31 | $9,759,008 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $468,498 |
| Total income from all sources (including contributions) | 2015-12-31 | $29,425 |
| Total loss/gain on sale of assets | 2015-12-31 | $0 |
| Total of all expenses incurred | 2015-12-31 | $298,296 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $0 |
| Value of total assets at end of year | 2015-12-31 | $0 |
| Value of total assets at beginning of year | 2015-12-31 | $6,308,066 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $298,296 |
| Total interest from all sources | 2015-12-31 | $105 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $22,315 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $22,315 |
| Administrative expenses professional fees incurred | 2015-12-31 | $103,493 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $87,762 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $468,498 |
| Other income not declared elsewhere | 2015-12-31 | $32,391 |
| Value of net income/loss | 2015-12-31 | $-268,871 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $5,839,568 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $2,847,847 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $2,369,840 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $2,369,840 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $105 |
| Asset value of US Government securities at end of year | 2015-12-31 | $0 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $1,002,617 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $9,014 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Contract administrator fees | 2015-12-31 | $194,803 |
| Did the plan have assets held for investment | 2015-12-31 | No |
| Total unrealized appreciation/depreciation of assets | 2015-06-30 | $0 |
| Total transfer of assets to this plan | 2015-06-30 | $8,412,026 |
| Total transfer of assets from this plan | 2015-06-30 | $7,171,758 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $468,498 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $517,867 |
| Total income from all sources (including contributions) | 2015-06-30 | $39,099 |
| Total loss/gain on sale of assets | 2015-06-30 | $5,171 |
| Total of all expenses incurred | 2015-06-30 | $578,444 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-06-30 | $0 |
| Value of total assets at end of year | 2015-06-30 | $6,308,066 |
| Value of total assets at beginning of year | 2015-06-30 | $5,656,512 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-06-30 | $578,444 |
| Total interest from all sources | 2015-06-30 | $155 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-06-30 | $41,461 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-06-30 | $41,461 |
| Administrative expenses professional fees incurred | 2015-06-30 | $80,801 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-06-30 | $87,762 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-06-30 | $221,795 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-06-30 | $468,498 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-06-30 | $517,867 |
| Administrative expenses (other) incurred | 2015-06-30 | $121,831 |
| Value of net income/loss | 2015-06-30 | $-539,345 |
| Value of net assets at end of year (total assets less liabilities) | 2015-06-30 | $5,839,568 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-06-30 | $5,138,645 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-06-30 | $2,847,847 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-06-30 | $2,818,506 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-06-30 | $2,369,840 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-06-30 | $1,616,464 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-06-30 | $1,616,464 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-06-30 | $155 |
| Asset value of US Government securities at end of year | 2015-06-30 | $1,002,617 |
| Asset value of US Government securities at beginning of year | 2015-06-30 | $999,747 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-06-30 | $-7,688 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-06-30 | No |
| Contract administrator fees | 2015-06-30 | $375,812 |
| Did the plan have assets held for investment | 2015-06-30 | Yes |
| Aggregate proceeds on sale of assets | 2015-06-30 | $5,171 |
| Aggregate carrying amount (costs) on sale of assets | 2015-06-30 | $0 |
| 2014 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-06-30 | $0 |
| Total transfer of assets to this plan | 2014-06-30 | $7,821,761 |
| Total transfer of assets from this plan | 2014-06-30 | $5,825,972 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $517,867 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $662,525 |
| Total income from all sources (including contributions) | 2014-06-30 | $74,149 |
| Total loss/gain on sale of assets | 2014-06-30 | $1,181 |
| Total of all expenses incurred | 2014-06-30 | $370,423 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $0 |
| Value of total assets at end of year | 2014-06-30 | $5,656,512 |
| Value of total assets at beginning of year | 2014-06-30 | $4,101,655 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $370,423 |
| Total interest from all sources | 2014-06-30 | $269 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-06-30 | $39,433 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-06-30 | $39,433 |
| Administrative expenses professional fees incurred | 2014-06-30 | $15,500 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-06-30 | $221,795 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-06-30 | $186,343 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-06-30 | $517,867 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-06-30 | $662,525 |
| Value of net income/loss | 2014-06-30 | $-296,274 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $5,138,645 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $3,439,130 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-06-30 | $2,818,506 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-06-30 | $3,889,273 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-06-30 | $1,616,464 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-06-30 | $26,039 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-06-30 | $26,039 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-06-30 | $269 |
