FIRST WESTERN BANK & TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN
| Measure | Date | Value |
|---|
| 2018 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2018 401k financial data |
|---|
| Total income from all sources (including contributions) | 2018-12-31 | $672 |
| Total of all expenses incurred | 2018-12-31 | $196,690 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $181,845 |
| Value of total assets at end of year | 2018-12-31 | $0 |
| Value of total assets at beginning of year | 2018-12-31 | $196,018 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $14,845 |
| Total interest from all sources | 2018-12-31 | $672 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $8,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-196,018 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $196,018 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $196,018 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $196,018 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $672 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $92,942 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $88,903 |
| Contract administrator fees | 2018-12-31 | $14,845 |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2018-12-31 | 450250958 |
| Total income from all sources (including contributions) | 2018-01-01 | $672 |
| Total of all expenses incurred | 2018-01-01 | $196,690 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-01-01 | $181,845 |
| Value of total assets at end of year | 2018-01-01 | $0 |
| Value of total assets at beginning of year | 2018-01-01 | $196,018 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-01-01 | $14,845 |
| Total interest from all sources | 2018-01-01 | $672 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-01-01 | Yes |
| Was this plan covered by a fidelity bond | 2018-01-01 | Yes |
| Value of fidelity bond cover | 2018-01-01 | $8,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-01-01 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-01 | No |
| Value of net income/loss | 2018-01-01 | $-196,018 |
| Value of net assets at end of year (total assets less liabilities) | 2018-01-01 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-01-01 | $196,018 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-01-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-01-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-01-01 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-01-01 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-01-01 | $672 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-01-01 | $92,942 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-01-01 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-01-01 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-01-01 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-01-01 | $88,903 |
| Contract administrator fees | 2018-01-01 | $14,845 |
| Did the plan have assets held for investment | 2018-01-01 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-01-01 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-01-01 | 1 |
| Accountancy firm name | 2018-01-01 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2018-01-01 | 450250958 |
| 2017 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $404 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $404 |
| Total income from all sources (including contributions) | 2017-12-31 | $1,759,183 |
| Total of all expenses incurred | 2017-12-31 | $1,875,987 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $1,760,414 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $1,753,358 |
| Value of total assets at end of year | 2017-12-31 | $196,018 |
| Value of total assets at beginning of year | 2017-12-31 | $312,822 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $115,573 |
| Total interest from all sources | 2017-12-31 | $1,620 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $3,801 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $8,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $576,728 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-12-31 | $5,610 |
| Administrative expenses (other) incurred | 2017-12-31 | $115,573 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-116,804 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $196,018 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $312,822 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $196,018 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $312,822 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $312,822 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $1,620 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $1,760,414 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $1,171,020 |
| Income. Dividends from common stock | 2017-12-31 | $3,801 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2017-12-31 | 450250958 |
| 2016 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $980 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $980 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $0 |
| Total income from all sources (including contributions) | 2016-12-31 | $1,720,739 |
| Total loss/gain on sale of assets | 2016-12-31 | $0 |
| Total of all expenses incurred | 2016-12-31 | $1,718,802 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $1,718,802 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $1,716,934 |
| Value of total assets at end of year | 2016-12-31 | $312,822 |
