401k Plan data: SIGLER COMPANIES INS BENEFIT PLAN plan

SIGLER COMPANIES INS BENEFIT PLAN 401k Plan overview

Plan Name	SIGLER COMPANIES INS BENEFIT PLAN
Plan identification number	501

SIGLER COMPANIES INS BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

SIGLER COMPANIES INC has sponsored the creation of one or more 401k plans.

Company Name: SIGLER COMPANIES INC

Employer identification number (EIN): 421416217

NAIC Classification: 323100

Additional information about SIGLER COMPANIES INC

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1994-01-01

Company Identification Number: 171946

Legal Registered Office Address: 1601 GOLDEN ASPEN DR.
SUITE 107
AMES
United States of America (USA)
50010

More information about SIGLER COMPANIES INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIGLER COMPANIES INS BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-10-01
501 2021-10-01
501 2020-10-01
501 2019-10-01
501 2018-10-01
501 2017-10-01 LORI HINDERS LORI HINDERS
501 2017-10-01 LORI HINDERS LORI HINDERS 2019-02-01
501 2016-10-01 LORI HINDERS LORI HINDERS 2018-01-24
501 2015-10-01 LORI HINDERS 2017-02-22 LORI HINDERS 2017-02-22
501 2014-10-01 LORI HINDERS 2015-12-07 LORI HINDERS 2015-12-07
501 2013-10-01 LORI HINDERS 2014-11-24 LORI HINDERS 2014-11-24
501 2012-10-01 LORI HINDERS 2013-12-06 LORI HINDERS 2013-12-06
501 2011-10-01 LORI HINDERS 2013-02-06 LORI HINDERS 2013-02-06
501 2010-10-01 LORI HINDERS 2011-11-17 LORI HINDERS 2011-11-17
501 2009-10-01 LORI HINDERS 2011-01-11 LORI HINDERS 2011-01-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-10-01
501	2021-10-01
501	2020-10-01
501	2019-10-01
501	2018-10-01
501	2017-10-01	LORI HINDERS		LORI HINDERS
501	2017-10-01	LORI HINDERS		LORI HINDERS	2019-02-01
501	2016-10-01	LORI HINDERS		LORI HINDERS	2018-01-24
501	2015-10-01	LORI HINDERS	2017-02-22	LORI HINDERS	2017-02-22
501	2014-10-01	LORI HINDERS	2015-12-07	LORI HINDERS	2015-12-07
501	2013-10-01	LORI HINDERS	2014-11-24	LORI HINDERS	2014-11-24
501	2012-10-01	LORI HINDERS	2013-12-06	LORI HINDERS	2013-12-06
501	2011-10-01	LORI HINDERS	2013-02-06	LORI HINDERS	2013-02-06
501	2010-10-01	LORI HINDERS	2011-11-17	LORI HINDERS	2011-11-17
501	2009-10-01	LORI HINDERS	2011-01-11	LORI HINDERS	2011-01-11

Plan Statistics for SIGLER COMPANIES INS BENEFIT PLAN

401k plan membership statisitcs for SIGLER COMPANIES INS BENEFIT PLAN

Measure Date Value
2022: SIGLER COMPANIES INS BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 74
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 74
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 74
2021: SIGLER COMPANIES INS BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 73
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 73
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 73
2020: SIGLER COMPANIES INS BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 67
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 73
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 73
2019: SIGLER COMPANIES INS BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 76
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 67
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 67
2018: SIGLER COMPANIES INS BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 83
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 76
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 76
2017: SIGLER COMPANIES INS BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 74
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 83
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 83
2016: SIGLER COMPANIES INS BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 72
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 74
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 74
2015: SIGLER COMPANIES INS BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 95
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 72
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 72
2014: SIGLER COMPANIES INS BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 95
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 95
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 95
2013: SIGLER COMPANIES INS BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 112
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 95
Total of all active and inactive participants 2013-10-01 95
2012: SIGLER COMPANIES INS BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 128
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 112
Total of all active and inactive participants 2012-10-01 112
2011: SIGLER COMPANIES INS BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 144
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 128
Total of all active and inactive participants 2011-10-01 128
2010: SIGLER COMPANIES INS BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 143
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 144
Total of all active and inactive participants 2010-10-01 144
2009: SIGLER COMPANIES INS BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 145
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 143
Total of all active and inactive participants 2009-10-01 143