| Asset value of US Government securities at end of year | 2014-06-30 | $999,747 |
| Asset value of US Government securities at beginning of year | 2014-06-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-06-30 | $33,266 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | Yes |
| Contract administrator fees | 2014-06-30 | $354,923 |
| Did the plan have assets held for investment | 2014-06-30 | Yes |
| Aggregate proceeds on sale of assets | 2014-06-30 | $1,181 |
| Aggregate carrying amount (costs) on sale of assets | 2014-06-30 | $0 |
| 2013 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-06-30 | $-210,943 |
| Total unrealized appreciation/depreciation of assets | 2013-06-30 | $-210,943 |
| Total transfer of assets to this plan | 2013-06-30 | $6,992,181 |
| Total transfer of assets from this plan | 2013-06-30 | $6,392,920 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $662,525 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $550,681 |
| Total income from all sources (including contributions) | 2013-06-30 | $1,496 |
| Total loss/gain on sale of assets | 2013-06-30 | $0 |
| Total of all expenses incurred | 2013-06-30 | $347,926 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-06-30 | $0 |
| Value of total assets at end of year | 2013-06-30 | $4,101,655 |
| Value of total assets at beginning of year | 2013-06-30 | $3,736,980 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-06-30 | $347,926 |
| Total interest from all sources | 2013-06-30 | $405 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-06-30 | $41,725 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-06-30 | $41,725 |
| Administrative expenses professional fees incurred | 2013-06-30 | $16,070 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-06-30 | $186,343 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-06-30 | $123,004 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-06-30 | $662,525 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-06-30 | $550,681 |
| Value of net income/loss | 2013-06-30 | $-346,430 |
| Value of net assets at end of year (total assets less liabilities) | 2013-06-30 | $3,439,130 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-06-30 | $3,186,299 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-06-30 | $3,889,273 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-06-30 | $3,442,938 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-06-30 | $26,039 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-06-30 | $171,038 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-06-30 | $171,038 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-06-30 | $405 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-06-30 | $170,309 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-06-30 | No |
| Contract administrator fees | 2013-06-30 | $331,856 |
| Did the plan have assets held for investment | 2013-06-30 | Yes |
| 2012 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2012 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2012-06-30 | $0 |
| Total transfer of assets to this plan | 2012-06-30 | $6,326,880 |
| Total transfer of assets from this plan | 2012-06-30 | $6,083,588 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $550,681 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $460,656 |
| Total income from all sources (including contributions) | 2012-06-30 | $116,455 |
| Total loss/gain on sale of assets | 2012-06-30 | $0 |
| Total of all expenses incurred | 2012-06-30 | $328,709 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-06-30 | $0 |
| Value of total assets at end of year | 2012-06-30 | $3,736,980 |
| Value of total assets at beginning of year | 2012-06-30 | $3,615,917 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-06-30 | $328,709 |
| Total interest from all sources | 2012-06-30 | $690 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-06-30 | $48,544 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-06-30 | $48,544 |
| Administrative expenses professional fees incurred | 2012-06-30 | $11,946 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-06-30 | $123,004 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-06-30 | $5 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-06-30 | $550,681 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-06-30 | $460,656 |
| Value of net income/loss | 2012-06-30 | $-212,254 |
| Value of net assets at end of year (total assets less liabilities) | 2012-06-30 | $3,186,299 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-06-30 | $3,155,261 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-06-30 | $3,442,938 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-06-30 | $2,728,361 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-06-30 | $171,038 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-06-30 | $887,551 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-06-30 | $887,551 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-06-30 | $690 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-06-30 | $67,221 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-06-30 | No |
| Contract administrator fees | 2012-06-30 | $316,763 |
| Did the plan have assets held for investment | 2012-06-30 | Yes |
| 2011 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-06-30 | $0 |
| Total transfer of assets to this plan | 2011-06-30 | $5,847,199 |
| Total transfer of assets from this plan | 2011-06-30 | $5,460,296 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $460,656 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $353,633 |
| Total income from all sources (including contributions) | 2011-06-30 | $78,273 |
| Total loss/gain on sale of assets | 2011-06-30 | $0 |
| Total of all expenses incurred | 2011-06-30 | $266,419 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-06-30 | $0 |
| Value of total assets at end of year | 2011-06-30 | $3,615,917 |