| Value of total assets at beginning of year | 2016-12-31 | $310,885 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $0 |
| Total interest from all sources | 2016-12-31 | $490 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $2,335 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Was this plan covered by a fidelity bond | 2016-12-31 | No |
| Value of fidelity bond cover | 2016-12-31 | $8,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $576,752 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $1,937 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $312,822 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $310,885 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $312,822 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $310,885 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $310,885 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $490 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $1,718,802 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $1,140,182 |
| Income. Dividends from common stock | 2016-12-31 | $2,335 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2016-12-31 | 450250958 |
| 2008 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2008 401k financial data |
|---|
| Total income from all sources | 2008-12-31 | $840,931 |
| Expenses. Total of all expenses incurred | 2008-12-31 | $861,298 |
| Benefits paid (including direct rollovers) | 2008-12-31 | $861,298 |
| Total plan assets at end of year | 2008-12-31 | $216,914 |
| Total plan assets at beginning of year | 2008-12-31 | $237,281 |
| Total contributions received or receivable from participants | 2008-12-31 | $275,079 |
| Other income received | 2008-12-31 | $7,357 |
| Net income (gross income less expenses) | 2008-12-31 | $-20,367 |
| Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $216,914 |
| Net plan assets at beginning of year (total assets less liabilities) | 2008-12-31 | $237,281 |
| Total contributions received or receivable from employer(s) | 2008-12-31 | $558,495 |
| 2007 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2007 401k financial data |
|---|
| Total income from all sources | 2007-12-31 | $887,129 |
| Expenses. Total of all expenses incurred | 2007-12-31 | $769,538 |
| Benefits paid (including direct rollovers) | 2007-12-31 | $769,538 |
| Total plan assets at end of year | 2007-12-31 | $237,281 |
| Total plan assets at beginning of year | 2007-12-31 | $119,690 |
| Total contributions received or receivable from participants | 2007-12-31 | $288,136 |
| Contributions received from other sources (not participants or employers) | 2007-12-31 | $1,970 |
| Other income received | 2007-12-31 | $12,021 |
| Net income (gross income less expenses) | 2007-12-31 | $117,591 |
| Net plan assets at end of year (total assets less liabilities) | 2007-12-31 | $237,281 |
| Net plan assets at beginning of year (total assets less liabilities) | 2007-12-31 | $119,690 |
| Total contributions received or receivable from employer(s) | 2007-12-31 | $585,002 |
| 2006 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2006 401k financial data |
|---|
| Total income from all sources | 2006-12-31 | $715,330 |
| Expenses. Total of all expenses incurred | 2006-12-31 | $684,959 |
| Benefits paid (including direct rollovers) | 2006-12-31 | $684,959 |
| Total plan assets at end of year | 2006-12-31 | $119,690 |
| Total plan assets at beginning of year | 2006-12-31 | $89,319 |
| Total contributions received or receivable from participants | 2006-12-31 | $231,522 |
| Contributions received from other sources (not participants or employers) | 2006-12-31 | $8,743 |
| Other income received | 2006-12-31 | $5,004 |
| Net income (gross income less expenses) | 2006-12-31 | $30,371 |
| Net plan assets at end of year (total assets less liabilities) | 2006-12-31 | $119,690 |
| Net plan assets at beginning of year (total assets less liabilities) | 2006-12-31 | $89,319 |
| Total contributions received or receivable from employer(s) | 2006-12-31 | $470,061 |
| 2005 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2005 401k financial data |
|---|
| Total income from all sources | 2005-12-31 | $780,086 |
| Expenses. Total of all expenses incurred | 2005-12-31 | $752,753 |
| Benefits paid (including direct rollovers) | 2005-12-31 | $752,753 |
| Total plan assets at end of year | 2005-12-31 | $89,319 |
| Total plan assets at beginning of year | 2005-12-31 | $61,986 |
| Total contributions received or receivable from participants | 2005-12-31 | $254,751 |
| Contributions received from other sources (not participants or employers) | 2005-12-31 | $6,797 |
| Other income received | 2005-12-31 | $1,315 |
| Net income (gross income less expenses) | 2005-12-31 | $27,333 |
| Net plan assets at end of year (total assets less liabilities) | 2005-12-31 | $89,319 |
| Net plan assets at beginning of year (total assets less liabilities) | 2005-12-31 | $61,986 |
| Total contributions received or receivable from employer(s) | 2005-12-31 | $517,223 |
| 2004 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2004 401k financial data |
|---|
| Total income from all sources | 2004-12-31 | $599,812 |
| Expenses. Total of all expenses incurred | 2004-12-31 | $654,579 |
| Benefits paid (including direct rollovers) | 2004-12-31 | $654,579 |
| Total plan assets at end of year | 2004-12-31 | $61,986 |
| Total plan assets at beginning of year | 2004-12-31 | $116,753 |
| Total contributions received or receivable from participants | 2004-12-31 | $195,988 |