Measure	Date	Value
2022: SIGLER COMPANIES INS BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	74
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	74
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	74
2021: SIGLER COMPANIES INS BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	73
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	73
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	73
2020: SIGLER COMPANIES INS BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	67
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	73
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	73
2019: SIGLER COMPANIES INS BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	76
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	67
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	67
2018: SIGLER COMPANIES INS BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	83
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	76
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	76
2017: SIGLER COMPANIES INS BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	74
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	83
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	83
2016: SIGLER COMPANIES INS BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	72
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	74
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	74
2015: SIGLER COMPANIES INS BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	95
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	72
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	72
2014: SIGLER COMPANIES INS BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	95
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	95
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	95
2013: SIGLER COMPANIES INS BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	112
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	95
Total of all active and inactive participants	2013-10-01	95
2012: SIGLER COMPANIES INS BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	128
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	112
Total of all active and inactive participants	2012-10-01	112
2011: SIGLER COMPANIES INS BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	144
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	128
Total of all active and inactive participants	2011-10-01	128
2010: SIGLER COMPANIES INS BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	143
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	144
Total of all active and inactive participants	2010-10-01	144
2009: SIGLER COMPANIES INS BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	143
Total of all active and inactive participants	2009-10-01	143

Form 5500 Responses for SIGLER COMPANIES INS BENEFIT PLAN

2022: SIGLER COMPANIES INS BENEFIT PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2021: SIGLER COMPANIES INS BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2020: SIGLER COMPANIES INS BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2019: SIGLER COMPANIES INS BENEFIT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2018: SIGLER COMPANIES INS BENEFIT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2017: SIGLER COMPANIES INS BENEFIT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	Yes
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2016: SIGLER COMPANIES INS BENEFIT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: SIGLER COMPANIES INS BENEFIT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: SIGLER COMPANIES INS BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: SIGLER COMPANIES INS BENEFIT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: SIGLER COMPANIES INS BENEFIT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: SIGLER COMPANIES INS BENEFIT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2010: SIGLER COMPANIES INS BENEFIT PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2009: SIGLER COMPANIES INS BENEFIT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	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

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	6
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $95,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	103
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $989,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

60790-2247

Policy instance

Insurance contract or identification number	60790-2247
Number of Individuals Covered	103
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $3,180
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,666

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	104
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $2,612
Total amount of fees paid to insurance company	USD $480
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,612
Amount paid for insurance broker fees	480
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1132090

Policy instance

Insurance contract or identification number	1132090
Number of Individuals Covered	74
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $10,342
Total amount of fees paid to insurance company	USD $2,636
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $89,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,342
Amount paid for insurance broker fees	2636
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1132090

Policy instance

Insurance contract or identification number	1132090
Number of Individuals Covered	73
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $9,923
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $87,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,923
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	106
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $2,596
Total amount of fees paid to insurance company	USD $637
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,596
Amount paid for insurance broker fees	637
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

60790-2247

Policy instance

Insurance contract or identification number	60790-2247
Number of Individuals Covered	99
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $2,938
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,539

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	98
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,000,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1132090

Policy instance

Insurance contract or identification number	1132090
Number of Individuals Covered	73
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $9,720
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $85,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,720
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

60790-2247

Policy instance

Insurance contract or identification number	60790-2247
Number of Individuals Covered	106
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $3,142
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,646

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	108
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $2,696
Total amount of fees paid to insurance company	USD $596
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,696
Amount paid for insurance broker fees	596
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0169791

Policy instance

Insurance contract or identification number	0169791
Number of Individuals Covered	168
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $23,045
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,145,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,045
Insurance broker organization code?	3