| Value of total assets at beginning of year | 2011-06-30 | $3,310,137 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-06-30 | $266,419 |
| Total interest from all sources | 2011-06-30 | $1,258 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-06-30 | $56,691 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-06-30 | $56,691 |
| Administrative expenses professional fees incurred | 2011-06-30 | $15,360 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-06-30 | $5 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-06-30 | $115,822 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-06-30 | $460,656 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-06-30 | $353,633 |
| Other income not declared elsewhere | 2011-06-30 | $110 |
| Administrative expenses (other) incurred | 2011-06-30 | $35 |
| Value of net income/loss | 2011-06-30 | $-188,146 |
| Value of net assets at end of year (total assets less liabilities) | 2011-06-30 | $3,155,261 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-06-30 | $2,956,504 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-06-30 | $2,728,361 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-06-30 | $2,351,457 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-06-30 | $887,551 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-06-30 | $842,858 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-06-30 | $842,858 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-06-30 | $1,258 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-06-30 | $20,214 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-06-30 | Yes |
| Contract administrator fees | 2011-06-30 | $251,024 |
| Did the plan have assets held for investment | 2011-06-30 | Yes |
| 2010 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2010 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2010-06-30 | $0 |
| Total transfer of assets to this plan | 2010-06-30 | $5,522,079 |
| Total transfer of assets from this plan | 2010-06-30 | $4,963,948 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-06-30 | $353,633 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-06-30 | $401,523 |
| Total income from all sources (including contributions) | 2010-06-30 | $187,239 |
| Total loss/gain on sale of assets | 2010-06-30 | $0 |
| Total of all expenses incurred | 2010-06-30 | $225,265 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-06-30 | $0 |
| Value of total assets at end of year | 2010-06-30 | $3,310,137 |
| Value of total assets at beginning of year | 2010-06-30 | $2,837,922 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-06-30 | $225,265 |
| Total interest from all sources | 2010-06-30 | $759 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-06-30 | $74,969 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-06-30 | $74,969 |
| Administrative expenses professional fees incurred | 2010-06-30 | $14,306 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-06-30 | $115,822 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-06-30 | $12,244 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-06-30 | $353,633 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-06-30 | $401,523 |
| Administrative expenses (other) incurred | 2010-06-30 | $44 |
| Value of net income/loss | 2010-06-30 | $-38,026 |
| Value of net assets at end of year (total assets less liabilities) | 2010-06-30 | $2,956,504 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-06-30 | $2,436,399 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-06-30 | $2,351,457 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-06-30 | $2,191,609 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-06-30 | $842,858 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-06-30 | $634,069 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-06-30 | $634,069 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-06-30 | $759 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-06-30 | $111,511 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-06-30 | Yes |
| Contract administrator fees | 2010-06-30 | $210,915 |
| Did the plan have assets held for investment | 2010-06-30 | Yes |
| 2009 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2009 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2009-06-30 | $0 |
| Total transfer of assets to this plan | 2009-06-30 | $5,407,695 |
| Total transfer of assets from this plan | 2009-06-30 | $5,250,214 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2009-06-30 | $401,523 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2009-06-30 | $44,078 |
| Total income from all sources (including contributions) | 2009-06-30 | $143,684 |
| Total loss/gain on sale of assets | 2009-06-30 | $0 |
| Total of all expenses incurred | 2009-06-30 | $257,977 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2009-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2009-06-30 | $0 |
| Value of total assets at end of year | 2009-06-30 | $2,837,922 |
| Value of total assets at beginning of year | 2009-06-30 | $2,437,289 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2009-06-30 | $257,977 |
| Total interest from all sources | 2009-06-30 | $3,706 |
| Total dividends received (eg from common stock, registered investment company shares) | 2009-06-30 | $73,383 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2009-06-30 | $73,383 |
| Administrative expenses professional fees incurred | 2009-06-30 | $13,810 |
| Were there any nonexempt tranactions with any party-in-interest | 2009-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2009-06-30 | $12,244 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2009-06-30 | $80,098 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2009-06-30 | $401,523 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2009-06-30 | $44,078 |
| Value of net income/loss | 2009-06-30 | $-114,293 |
| Value of net assets at end of year (total assets less liabilities) | 2009-06-30 | $2,436,399 |
