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SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 401k Plan overview

Plan NameSIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN
Plan identification number 503

SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

SIOUX CENTER HEALTH has sponsored the creation of one or more 401k plans.

Company Name:SIOUX CENTER HEALTH
Employer identification number (EIN):420796764
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about SIOUX CENTER HEALTH

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1948-01-27
Company Identification Number: 081856
Legal Registered Office Address: 1101 9TH ST SE

SIOUX CENTER
United States of America (USA)
51250

More information about SIOUX CENTER HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032016-01-01
5032016-01-01
5032015-01-01
5032014-01-01
5032013-01-01

Plan Statistics for SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN

401k plan membership statisitcs for SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN

Measure Date Value
2016: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01258
Total number of active participants reported on line 7a of the Form 55002016-01-010
Total of all active and inactive participants2016-01-010
2015: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01257
Total number of active participants reported on line 7a of the Form 55002015-01-01272
Total of all active and inactive participants2015-01-01272
2014: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01247
Total number of active participants reported on line 7a of the Form 55002014-01-01257
Total of all active and inactive participants2014-01-01257
2013: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01255
Total number of active participants reported on line 7a of the Form 55002013-01-01247
Total of all active and inactive participants2013-01-01247

Form 5500 Responses for SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN

2016: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SIOUX CENTER HEALTH GROUP TERM LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0900
Policy instance 1
Insurance contract or identification numberGL0900
Number of Individuals Covered268
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,392
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,237
Insurance broker organization code?3
Insurance broker nameTHE ACHIEVEMENT GROUP
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0900
Policy instance 1
Insurance contract or identification numberGL0900
Number of Individuals Covered272
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,481
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,316
Insurance broker organization code?3
Insurance broker nameTHE ACHIEVEMENT GROUP
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0900
Policy instance 1
Insurance contract or identification numberGL0900
Number of Individuals Covered257
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,407
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,251
Insurance broker organization code?3
Insurance broker nameTHE ACHIEVEMENT GROUP
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0900
Policy instance 1
Insurance contract or identification numberGL0900
Number of Individuals Covered247
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,338
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,189
Insurance broker organization code?3
Insurance broker nameTHE ACHIEVEMENT GROUP

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