| Contributions received from other sources (not participants or employers) | 2004-12-31 | $4,276 |
| Other income received | 2004-12-31 | $1,634 |
| Net income (gross income less expenses) | 2004-12-31 | $-54,767 |
| Net plan assets at end of year (total assets less liabilities) | 2004-12-31 | $61,986 |
| Net plan assets at beginning of year (total assets less liabilities) | 2004-12-31 | $116,753 |
| Total contributions received or receivable from employer(s) | 2004-12-31 | $397,914 |
| 2003 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2003 401k financial data |
|---|
| Total income from all sources | 2003-12-31 | $526,923 |
| Expenses. Total of all expenses incurred | 2003-12-31 | $544,849 |
| Benefits paid (including direct rollovers) | 2003-12-31 | $544,849 |
| Total plan assets at end of year | 2003-12-31 | $116,753 |
| Total plan assets at beginning of year | 2003-12-31 | $134,679 |
| Total contributions received or receivable from participants | 2003-12-31 | $169,558 |
| Contributions received from other sources (not participants or employers) | 2003-12-31 | $8,957 |
| Other income received | 2003-12-31 | $4,152 |
| Net income (gross income less expenses) | 2003-12-31 | $-17,926 |
| Net plan assets at end of year (total assets less liabilities) | 2003-12-31 | $116,753 |
| Net plan assets at beginning of year (total assets less liabilities) | 2003-12-31 | $134,679 |
| Total contributions received or receivable from employer(s) | 2003-12-31 | $344,256 |
| 2002 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2002 401k financial data |
|---|
| Total income from all sources | 2002-12-31 | $440,966 |
| Expenses. Total of all expenses incurred | 2002-12-31 | $419,203 |
| Benefits paid (including direct rollovers) | 2002-12-31 | $419,203 |
| Total plan assets at end of year | 2002-12-31 | $134,679 |
| Total plan assets at beginning of year | 2002-12-31 | $112,916 |
| Total contributions received or receivable from participants | 2002-12-31 | $143,293 |
| Contributions received from other sources (not participants or employers) | 2002-12-31 | $1,338 |
| Other income received | 2002-12-31 | $5,408 |
| Net income (gross income less expenses) | 2002-12-31 | $21,763 |
| Net plan assets at end of year (total assets less liabilities) | 2002-12-31 | $134,679 |
| Net plan assets at beginning of year (total assets less liabilities) | 2002-12-31 | $112,916 |
| Total contributions received or receivable from employer(s) | 2002-12-31 | $290,927 |
| 2001 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2001 401k financial data |
|---|
| Total income from all sources | 2001-12-31 | $330,362 |
| Expenses. Total of all expenses incurred | 2001-12-31 | $371,807 |
| Benefits paid (including direct rollovers) | 2001-12-31 | $371,807 |
| Total plan assets at end of year | 2001-12-31 | $112,916 |
| Total plan assets at beginning of year | 2001-12-31 | $154,361 |
| Total contributions received or receivable from participants | 2001-12-31 | $105,411 |
| Contributions received from other sources (not participants or employers) | 2001-12-31 | $1,122 |
| Other income received | 2001-12-31 | $9,814 |
| Net income (gross income less expenses) | 2001-12-31 | $-41,445 |
| Net plan assets at end of year (total assets less liabilities) | 2001-12-31 | $112,916 |
| Net plan assets at beginning of year (total assets less liabilities) | 2001-12-31 | $154,361 |
| Total contributions received or receivable from employer(s) | 2001-12-31 | $214,015 |
| 2000 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 2000 401k financial data |
|---|
| Total income from all sources | 2000-12-31 | $302,253 |
| Expenses. Total of all expenses incurred | 2000-12-31 | $280,831 |
| Benefits paid (including direct rollovers) | 2000-12-31 | $263,613 |
| Total plan assets at end of year | 2000-12-31 | $154,361 |
| Total plan assets at beginning of year | 2000-12-31 | $132,939 |
| Total contributions received or receivable from participants | 2000-12-31 | $97,857 |
| Contributions received from other sources (not participants or employers) | 2000-12-31 | $563 |
| Other income received | 2000-12-31 | $5,154 |
| Net income (gross income less expenses) | 2000-12-31 | $21,422 |
| Net plan assets at end of year (total assets less liabilities) | 2000-12-31 | $154,361 |
| Net plan assets at beginning of year (total assets less liabilities) | 2000-12-31 | $132,939 |
| Total contributions received or receivable from employer(s) | 2000-12-31 | $198,679 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2000-12-31 | $17,218 |
| 1999 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1999 401k financial data |
|---|
| Total income from all sources | 1999-12-31 | $255,817 |
| Expenses. Total of all expenses incurred | 1999-12-31 | $268,232 |
| Benefits paid (including direct rollovers) | 1999-12-31 | $268,232 |
| Total plan assets at end of year | 1999-12-31 | $132,939 |
| Total plan assets at beginning of year | 1999-12-31 | $145,354 |
| Total contributions received or receivable from participants | 1999-12-31 | $83,064 |
| Contributions received from other sources (not participants or employers) | 1999-12-31 | $686 |
| Other income received | 1999-12-31 | $3,421 |
| Net income (gross income less expenses) | 1999-12-31 | $-12,415 |
| Net plan assets at end of year (total assets less liabilities) | 1999-12-31 | $132,939 |
| Net plan assets at beginning of year (total assets less liabilities) | 1999-12-31 | $145,354 |