| Value of net assets at beginning of year (total assets less liabilities) | 2009-06-30 | $2,393,211 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2009-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2009-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2009-06-30 | $2,191,609 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2009-06-30 | $1,900,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2009-06-30 | $634,069 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2009-06-30 | $457,191 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2009-06-30 | $457,191 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2009-06-30 | $3,706 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2009-06-30 | $66,595 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2009-06-30 | Yes |
| Contract administrator fees | 2009-06-30 | $244,167 |
| Did the plan have assets held for investment | 2009-06-30 | Yes |
| 2008 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2008 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2008-06-30 | $0 |
| Total transfer of assets to this plan | 2008-06-30 | $5,799,579 |
| Total transfer of assets from this plan | 2008-06-30 | $5,061,881 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2008-06-30 | $44,078 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2008-06-30 | $784 |
| Total income from all sources (including contributions) | 2008-06-30 | $52,296 |
| Total loss/gain on sale of assets | 2008-06-30 | $0 |
| Total of all expenses incurred | 2008-06-30 | $220,598 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2008-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2008-06-30 | $0 |
| Value of total assets at end of year | 2008-06-30 | $2,437,289 |
| Value of total assets at beginning of year | 2008-06-30 | $1,824,599 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2008-06-30 | $220,598 |
| Total interest from all sources | 2008-06-30 | $52,296 |
| Total dividends received (eg from common stock, registered investment company shares) | 2008-06-30 | $0 |
| Administrative expenses professional fees incurred | 2008-06-30 | $8,790 |
| Were there any nonexempt tranactions with any party-in-interest | 2008-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2008-06-30 | $80,098 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2008-06-30 | $422,742 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2008-06-30 | $44,078 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2008-06-30 | $784 |
| Value of net income/loss | 2008-06-30 | $-168,302 |
| Value of net assets at end of year (total assets less liabilities) | 2008-06-30 | $2,393,211 |
| Value of net assets at beginning of year (total assets less liabilities) | 2008-06-30 | $1,823,815 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2008-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2008-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2008-06-30 | $1,900,000 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2008-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2008-06-30 | $457,191 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2008-06-30 | $1,401,857 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2008-06-30 | $1,401,857 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2008-06-30 | $52,296 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2008-06-30 | Yes |
| Contract administrator fees | 2008-06-30 | $211,808 |
| Did the plan have assets held for investment | 2008-06-30 | Yes |
| 2007 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2007 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2007-06-30 | $0 |
| Total transfer of assets to this plan | 2007-06-30 | $8,419,411 |
| Total transfer of assets from this plan | 2007-06-30 | $7,720,239 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2007-06-30 | $784 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2007-06-30 | $0 |
| Total income from all sources (including contributions) | 2007-06-30 | $59,558 |
| Total loss/gain on sale of assets | 2007-06-30 | $0 |
| Total of all expenses incurred | 2007-06-30 | $238,506 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2007-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2007-06-30 | $0 |
| Value of total assets at end of year | 2007-06-30 | $1,824,599 |
| Value of total assets at beginning of year | 2007-06-30 | $1,303,591 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2007-06-30 | $238,506 |
| Total interest from all sources | 2007-06-30 | $59,558 |
| Total dividends received (eg from common stock, registered investment company shares) | 2007-06-30 | $0 |
| Administrative expenses professional fees incurred | 2007-06-30 | $7,705 |
| Were there any nonexempt tranactions with any party-in-interest | 2007-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2007-06-30 | $422,742 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2007-06-30 | $465,283 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2007-06-30 | $784 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2007-06-30 | $0 |
| Value of net income/loss | 2007-06-30 | $-178,948 |
| Value of net assets at end of year (total assets less liabilities) | 2007-06-30 | $1,823,815 |
| Value of net assets at beginning of year (total assets less liabilities) | 2007-06-30 | $1,303,591 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2007-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2007-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2007-06-30 | $1,401,857 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2007-06-30 | $838,308 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2007-06-30 | $838,308 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2007-06-30 | $59,558 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2007-06-30 | No |
| Contract administrator fees | 2007-06-30 | $230,801 |
| Did the plan have assets held for investment | 2007-06-30 | Yes |
| 2006 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2006 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2006-06-30 | $0 |
| Total transfer of assets to this plan | 2006-06-30 | $4,614,282 |
| Total transfer of assets from this plan | 2006-06-30 | $4,251,303 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2006-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2006-06-30 | $23,481 |