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	11
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $128,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	118
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,108,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	113
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $3,114
Total amount of fees paid to insurance company	USD $615
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,114
Amount paid for insurance broker fees	615
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	67
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $11,141
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $95,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,141
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	76
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $11,397
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $97,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,397
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	134
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $3,336
Total amount of fees paid to insurance company	USD $734
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,336
Amount paid for insurance broker fees	734
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	137
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,150,421
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

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	13
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $146,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	17
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $-15
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $170,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $-15
Insurance broker organization code?	3
Insurance broker name	BENEFIT SOURCE, INC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	132
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $950,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker name	BENEFIT SOURCE INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33500

Policy instance

Insurance contract or identification number	33500
Number of Individuals Covered	136
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $2,868
Total amount of fees paid to insurance company	USD $532
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,868
Amount paid for insurance broker fees	532
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS 3
Insurance broker organization code?	3
Insurance broker name

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	83
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $11,193
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $93,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,193
Insurance broker organization code?	3
Insurance broker name	BENEFIT SOURCE INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	117
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $2,606
Total amount of fees paid to insurance company	USD $443
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,606
Amount paid for insurance broker fees	443
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS 3
Insurance broker organization code?	3
Insurance broker name

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	118
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $18,825
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $713,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,825
Insurance broker name	BENEFIT SOURCE INC

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	19
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $3,180
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $131,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,180
Insurance broker name	BENEFIT SOURCE, INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	72
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $9,509
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $78,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,509
Additional information about fees paid to insurance broker	3
Insurance broker name	BENEFIT SOURCE INC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	88
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $16,455
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $581,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,455
Insurance broker name	BENEFIT SOURCE INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	91
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $2,200
Total amount of fees paid to insurance company	USD $598
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,200
Amount paid for insurance broker fees	598
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS 3
Insurance broker organization code?	3
Insurance broker name

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	95
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $8,280
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $66,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,280
Additional information about fees paid to insurance broker	3
Insurance broker name	BENEFIT SOURCE INC

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	17
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $2,940
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $110,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,940
Insurance broker name	BENEFIT SOURCE, INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	95
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $2,562
Total amount of fees paid to insurance company	USD $557
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,562
Amount paid for insurance broker fees	557
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS 3
Insurance broker organization code?	3
Insurance broker name	BENEFIT SOURCE, INC.

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	20
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $3,900
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $130,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,900
Insurance broker name	BENEFIT SOURCE, INC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	91
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $17,640
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $600,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,640
Insurance broker name	BENEFIT SOURCE INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	128
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $8,565
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,565
Additional information about fees paid to insurance broker	3
Insurance broker name	BENEFIT SOURCE INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	112
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $2,918
Total amount of fees paid to insurance company	USD $613
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,918
Amount paid for insurance broker fees	613
Additional information about fees paid to insurance broker	SALES AND PERSISTENCY BONUS 3
Insurance broker organization code?	3
Insurance broker name	BENEFIT SOURCE, INC.

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	73
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $13,815
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $378,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,815
Insurance broker name	BENEFIT SOURCE INC

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

Policy contract number

00034193

Policy instance

Insurance contract or identification number	00034193
Number of Individuals Covered	53
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $10,185
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $267,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,185
Insurance broker name	BENEFIT SOURCE, INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	137
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $8,533
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $72,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,533
Additional information about fees paid to insurance broker	3
Insurance broker name	BENEFIT SOURCE INC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	128
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $3,390
Total amount of fees paid to insurance company	USD $697
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	152
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $8,057
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $68,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

92000

Policy instance

Insurance contract or identification number	92000
Number of Individuals Covered	144
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $3,590
Total amount of fees paid to insurance company	USD $630
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52587

Policy instance

Insurance contract or identification number	H52587
Number of Individuals Covered	95
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $8,675
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $74,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SIGLER COMPANIES INC
Employer identification number (EIN):	421416217
NAIC Classification:	323100

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1994-01-01
Company Identification Number:	171946
Legal Registered Office Address:	1601 GOLDEN ASPEN DR. SUITE 107 AMES United States of America (USA) 50010