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EMPLOYEE DENTAL PLAN 401k Plan overview

Plan NameEMPLOYEE DENTAL PLAN
Plan identification number 502

EMPLOYEE DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

SIOUX VALLEY MEMORIAL HOSPITAL ASSOC CHEROKEE REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01TYLER GERSTANDT2023-09-25 TYLER GERSTANDT2023-09-25
5022021-01-01JOAN M BIERMAN2022-07-15 JOAN M BIERMAN2022-07-15
5022020-01-01JOAN M BIERMAN2021-06-12 JOAN M BIERMAN2021-06-12
5022019-01-01JOAN BIERMAN2020-02-27 JOAN BIERMAN2020-02-27
5022018-01-01JOAN BIERMAN2019-07-25 JOAN BIERMAN2019-07-25

Plan Statistics for EMPLOYEE DENTAL PLAN

401k plan membership statisitcs for EMPLOYEE DENTAL PLAN

Measure Date Value
2022: EMPLOYEE DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01199
Total number of active participants reported on line 7a of the Form 55002022-01-01183
Total of all active and inactive participants2022-01-01183
Total participants2022-01-01183
2021: EMPLOYEE DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01246
Total number of active participants reported on line 7a of the Form 55002021-01-01199
Total of all active and inactive participants2021-01-01199
Total participants2021-01-01199
2020: EMPLOYEE DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01236
Total number of active participants reported on line 7a of the Form 55002020-01-01246
Total of all active and inactive participants2020-01-01246
Total participants2020-01-01246
2019: EMPLOYEE DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01234
Total number of active participants reported on line 7a of the Form 55002019-01-01236
Total of all active and inactive participants2019-01-01236
Total participants2019-01-01236
2018: EMPLOYEE DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01231
Total number of active participants reported on line 7a of the Form 55002018-01-01234
Total of all active and inactive participants2018-01-01234
Total participants2018-01-01234

Form 5500 Responses for EMPLOYEE DENTAL PLAN

2022: EMPLOYEE DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: EMPLOYEE DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYEE DENTAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: EMPLOYEE DENTAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EMPLOYEE DENTAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40209
Policy instance 1
Insurance contract or identification number40209
Number of Individuals Covered183
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $18,386
Total amount of fees paid to insurance companyUSD $806
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $183,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,386
Amount paid for insurance broker fees806
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40209
Policy instance 1
Insurance contract or identification number40209
Number of Individuals Covered199
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,227
Total amount of fees paid to insurance companyUSD $633
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,227
Amount paid for insurance broker fees633
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40209
Policy instance 1
Insurance contract or identification number40209
Number of Individuals Covered246
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $14,864
Total amount of fees paid to insurance companyUSD $623
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,864
Amount paid for insurance broker fees623
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40209
Policy instance 1
Insurance contract or identification number40209
Number of Individuals Covered236
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,168
Total amount of fees paid to insurance companyUSD $2,908
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,729
Commission paid to Insurance BrokerUSD $13,168
Amount paid for insurance broker fees2908
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40209
Policy instance 1
Insurance contract or identification number40209
Number of Individuals Covered234
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,046
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,046
Insurance broker organization code?3

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