| Total income from all sources (including contributions) | 2006-06-30 | $33,157 |
| Total loss/gain on sale of assets | 2006-06-30 | $0 |
| Total of all expenses incurred | 2006-06-30 | $264,072 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2006-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2006-06-30 | $0 |
| Value of total assets at end of year | 2006-06-30 | $1,303,591 |
| Value of total assets at beginning of year | 2006-06-30 | $1,195,008 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2006-06-30 | $264,072 |
| Total interest from all sources | 2006-06-30 | $33,157 |
| Total dividends received (eg from common stock, registered investment company shares) | 2006-06-30 | $0 |
| Administrative expenses professional fees incurred | 2006-06-30 | $6,600 |
| Were there any nonexempt tranactions with any party-in-interest | 2006-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2006-06-30 | $465,283 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2006-06-30 | $354,647 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2006-06-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2006-06-30 | $23,481 |
| Administrative expenses (other) incurred | 2006-06-30 | $170 |
| Value of net income/loss | 2006-06-30 | $-230,915 |
| Value of net assets at end of year (total assets less liabilities) | 2006-06-30 | $1,303,591 |
| Value of net assets at beginning of year (total assets less liabilities) | 2006-06-30 | $1,171,527 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2006-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2006-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2006-06-30 | $838,308 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2006-06-30 | $840,361 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2006-06-30 | $840,361 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2006-06-30 | $33,157 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2006-06-30 | Yes |
| Contract administrator fees | 2006-06-30 | $257,302 |
| Did the plan have assets held for investment | 2006-06-30 | Yes |
| 2005 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2005 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2005-06-30 | $0 |
| Total transfer of assets to this plan | 2005-06-30 | $4,054,578 |
| Total transfer of assets from this plan | 2005-06-30 | $3,881,965 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2005-06-30 | $23,481 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2005-06-30 | $5,900 |
| Total income from all sources (including contributions) | 2005-06-30 | $19,769 |
| Total loss/gain on sale of assets | 2005-06-30 | $0 |
| Total of all expenses incurred | 2005-06-30 | $243,820 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2005-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2005-06-30 | $0 |
| Value of total assets at end of year | 2005-06-30 | $1,195,008 |
| Value of total assets at beginning of year | 2005-06-30 | $1,228,865 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2005-06-30 | $243,820 |
| Total interest from all sources | 2005-06-30 | $19,769 |
| Total dividends received (eg from common stock, registered investment company shares) | 2005-06-30 | $0 |
| Administrative expenses professional fees incurred | 2005-06-30 | $6,150 |
| Were there any nonexempt tranactions with any party-in-interest | 2005-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2005-06-30 | $354,647 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2005-06-30 | $8,738 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2005-06-30 | $23,481 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2005-06-30 | $5,900 |
| Administrative expenses (other) incurred | 2005-06-30 | $774 |
| Value of net income/loss | 2005-06-30 | $-224,051 |
| Value of net assets at end of year (total assets less liabilities) | 2005-06-30 | $1,171,527 |
| Value of net assets at beginning of year (total assets less liabilities) | 2005-06-30 | $1,222,965 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2005-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2005-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2005-06-30 | $840,361 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2005-06-30 | $1,220,127 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2005-06-30 | $1,220,127 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2005-06-30 | $19,769 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2005-06-30 | Yes |
| Contract administrator fees | 2005-06-30 | $236,896 |
| Did the plan have assets held for investment | 2005-06-30 | Yes |
| 2004 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2004 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2004-06-30 | $0 |
| Total transfer of assets to this plan | 2004-06-30 | $3,667,196 |
| Total transfer of assets from this plan | 2004-06-30 | $3,432,743 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2004-06-30 | $5,900 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2004-06-30 | $0 |
| Total income from all sources (including contributions) | 2004-06-30 | $16,119 |
| Total loss/gain on sale of assets | 2004-06-30 | $0 |
| Total of all expenses incurred | 2004-06-30 | $236,085 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2004-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2004-06-30 | $0 |
| Value of total assets at end of year | 2004-06-30 | $1,228,865 |
| Value of total assets at beginning of year | 2004-06-30 | $1,208,478 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2004-06-30 | $236,085 |
| Total interest from all sources | 2004-06-30 | $16,119 |
| Total dividends received (eg from common stock, registered investment company shares) | 2004-06-30 | $0 |
| Administrative expenses professional fees incurred | 2004-06-30 | $5,900 |
| Were there any nonexempt tranactions with any party-in-interest | 2004-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2004-06-30 | $8,738 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2004-06-30 | $44,434 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2004-06-30 | $5,900 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2004-06-30 | $0 |
