401k Plan data: VAN MAANEN ELECTRIC, INC. HEALTH PLAN plan

VAN MAANEN ELECTRIC, INC. HEALTH PLAN 401k Plan overview

Plan Name	VAN MAANEN ELECTRIC, INC. HEALTH PLAN
Plan identification number	501

VAN MAANEN ELECTRIC, INC. HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

VAN MAANEN ELECTRIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: VAN MAANEN ELECTRIC, INC.

Employer identification number (EIN): 200582593

NAIC Classification: 238210
NAIC Description: Electrical Contractors and Other Wiring Installation Contractors

Additional information about VAN MAANEN ELECTRIC, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 2004-01-08

Company Identification Number: 288955

Legal Registered Office Address: 500 IOWA SPEEDWAY DRIVE

NEWTON
United States of America (USA)
50208

More information about VAN MAANEN ELECTRIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VAN MAANEN ELECTRIC, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-03-01
501 2021-03-01
501 2020-03-01
501 2019-03-01
501 2018-03-01
501 2017-03-01 DILLON WRIGHT

Plan Statistics for VAN MAANEN ELECTRIC, INC. HEALTH PLAN

401k plan membership statisitcs for VAN MAANEN ELECTRIC, INC. HEALTH PLAN

Measure Date Value
2022: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-03-01 104
Total number of active participants reported on line 7a of the Form 5500 2022-03-01 107
Number of retired or separated participants receiving benefits 2022-03-01 1
Total of all active and inactive participants 2022-03-01 108
2021: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-03-01 113
Total number of active participants reported on line 7a of the Form 5500 2021-03-01 104
Total of all active and inactive participants 2021-03-01 104
2020: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-03-01 110
Total number of active participants reported on line 7a of the Form 5500 2020-03-01 112
Number of retired or separated participants receiving benefits 2020-03-01 1
Total of all active and inactive participants 2020-03-01 113
2019: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-01 110
Total number of active participants reported on line 7a of the Form 5500 2019-03-01 108
Number of retired or separated participants receiving benefits 2019-03-01 2
Total of all active and inactive participants 2019-03-01 110
2018: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-03-01 102
Total number of active participants reported on line 7a of the Form 5500 2018-03-01 110
Total of all active and inactive participants 2018-03-01 110
2017: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 102
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 100
Total of all active and inactive participants 2017-03-01 100

Measure	Date	Value
2022: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-03-01	104
Total number of active participants reported on line 7a of the Form 5500	2022-03-01	107
Number of retired or separated participants receiving benefits	2022-03-01	1
Total of all active and inactive participants	2022-03-01	108
2021: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-03-01	113
Total number of active participants reported on line 7a of the Form 5500	2021-03-01	104
Total of all active and inactive participants	2021-03-01	104
2020: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-03-01	110
Total number of active participants reported on line 7a of the Form 5500	2020-03-01	112
Number of retired or separated participants receiving benefits	2020-03-01	1
Total of all active and inactive participants	2020-03-01	113
2019: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-01	110
Total number of active participants reported on line 7a of the Form 5500	2019-03-01	108
Number of retired or separated participants receiving benefits	2019-03-01	2
Total of all active and inactive participants	2019-03-01	110
2018: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-03-01	102
Total number of active participants reported on line 7a of the Form 5500	2018-03-01	110
Total of all active and inactive participants	2018-03-01	110
2017: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	102
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	100
Total of all active and inactive participants	2017-03-01	100

Form 5500 Responses for VAN MAANEN ELECTRIC, INC. HEALTH PLAN

2022: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2022 form 5500 responses
2022-03-01	Type of plan entity	Single employer plan
2022-03-01	Submission has been amended	No
2022-03-01	This submission is the final filing	No
2022-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-03-01	Plan is a collectively bargained plan	No
2022-03-01	Plan funding arrangement – Insurance	Yes
2022-03-01	Plan benefit arrangement – Insurance	Yes
2021: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2021 form 5500 responses
2021-03-01	Type of plan entity	Single employer plan
2021-03-01	Submission has been amended	No
2021-03-01	This submission is the final filing	No
2021-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-03-01	Plan is a collectively bargained plan	No
2021-03-01	Plan funding arrangement – Insurance	Yes
2021-03-01	Plan benefit arrangement – Insurance	Yes
2020: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2020 form 5500 responses
2020-03-01	Type of plan entity	Single employer plan
2020-03-01	Plan funding arrangement – Insurance	Yes
2020-03-01	Plan benefit arrangement – Insurance	Yes
2019: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2019 form 5500 responses
2019-03-01	Type of plan entity	Single employer plan
2019-03-01	Plan funding arrangement – Insurance	Yes
2019-03-01	Plan benefit arrangement – Insurance	Yes
2018: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2018 form 5500 responses
2018-03-01	Type of plan entity	Single employer plan
2018-03-01	Plan funding arrangement – Insurance	Yes
2018-03-01	Plan benefit arrangement – Insurance	Yes
2017: VAN MAANEN ELECTRIC, INC. HEALTH PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	First time form 5500 has been submitted	Yes
2017-03-01	Plan funding arrangement – Insurance	Yes
2017-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00048516

Policy instance

Insurance contract or identification number	00048516
Number of Individuals Covered	108
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 $1,073,687
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

00048516

Policy instance

Insurance contract or identification number	00048516
Number of Individuals Covered	104
Insurance policy start date	2021-03-01
Insurance policy end date	2022-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 $1,151,369
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

00048516

Policy instance

Insurance contract or identification number	00048516
Number of Individuals Covered	113
Insurance policy start date	2020-03-01
Insurance policy end date	2021-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,222,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911011

Policy instance

Insurance contract or identification number	911011
Number of Individuals Covered	288
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $42,648
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $838,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	42648
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT AND BONUS
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911011

Policy instance

Insurance contract or identification number	911011
Number of Individuals Covered	268
Insurance policy start date	2018-03-01
Insurance policy end date	2019-02-28
Total amount of commissions paid to insurance broker	USD $2,000
Total amount of fees paid to insurance company	USD $35,100
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $925,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	35100
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $2,000

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

911011

Policy instance

Insurance contract or identification number	911011
Number of Individuals Covered	244
Insurance policy start date	2017-03-01
Insurance policy end date	2018-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $36,360
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $786,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	36360
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3
Insurance broker name	HOLMES MURPHY AND ASSOCIATES LLC

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Company Name:	VAN MAANEN ELECTRIC, INC.
Employer identification number (EIN):	200582593
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	2004-01-08
Company Identification Number:	288955
Legal Registered Office Address:	500 IOWA SPEEDWAY DRIVE NEWTON United States of America (USA) 50208