| Total contributions received or receivable from employer(s) | 1999-12-31 | $168,646 |
| 1998 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1998 401k financial data |
|---|
| Total income from all sources | 1998-12-31 | $269,986 |
| Expenses. Total of all expenses incurred | 1998-12-31 | $275,590 |
| Benefits paid (including direct rollovers) | 1998-12-31 | $275,590 |
| Total plan assets at end of year | 1998-12-31 | $145,354 |
| Total plan assets at beginning of year | 1998-12-31 | $150,958 |
| Total contributions received or receivable from participants | 1998-12-31 | $85,010 |
| Other income received | 1998-12-31 | $12,380 |
| Net income (gross income less expenses) | 1998-12-31 | $-5,604 |
| Net plan assets at end of year (total assets less liabilities) | 1998-12-31 | $145,354 |
| Net plan assets at beginning of year (total assets less liabilities) | 1998-12-31 | $150,958 |
| Total contributions received or receivable from employer(s) | 1998-12-31 | $172,596 |
| 1997 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1997 401k financial data |
|---|
| Total income from all sources | 1997-12-31 | $328,715 |
| Expenses. Total of all expenses incurred | 1997-12-31 | $336,165 |
| Benefits paid (including direct rollovers) | 1997-12-31 | $336,165 |
| Total plan assets at end of year | 1997-12-31 | $150,958 |
| Total plan assets at beginning of year | 1997-12-31 | $158,408 |
| Total contributions received or receivable from participants | 1997-12-31 | $105,739 |
| Other income received | 1997-12-31 | $8,294 |
| Net income (gross income less expenses) | 1997-12-31 | $-7,450 |
| Net plan assets at end of year (total assets less liabilities) | 1997-12-31 | $150,958 |
| Net plan assets at beginning of year (total assets less liabilities) | 1997-12-31 | $158,408 |
| Total contributions received or receivable from employer(s) | 1997-12-31 | $214,682 |
| 1996 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1996 401k financial data |
|---|
| Total income from all sources | 1996-12-31 | $312,005 |
| Expenses. Total of all expenses incurred | 1996-12-31 | $363,362 |
| Benefits paid (including direct rollovers) | 1996-12-31 | $363,362 |
| Total plan assets at end of year | 1996-12-31 | $158,408 |
| Total plan assets at beginning of year | 1996-12-31 | $209,765 |
| Total contributions received or receivable from participants | 1996-12-31 | $97,279 |
| Other income received | 1996-12-31 | $17,219 |
| Net income (gross income less expenses) | 1996-12-31 | $-51,357 |
| Net plan assets at end of year (total assets less liabilities) | 1996-12-31 | $158,408 |
| Net plan assets at beginning of year (total assets less liabilities) | 1996-12-31 | $209,765 |
| Total contributions received or receivable from employer(s) | 1996-12-31 | $197,507 |
| 1995 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1995 401k financial data |
|---|
| Total income from all sources | 1995-12-31 | $265,486 |
| Expenses. Total of all expenses incurred | 1995-12-31 | $212,315 |
| Benefits paid (including direct rollovers) | 1995-12-31 | $212,315 |
| Total plan assets at end of year | 1995-12-31 | $209,765 |
| Total plan assets at beginning of year | 1995-12-31 | $156,594 |
| Total contributions received or receivable from participants | 1995-12-31 | $83,878 |
| Other income received | 1995-12-31 | $11,309 |
| Net income (gross income less expenses) | 1995-12-31 | $53,171 |
| Net plan assets at end of year (total assets less liabilities) | 1995-12-31 | $209,765 |
| Net plan assets at beginning of year (total assets less liabilities) | 1995-12-31 | $156,594 |
| Total contributions received or receivable from employer(s) | 1995-12-31 | $170,299 |
| 1994 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1994 401k financial data |
|---|
| Total income from all sources | 1994-12-31 | $285,002 |
| Expenses. Total of all expenses incurred | 1994-12-31 | $276,263 |
| Benefits paid (including direct rollovers) | 1994-12-31 | $276,263 |
| Total plan assets at end of year | 1994-12-31 | $156,594 |
| Total plan assets at beginning of year | 1994-12-31 | $147,855 |
| Total contributions received or receivable from participants | 1994-12-31 | $92,068 |
| Other income received | 1994-12-31 | $6,009 |
| Net income (gross income less expenses) | 1994-12-31 | $8,739 |
| Net plan assets at end of year (total assets less liabilities) | 1994-12-31 | $156,594 |
| Net plan assets at beginning of year (total assets less liabilities) | 1994-12-31 | $147,855 |
| Total contributions received or receivable from employer(s) | 1994-12-31 | $186,925 |
| 1993 : FIRST WESTERN BANK AND TRUST FLEXIBLE BENEFITS PLAN 1993 401k financial data |
|---|
| Total income from all sources | 1993-12-31 | $147,855 |
| Total plan assets at end of year | 1993-12-31 | $147,855 |
| Total plan assets at beginning of year | 1993-12-31 | $0 |
| Net income (gross income less expenses) | 1993-12-31 | $147,855 |
| Net plan assets at end of year (total assets less liabilities) | 1993-12-31 | $147,855 |
| Net plan assets at beginning of year (total assets less liabilities) | 1993-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 1993-12-31 | $147,855 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| Insurance contract or identification number | SGD605117 | | Number of Individuals Covered | 206 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $8,123 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $54,155 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 31368 |
