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SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 401k Plan overview

Plan NameSIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN
Plan identification number 504

SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

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 SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-08-01JOAN M BIERMAN2022-01-31 JOAN M BIERMAN2022-01-31
5042019-08-01JOAN BIERMAN2020-12-02 JOAN BIERMAN2020-12-02
5042018-08-01JOAN M BIERMAN2019-12-03 JOAN M BIERMAN2019-12-03
5042018-08-01JOAN M BIERMAN2019-12-03 JOAN M BIERMAN2019-12-03
5042017-08-01
5042016-08-01
5042015-08-01
5042014-08-01
5042013-08-01
5042012-08-01JOAN BIERMAN JOAN BIERMAN2013-11-13
5042011-08-01JOAN BIERMAN
5042009-08-01JOAN BIERMAN

Plan Statistics for SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN

401k plan membership statisitcs for SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN

Measure Date Value
2020: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01186
Total number of active participants reported on line 7a of the Form 55002020-08-010
Total of all active and inactive participants2020-08-010
Total participants2020-08-010
2019: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01174
Total number of active participants reported on line 7a of the Form 55002019-08-01186
Total of all active and inactive participants2019-08-01186
Total participants2019-08-01186
2018: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01171
Total number of active participants reported on line 7a of the Form 55002018-08-01174
Total of all active and inactive participants2018-08-01174
Total participants2018-08-01174
2017: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01156
Total number of active participants reported on line 7a of the Form 55002017-08-01171
Total of all active and inactive participants2017-08-01171
Total participants2017-08-01171
2016: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01157
Total number of active participants reported on line 7a of the Form 55002016-08-01156
Total of all active and inactive participants2016-08-01156
Total participants2016-08-01156
2015: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01158
Total number of active participants reported on line 7a of the Form 55002015-08-01157
Total of all active and inactive participants2015-08-01157
Total participants2015-08-01157
2014: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01146
Total number of active participants reported on line 7a of the Form 55002014-08-01158
Total of all active and inactive participants2014-08-01158
Total participants2014-08-01158
2013: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01175
Total number of active participants reported on line 7a of the Form 55002013-08-01146
Total of all active and inactive participants2013-08-01146
Total participants2013-08-01146
2012: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01158
Total number of active participants reported on line 7a of the Form 55002012-08-01175
Number of retired or separated participants receiving benefits2012-08-010
Number of other retired or separated participants entitled to future benefits2012-08-010
Total of all active and inactive participants2012-08-01175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-08-010
Total participants2012-08-01175
Number of participants with account balances2012-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-08-010
2011: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01156
Total number of active participants reported on line 7a of the Form 55002011-08-01158
Number of retired or separated participants receiving benefits2011-08-010
Number of other retired or separated participants entitled to future benefits2011-08-010
Total of all active and inactive participants2011-08-01158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-08-010
Total participants2011-08-01158
Number of participants with account balances2011-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-08-010
2009: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01143
Total number of active participants reported on line 7a of the Form 55002009-08-01143
Number of retired or separated participants receiving benefits2009-08-011
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-010
Total participants2009-08-01144
Number of participants with account balances2009-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-08-010

Form 5500 Responses for SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN

2020: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01This submission is the final filingYes
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – General assets of the sponsorYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – General assets of the sponsorYes
2015: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: SIOUX VALLEY MEMORIAL HOSPITAL ASSOC DBA CHEROKEE REGIONAL MEDICAL CENTER HEALTHCARE PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Insurance policy start date2020-08-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $15,010
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,010
Insurance broker organization code?3
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Number of Individuals Covered186
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $34,508
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,508
Insurance broker organization code?3
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Number of Individuals Covered174
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $32,619
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,619
Insurance broker organization code?3
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Number of Individuals Covered171
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $30,165
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Number of Individuals Covered157
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 1
Insurance contract or identification number311
Number of Individuals Covered158
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Health Insurance Welfare BenefitYes
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 number70050
Policy instance 1
Insurance contract or identification number70050
Number of Individuals Covered158
Insurance policy start date2013-08-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $109,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 )
Policy contract number311
Policy instance 2
Insurance contract or identification number311
Number of Individuals Covered146
Insurance policy start date2014-01-01
Insurance policy end date2014-07-31
Health Insurance Welfare BenefitYes
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number70050
Policy instance 1
Insurance contract or identification number70050
Number of Individuals Covered175
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $267,254
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 number70050
Policy instance 2
Insurance contract or identification number70050
Number of Individuals Covered158
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $219,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number70050
Policy instance 1
Insurance contract or identification number70050
Number of Individuals Covered0
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $-575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number70050
Policy instance 1
Insurance contract or identification number70050
Number of Individuals Covered156
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $226,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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