| Value of net income/loss | 2004-06-30 | $-219,966 |
| Value of net assets at end of year (total assets less liabilities) | 2004-06-30 | $1,222,965 |
| Value of net assets at beginning of year (total assets less liabilities) | 2004-06-30 | $1,208,478 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2004-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2004-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2004-06-30 | $1,220,127 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2004-06-30 | $1,164,044 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2004-06-30 | $1,164,044 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2004-06-30 | $16,119 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2004-06-30 | Yes |
| Contract administrator fees | 2004-06-30 | $230,185 |
| Did the plan have assets held for investment | 2004-06-30 | Yes |
| 2003 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2003 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2003-06-30 | $0 |
| Total transfer of assets to this plan | 2003-06-30 | $3,311,153 |
| Total transfer of assets from this plan | 2003-06-30 | $2,836,321 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2003-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2003-06-30 | $63,086 |
| Total income from all sources (including contributions) | 2003-06-30 | $18,541 |
| Total loss/gain on sale of assets | 2003-06-30 | $0 |
| Total of all expenses incurred | 2003-06-30 | $222,138 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2003-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2003-06-30 | $0 |
| Value of total assets at end of year | 2003-06-30 | $1,208,478 |
| Value of total assets at beginning of year | 2003-06-30 | $1,000,329 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2003-06-30 | $222,138 |
| Total interest from all sources | 2003-06-30 | $18,541 |
| Total dividends received (eg from common stock, registered investment company shares) | 2003-06-30 | $0 |
| Administrative expenses professional fees incurred | 2003-06-30 | $6,476 |
| Were there any nonexempt tranactions with any party-in-interest | 2003-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2003-06-30 | $44,434 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2003-06-30 | $251,429 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2003-06-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2003-06-30 | $63,086 |
| Value of net income/loss | 2003-06-30 | $-203,597 |
| Value of net assets at end of year (total assets less liabilities) | 2003-06-30 | $1,208,478 |
| Value of net assets at beginning of year (total assets less liabilities) | 2003-06-30 | $937,243 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2003-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2003-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2003-06-30 | $1,164,044 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2003-06-30 | $748,900 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2003-06-30 | $748,900 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2003-06-30 | $18,541 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2003-06-30 | Yes |
| Contract administrator fees | 2003-06-30 | $215,662 |
| Did the plan have assets held for investment | 2003-06-30 | Yes |
| 2002 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2002 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2002-06-30 | $0 |
| Total transfer of assets to this plan | 2002-06-30 | $2,992,156 |
| Total transfer of assets from this plan | 2002-06-30 | $2,816,527 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2002-06-30 | $63,086 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2002-06-30 | $51,498 |
| Total income from all sources (including contributions) | 2002-06-30 | $19,684 |
| Total loss/gain on sale of assets | 2002-06-30 | $0 |
| Total of all expenses incurred | 2002-06-30 | $263,990 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2002-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2002-06-30 | $0 |
| Value of total assets at end of year | 2002-06-30 | $1,000,329 |
| Value of total assets at beginning of year | 2002-06-30 | $1,057,418 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2002-06-30 | $263,990 |
| Total interest from all sources | 2002-06-30 | $19,684 |
| Total dividends received (eg from common stock, registered investment company shares) | 2002-06-30 | $0 |
| Administrative expenses professional fees incurred | 2002-06-30 | $6,150 |
| Were there any nonexempt tranactions with any party-in-interest | 2002-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2002-06-30 | $251,429 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2002-06-30 | $236,974 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2002-06-30 | $63,086 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2002-06-30 | $51,498 |
| Administrative expenses (other) incurred | 2002-06-30 | $18 |
| Value of net income/loss | 2002-06-30 | $-244,306 |
| Value of net assets at end of year (total assets less liabilities) | 2002-06-30 | $937,243 |
| Value of net assets at beginning of year (total assets less liabilities) | 2002-06-30 | $1,005,920 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2002-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2002-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2002-06-30 | $748,900 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2002-06-30 | $820,444 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2002-06-30 | $820,444 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2002-06-30 | $19,684 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2002-06-30 | No |
| Contract administrator fees | 2002-06-30 | $257,822 |
| Did the plan have assets held for investment | 2002-06-30 | Yes |
| 2001 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2001 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2001-06-30 | $0 |
| Total transfer of assets to this plan | 2001-06-30 | $2,730,352 |