| Policy instance | 7 |
| Insurance contract or identification number | 31368 | | Number of Individuals Covered | 419 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VDT0601173 |
| Policy instance | 6 |
| Insurance contract or identification number | VDT0601173 | | Number of Individuals Covered | 206 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $11,022 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $73,478 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) |
| Policy contract number | T04962 |
| Policy instance | 5 |
| Insurance contract or identification number | T04962 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $6,930 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,956 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 250937 |
| Policy instance | 1 |
| Insurance contract or identification number | 250937 | | Number of Individuals Covered | 484 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $15,059 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,224,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HEALTH VENTURES NETWORK INC. (National Association of Insurance Commissioners NAIC id number: 48011 ) |
| Policy contract number | V04961 |
| Policy instance | 2 |
| Insurance contract or identification number | V04961 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,088 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,058 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM605038 | | Number of Individuals Covered | 206 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $9,705 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $64,699 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 31368 |
| Policy instance | 2 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) |
| Policy contract number | T04962 |
| Policy instance | 5 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VDT601173 |
| Policy instance | 6 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 250937 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VDT601173 |
| Policy instance | 6 |
| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) |
| Policy contract number | T04962 |
| Policy instance | 5 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 31368 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 250937 |
| Policy instance | 1 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM605038 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $5,796 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $38,542 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| Insurance contract or identification number | SGD605117 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,971 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,568 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 250937 |
| Policy instance | 1 |
| Insurance contract or identification number | 250937 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,377,317 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 31368 |
| Policy instance | 2 |
| Insurance contract or identification number | 31368 | | Number of Individuals Covered | 310 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,377 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| Insurance contract or identification number | SGD605117 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $3,631 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,208 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 250937 |
| Policy instance | 1 |
| Insurance contract or identification number | 250937 | | Number of Individuals Covered | 295 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $20,293 | | Total amount of fees paid to insurance company | USD $9,388 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $554,006 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 31368 |
| Policy instance | 2 |
| Insurance contract or identification number | 31368 | | Number of Individuals Covered | 271 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,289 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM605038 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $5,992 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $39,950 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD605117 |
| Policy instance | 4 |
| Insurance contract or identification number | SGD605117 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $2,974 | | Total amount of fees paid to insurance company | USD $310 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 19369 |
| Policy instance | 1 |
| Insurance contract or identification number | 19369 | | Number of Individuals Covered | 283 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $18,426 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $501,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM605038 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM605038 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $4,943 | | Total amount of fees paid to insurance company | USD $509 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $32,953 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 31368 |
| Policy instance | 2 |
| Insurance contract or identification number | 31368 | | Number of Individuals Covered | 266 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,061 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 19369 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) |
| Policy contract number | 10229+ |
| Policy instance | 1 |
