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MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameMOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN
Plan identification number 778

MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN Benefits

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

401k Sponsoring company profile

MOUNTAIN WEST FARM BUREAU MUTUAL INSURANCE CO. has sponsored the creation of one or more 401k plans.

Company Name:MOUNTAIN WEST FARM BUREAU MUTUAL INSURANCE CO.
Employer identification number (EIN):830181634
NAIC Classification:524150

Additional information about MOUNTAIN WEST FARM BUREAU MUTUAL INSURANCE CO.

Jurisdiction of Incorporation: Wyoming Corporations Division
Incorporation Date: 1956-12-18
Company Identification Number: 000071555
Legal Registered Office Address: PO Box 1348

Laramie
United States of America (USA)
82073

More information about MOUNTAIN WEST FARM BUREAU MUTUAL INSURANCE CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
7782023-01-01
7782022-01-01
7782021-01-01
7782020-01-01
7782019-01-01
7782018-01-01
7782017-01-01MELISSA FELDBUSH
7782016-01-01DAVE PERDUE
7782015-01-01DAVE PERDUE
7782014-01-01DAVE PERDUE
7782013-01-01DAVE PERDUE
7782012-01-01DAVE PERDUE
7782011-01-01DAVE PERDUE
7782010-01-01DAVE PERDUE
7782009-01-01DAVE PERDUE

Plan Statistics for MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN

401k plan membership statisitcs for MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN

Measure Date Value
2023: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01295
Total number of active participants reported on line 7a of the Form 55002023-01-01245
Number of retired or separated participants receiving benefits2023-01-0151
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01296
2022: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01305
Total number of active participants reported on line 7a of the Form 55002022-01-01250
Number of retired or separated participants receiving benefits2022-01-0145
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01295
2021: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01306
Total number of active participants reported on line 7a of the Form 55002021-01-01298
Number of retired or separated participants receiving benefits2021-01-0142
Total of all active and inactive participants2021-01-01340
2020: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01326
Total number of active participants reported on line 7a of the Form 55002020-01-01263
Number of retired or separated participants receiving benefits2020-01-0143
Total of all active and inactive participants2020-01-01306
2019: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01340
Total number of active participants reported on line 7a of the Form 55002019-01-01283
Number of retired or separated participants receiving benefits2019-01-0143
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01326
2018: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01321
Total number of active participants reported on line 7a of the Form 55002018-01-01299
Number of retired or separated participants receiving benefits2018-01-0141
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01340
2017: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01303
Total number of active participants reported on line 7a of the Form 55002017-01-01283
Number of retired or separated participants receiving benefits2017-01-0138
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01321
2016: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01291
Total number of active participants reported on line 7a of the Form 55002016-01-01303
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01303
2015: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01280
Total number of active participants reported on line 7a of the Form 55002015-01-01291
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01291
2014: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01273
Total number of active participants reported on line 7a of the Form 55002014-01-01280
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01280
2013: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01271
Total number of active participants reported on line 7a of the Form 55002013-01-01273
Total of all active and inactive participants2013-01-01273
2012: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01274
Total number of active participants reported on line 7a of the Form 55002012-01-01271
Total of all active and inactive participants2012-01-01271
2011: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01262
Total number of active participants reported on line 7a of the Form 55002011-01-01274
Total of all active and inactive participants2011-01-01274
2010: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01223
Total number of active participants reported on line 7a of the Form 55002010-01-01262
Total of all active and inactive participants2010-01-01262
2009: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01182
Total number of active participants reported on line 7a of the Form 55002009-01-01223
Total of all active and inactive participants2009-01-01223

