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| Plan Name | EMPLOYEE DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SIOUX VALLEY MEMORIAL HOSPITAL ASSOC CHEROKEE REGIONAL MEDICAL CENTER |
| Employer identification number (EIN): | 420707096 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about SIOUX VALLEY MEMORIAL HOSPITAL ASSOC CHEROKEE REGIONAL MEDICAL CENTER
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 1916-01-17 |
| Company Identification Number: | 063229 |
| Legal Registered Office Address: |
300 SIOUX VALLEY DRIVE CHEROKEE United States of America (USA) 51012 |
More information about SIOUX VALLEY MEMORIAL HOSPITAL ASSOC CHEROKEE REGIONAL MEDICAL CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | TYLER GERSTANDT | 2024-06-24 | TYLER GERSTANDT | 2024-06-24 |
| 502 | 2022-01-01 | TYLER GERSTANDT | 2023-09-25 | TYLER GERSTANDT | 2023-09-25 |
| 502 | 2021-01-01 | JOAN M BIERMAN | 2022-07-15 | JOAN M BIERMAN | 2022-07-15 |
| 502 | 2020-01-01 | JOAN M BIERMAN | 2021-06-12 | JOAN M BIERMAN | 2021-06-12 |
| 502 | 2019-01-01 | JOAN BIERMAN | 2020-02-27 | JOAN BIERMAN | 2020-02-27 |
| 502 | 2018-01-01 | JOAN BIERMAN | 2019-07-25 | JOAN BIERMAN | 2019-07-25 |
| 2023: EMPLOYEE DENTAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: EMPLOYEE DENTAL PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: EMPLOYEE DENTAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: EMPLOYEE DENTAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: EMPLOYEE DENTAL PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: EMPLOYEE DENTAL PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |||||||||||||||||||
| Policy contract number | 40209 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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