| Total transfer of assets from this plan | 2001-06-30 | $2,384,230 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2001-06-30 | $51,498 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2001-06-30 | $97,390 |
| Total income from all sources (including contributions) | 2001-06-30 | $39,866 |
| Total loss/gain on sale of assets | 2001-06-30 | $0 |
| Total of all expenses incurred | 2001-06-30 | $241,568 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2001-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2001-06-30 | $0 |
| Value of total assets at end of year | 2001-06-30 | $1,057,418 |
| Value of total assets at beginning of year | 2001-06-30 | $958,890 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2001-06-30 | $241,568 |
| Total interest from all sources | 2001-06-30 | $39,866 |
| Total dividends received (eg from common stock, registered investment company shares) | 2001-06-30 | $0 |
| Administrative expenses professional fees incurred | 2001-06-30 | $6,565 |
| Were there any nonexempt tranactions with any party-in-interest | 2001-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2001-06-30 | $236,974 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2001-06-30 | $18,518 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2001-06-30 | $51,498 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2001-06-30 | $97,390 |
| Value of net income/loss | 2001-06-30 | $-201,702 |
| Value of net assets at end of year (total assets less liabilities) | 2001-06-30 | $1,005,920 |
| Value of net assets at beginning of year (total assets less liabilities) | 2001-06-30 | $861,500 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2001-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2001-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2001-06-30 | $820,444 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2001-06-30 | $940,372 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2001-06-30 | $940,372 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2001-06-30 | $39,866 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2001-06-30 | No |
| Contract administrator fees | 2001-06-30 | $235,003 |
| Did the plan have assets held for investment | 2001-06-30 | Yes |
| 2000 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 2000 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2000-06-30 | $0 |
| Total transfer of assets to this plan | 2000-06-30 | $2,321,761 |
| Total transfer of assets from this plan | 2000-06-30 | $2,099,685 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2000-06-30 | $97,390 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2000-06-30 | $0 |
| Total income from all sources (including contributions) | 2000-06-30 | $39,955 |
| Total loss/gain on sale of assets | 2000-06-30 | $0 |
| Total of all expenses incurred | 2000-06-30 | $206,880 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2000-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2000-06-30 | $0 |
| Value of total assets at end of year | 2000-06-30 | $958,890 |
| Value of total assets at beginning of year | 2000-06-30 | $806,349 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2000-06-30 | $206,880 |
| Total interest from all sources | 2000-06-30 | $39,955 |
| Total dividends received (eg from common stock, registered investment company shares) | 2000-06-30 | $0 |
| Administrative expenses professional fees incurred | 2000-06-30 | $5,926 |
| Were there any nonexempt tranactions with any party-in-interest | 2000-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2000-06-30 | $18,518 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2000-06-30 | $231,603 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2000-06-30 | $97,390 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2000-06-30 | $0 |
| Value of net income/loss | 2000-06-30 | $-166,925 |
| Value of net assets at end of year (total assets less liabilities) | 2000-06-30 | $861,500 |
| Value of net assets at beginning of year (total assets less liabilities) | 2000-06-30 | $806,349 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2000-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2000-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2000-06-30 | $940,372 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2000-06-30 | $574,746 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2000-06-30 | $574,746 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2000-06-30 | $39,955 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2000-06-30 | No |
| Contract administrator fees | 2000-06-30 | $200,954 |
| Did the plan have assets held for investment | 2000-06-30 | Yes |
| 1999 : GRINNELL COLLEGE MEDICAL BENEFIT PLANS TRUST 1999 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 1999-06-30 | $0 |
| Total transfer of assets to this plan | 1999-06-30 | $2,987,472 |
| Total transfer of assets from this plan | 1999-06-30 | $2,080,320 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 1999-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 1999-06-30 | $0 |
| Total income from all sources (including contributions) | 1999-06-30 | $72,091 |
| Total loss/gain on sale of assets | 1999-06-30 | $0 |
| Total of all expenses incurred | 1999-06-30 | $172,894 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 1999-06-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 1999-06-30 | $0 |
| Value of total assets at end of year | 1999-06-30 | $806,349 |
| Value of total assets at beginning of year | 1999-06-30 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 1999-06-30 | $172,894 |
| Total interest from all sources | 1999-06-30 | $30,315 |
| Total dividends received (eg from common stock, registered investment company shares) | 1999-06-30 | $0 |
| Administrative expenses professional fees incurred | 1999-06-30 | $4,426 |
| Were there any nonexempt tranactions with any party-in-interest | 1999-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 1999-06-30 | $231,603 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 1999-06-30 | $0 |
| Other income not declared elsewhere | 1999-06-30 | $41,776 |
| Value of net income/loss | 1999-06-30 | $-100,803 |