Financial Data on MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN

Measure Date Value
2016 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,002,705
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,701,409
Total income from all sources (including contributions)2016-12-31$5,600,951
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$5,924,228
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,575,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,600,951
Value of total assets at end of year2016-12-31$9,213
Value of total assets at beginning of year2016-12-31$31,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$348,436
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$4,500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$436,001
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$782,745
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$323,277
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-323,277
Value of net assets at end of year (total assets less liabilities)2016-12-31$-3,993,492
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-3,670,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,006,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,382,205
Employer contributions (assets) at end of year2016-12-31$9,213
Employer contributions (assets) at beginning of year2016-12-31$31,194
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,246,348
Contract administrator fees2016-12-31$348,436
Liabilities. Value of benefit claims payable at end of year2016-12-31$4,002,705
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$3,701,409
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ANTON COLLINS MITCHELL LLP
Accountancy firm EIN2016-12-31010724563
2015 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,701,409
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$12,657,649
Total income from all sources (including contributions)2015-12-31$5,314,482
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$-3,652,583
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$-3,894,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,314,482
Value of total assets at end of year2015-12-31$31,194
Value of total assets at beginning of year2015-12-31$20,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$242,078
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$4,500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$381,218
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$166,852
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$-8,967,166
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$8,967,065
Value of net assets at end of year (total assets less liabilities)2015-12-31$-3,670,215
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-12,637,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$782,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$4,766,412
Employer contributions (assets) at end of year2015-12-31$31,194
Employer contributions (assets) at beginning of year2015-12-31$20,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$4,290,427
Contract administrator fees2015-12-31$242,078
Liabilities. Value of benefit claims payable at end of year2015-12-31$3,701,409
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$12,657,649
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ANTON COLLINS MITCHELL LLP
Accountancy firm EIN2015-12-31010724563
2014 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$12,657,649
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$13,484,752
Total income from all sources (including contributions)2014-12-31$4,659,164
Total of all expenses incurred2014-12-31$3,916,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,984,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,659,164
Value of total assets at end of year2014-12-31$20,369
Value of total assets at beginning of year2014-12-31$104,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$931,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$297,811
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$271,133
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$84,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$742,989
Value of net assets at end of year (total assets less liabilities)2014-12-31$-12,637,280
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-13,380,269
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,984,662
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,090,220
Employer contributions (assets) at end of year2014-12-31$20,268
Employer contributions (assets) at beginning of year2014-12-31$19,953
Contract administrator fees2014-12-31$931,513
Liabilities. Value of benefit claims payable at end of year2014-12-31$12,657,649
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$13,484,752
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2014-12-31830244838
2013 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$13,484,752
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$10,198,599
Total income from all sources (including contributions)2013-12-31$4,676,154
Total of all expenses incurred2013-12-31$7,875,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$7,082,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,676,154
Value of total assets at end of year2013-12-31$104,483
Value of total assets at beginning of year2013-12-31$17,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$792,222
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$255,809
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$449,396
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$84,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-3,199,011
Value of net assets at end of year (total assets less liabilities)2013-12-31$-13,380,269
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-10,181,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$7,082,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$3,970,949
Employer contributions (assets) at end of year2013-12-31$19,953
Employer contributions (assets) at beginning of year2013-12-31$17,341
Contract administrator fees2013-12-31$792,222
Liabilities. Value of benefit claims payable at end of year2013-12-31$13,484,752
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$10,198,599
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2013-12-31830244838
2012 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$10,198,599
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,783,060
Total income from all sources (including contributions)2012-12-31$3,190,951
Total of all expenses incurred2012-12-31$5,602,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,869,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,190,951
Value of total assets at end of year2012-12-31$17,341
Value of total assets at beginning of year2012-12-31$13,685
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$733,040
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$243,206
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$67,036
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,411,883
Value of net assets at end of year (total assets less liabilities)2012-12-31$-10,181,258
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-7,769,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$4,869,794
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,880,709
Employer contributions (assets) at end of year2012-12-31$17,341
Employer contributions (assets) at beginning of year2012-12-31$13,685
Contract administrator fees2012-12-31$733,040
Liabilities. Value of benefit claims payable at end of year2012-12-31$10,198,599
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$7,783,060
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2012-12-31830244838
2011 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,783,060
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,091,082
Total income from all sources (including contributions)2011-12-31$3,134,303
Total of all expenses incurred2011-12-31$5,813,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$5,097,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,134,303
Value of total assets at end of year2011-12-31$13,685
Value of total assets at beginning of year2011-12-31$464
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$715,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$200,931
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$249,486
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-2,678,757
Value of net assets at end of year (total assets less liabilities)2011-12-31$-7,769,375
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-5,090,618
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$5,097,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,683,886
Employer contributions (assets) at end of year2011-12-31$13,685
Contract administrator fees2011-12-31$715,788
Liabilities. Value of benefit claims payable at end of year2011-12-31$7,783,060
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$5,091,082
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2011-12-31830244838
2010 : MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,091,082
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,738,675
Total income from all sources (including contributions)2010-12-31$2,876,420
Total of all expenses incurred2010-12-31$3,231,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,674,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,876,420
Value of total assets at end of year2010-12-31$464
Value of total assets at beginning of year2010-12-31$3,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$557,179
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$180,921
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$222,209
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-355,135
Value of net assets at end of year (total assets less liabilities)2010-12-31$-5,090,618
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-4,735,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,674,376
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,473,290
Employer contributions (assets) at beginning of year2010-12-31$3,192
Contract administrator fees2010-12-31$557,179
Liabilities. Value of benefit claims payable at end of year2010-12-31$5,091,082
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,738,675
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2010-12-31830244838

Form 5500 Responses for MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN

2023: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: MOUNTAIN WEST FARM BUREAU MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GREENWICH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22322 )
Policy contract numberSXTG1008-15
Policy instance 1
Insurance contract or identification numberSXTG1008-15
Number of Individuals Covered494
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $913,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF WYOMING (National Association of Insurance Commissioners NAIC id number: 15200 )
Policy contract number11008
Policy instance 2
Insurance contract or identification number11008
Number of Individuals Covered195
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $148,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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