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FIRST PREMIER BENEFITS PLAN 401k Plan overview

Plan NameFIRST PREMIER BENEFITS PLAN
Plan identification number 511

FIRST PREMIER BENEFITS PLAN Benefits

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

401k Sponsoring company profile

FIRST PREMIER BANK has sponsored the creation of one or more 401k plans.

Company Name:FIRST PREMIER BANK
Employer identification number (EIN):460119480
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about FIRST PREMIER BANK

Jurisdiction of Incorporation: South Dakota Secretary of State
Incorporation Date:
Company Identification Number: BK000183

More information about FIRST PREMIER BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST PREMIER BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112022-01-01
5112021-01-01

Plan Statistics for FIRST PREMIER BENEFITS PLAN

401k plan membership statisitcs for FIRST PREMIER BENEFITS PLAN

Measure Date Value
2022: FIRST PREMIER BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,949
Total number of active participants reported on line 7a of the Form 55002022-01-011,950
Number of retired or separated participants receiving benefits2022-01-0150
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,000
2021: FIRST PREMIER BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,089
Total number of active participants reported on line 7a of the Form 55002021-01-011,949
Number of retired or separated participants receiving benefits2021-01-0165
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,014

Form 5500 Responses for FIRST PREMIER BENEFITS PLAN

2022: FIRST PREMIER BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: FIRST PREMIER BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024
Policy instance 6
Insurance contract or identification number472024
Number of Individuals Covered1458
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $35,749
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $215,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,749
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
SANFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95683 )
Policy contract number610,611,661
Policy instance 5
Insurance contract or identification number610,611,661
Number of Individuals Covered3236
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $616,760
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,679,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $616,760
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10070111001 & 2
Policy instance 4
Insurance contract or identification number10070111001 & 2
Number of Individuals Covered4458
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024
Policy instance 3
Insurance contract or identification number472024
Number of Individuals Covered1950
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $98,280
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $639,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,280
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2175
Policy instance 2
Insurance contract or identification number2175
Number of Individuals Covered4772
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $21,119
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,031,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,119
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024, R071027
Policy instance 1
Insurance contract or identification number472024, R071027
Number of Individuals Covered613
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $29,091
Health Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $185,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,091
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024
Policy instance 3
Insurance contract or identification number472024
Number of Individuals Covered1945
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $87,009
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $550,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,009
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2175
Policy instance 2
Insurance contract or identification number2175
Number of Individuals Covered4736
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $20,656
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,990,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,656
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024, R071027
Policy instance 1
Insurance contract or identification number472024, R071027
Number of Individuals Covered584
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $58,203
Health Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $339,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,203
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number472024
Policy instance 6
Insurance contract or identification number472024
Number of Individuals Covered1538
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $35,749
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $222,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,749
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
SANFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95683 )
Policy contract number610,611,661
Policy instance 5
Insurance contract or identification number610,611,661
Number of Individuals Covered3161
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $632,715
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,655,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $632,715
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10070111001 & 2
Policy instance 4
Insurance contract or identification number10070111001 & 2
Number of Individuals Covered4527
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $172,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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