| Value of net assets at end of year (total assets less liabilities) | 1999-06-30 | $806,349 |
| Value of net assets at beginning of year (total assets less liabilities) | 1999-06-30 | $0 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 1999-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 1999-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 1999-06-30 | $574,746 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 1999-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 1999-06-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 1999-06-30 | $30,315 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 1999-06-30 | No |
| Contract administrator fees | 1999-06-30 | $168,468 |
| Did the plan have assets held for investment | 1999-06-30 | Yes |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 373 |
| Policy instance | 1 |
| Insurance contract or identification number | 373 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2015-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 373 |
| Policy instance | 1 |
| Insurance contract or identification number | 373 | | Number of Individuals Covered | 775 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 373 |
| Policy instance | 1 |
| Insurance contract or identification number | 373 | | Number of Individuals Covered | 761 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 151 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 582 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 569 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 569 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 134 | | Insurance policy start date | 2009-01-01 | | Insurance policy end date | 2009-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 572 | | Insurance policy start date | 2009-01-01 | | Insurance policy end date | 2009-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 597 | | Insurance policy start date | 2008-01-01 | | Insurance policy end date | 2008-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 161 | | Insurance policy start date | 2008-01-01 | | Insurance policy end date | 2008-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 573 | | Insurance policy start date | 2007-01-01 | | Insurance policy end date | 2007-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2007-01-01 | | Insurance policy end date | 2007-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 551 | | Insurance policy start date | 2006-01-01 | | Insurance policy end date | 2006-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2006-01-01 | | Insurance policy end date | 2006-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 535 | | Insurance policy start date | 2005-01-01 | | Insurance policy end date | 2005-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2005-01-01 | | Insurance policy end date | 2005-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2004-01-01 | | Insurance policy end date | 2004-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 536 | | Insurance policy start date | 2004-01-01 | | Insurance policy end date | 2004-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 522 | | Insurance policy start date | 2003-01-01 | | Insurance policy end date | 2003-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2003-01-01 | | Insurance policy end date | 2003-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 3 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2002-01-01 | | Insurance policy end date | 2002-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2002-01-01 | | Insurance policy end date | 2002-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2002-01-01 | | Insurance policy end date | 2002-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 6 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $23,554 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 5 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $23,555 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 3 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $67,263 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 4 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $67,263 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 6 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,444 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 5 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,444 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 4 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,925 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 3 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,925 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $62,108 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $62,108 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,858 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 6 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 166 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 5 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 166 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 4 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0016 |
| Policy instance | 3 |
| Insurance contract or identification number | 80071-0016 | | Number of Individuals Covered | 150 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014 | | Number of Individuals Covered | 750 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,858 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0014/0016 |
| Policy instance | 1 |
| Insurance contract or identification number | 80071-0014/0016 | | Number of Individuals Covered | 925 | | Insurance policy start date | 1998-01-01 | | Insurance policy end date | 1998-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $136,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 80071-0021 |
| Policy instance | 2 |
| Insurance contract or identification number | 80071-0021 | | Number of Individuals Covered | 170 | | Insurance policy start date | 1998-01-01 | | Insurance policy end date | 1998-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $42,107 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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