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HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 401k Plan overview

Plan NameHY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST
Plan identification number 501

HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HY-VEE, INC. has sponsored the creation of one or more 401k plans.

Company Name:HY-VEE, INC.
Employer identification number (EIN):420325638
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about HY-VEE, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1938-01-03
Company Identification Number: 019862
Legal Registered Office Address: 400 E COURT AVE

DES MOINES
United States of America (USA)
50309

More information about HY-VEE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-03ANDREW SCHREINER2024-02-27
5012021-10-04ANDREW SCHREINER2023-04-27
5012020-09-28ANDREW SCHREINER2022-04-24
5012019-09-30MICHAEL SKOKAN2021-03-30
5012019-09-30MICHAEL SKOKAN2021-03-30
5012018-10-01MICHAEL SKOKAN2020-02-09
5012017-10-03MICHAEL SKOKAN2019-04-24
5012017-10-03MICHAEL SKOKAN2019-04-24
5012016-09-28MICHAEL SKOKAN
5012015-09-28MICHAEL SKOKAN
5012014-09-29MICHAEL SKOKAN
5012013-09-30MICHAEL SKOKAN
5012012-10-01MICHAEL SKOKAN MICHAEL SKOKAN2014-04-11
5012011-10-03MICHAEL SKOKAN MICHAEL SKOKAN2013-04-26
5012009-09-28MICHAEL SKOKAN MICHAEL SKOKAN2011-06-14

Plan Statistics for HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST

401k plan membership statisitcs for HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST

Measure Date Value
2022: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-10-0316,234
Total number of active participants reported on line 7a of the Form 55002022-10-0315,809
Number of retired or separated participants receiving benefits2022-10-03134
Number of other retired or separated participants entitled to future benefits2022-10-0328
Total of all active and inactive participants2022-10-0315,971
2021: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-10-0417,007
Total number of active participants reported on line 7a of the Form 55002021-10-0415,988
Number of retired or separated participants receiving benefits2021-10-04217
Number of other retired or separated participants entitled to future benefits2021-10-0429
Total of all active and inactive participants2021-10-0416,234
2020: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-09-2816,645
Total number of active participants reported on line 7a of the Form 55002020-09-2816,603
Number of retired or separated participants receiving benefits2020-09-28377
Number of other retired or separated participants entitled to future benefits2020-09-2827
Total of all active and inactive participants2020-09-2817,007
2019: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-09-3018,294
Total number of active participants reported on line 7a of the Form 55002019-09-3016,111
Number of retired or separated participants receiving benefits2019-09-30515
Number of other retired or separated participants entitled to future benefits2019-09-3019
Total of all active and inactive participants2019-09-3016,645
2018: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-10-0118,736
Total number of active participants reported on line 7a of the Form 55002018-10-0117,733
Number of retired or separated participants receiving benefits2018-10-01539
Number of other retired or separated participants entitled to future benefits2018-10-0122
Total of all active and inactive participants2018-10-0118,294
2017: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-10-0319,262
Total number of active participants reported on line 7a of the Form 55002017-10-0318,223
Number of retired or separated participants receiving benefits2017-10-03499
Number of other retired or separated participants entitled to future benefits2017-10-030
Total of all active and inactive participants2017-10-0318,722
2016: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-09-2816,737
Total number of active participants reported on line 7a of the Form 55002016-09-2819,262
Number of retired or separated participants receiving benefits2016-09-28510
Number of other retired or separated participants entitled to future benefits2016-09-280
Total of all active and inactive participants2016-09-2819,772
2015: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-09-2818,052
Total number of active participants reported on line 7a of the Form 55002015-09-2816,737
Number of retired or separated participants receiving benefits2015-09-28475
Number of other retired or separated participants entitled to future benefits2015-09-280
Total of all active and inactive participants2015-09-2817,212
2014: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-09-2917,323
Total number of active participants reported on line 7a of the Form 55002014-09-2917,531
Number of retired or separated participants receiving benefits2014-09-29514
Number of other retired or separated participants entitled to future benefits2014-09-297
Total of all active and inactive participants2014-09-2918,052
2013: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-09-3016,591
Total number of active participants reported on line 7a of the Form 55002013-09-3016,540
Number of retired or separated participants receiving benefits2013-09-30779
Number of other retired or separated participants entitled to future benefits2013-09-304
Total of all active and inactive participants2013-09-3017,323
2012: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-10-0116,504
Total number of active participants reported on line 7a of the Form 55002012-10-0115,684
Number of retired or separated participants receiving benefits2012-10-01907
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-0116,591
2011: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-10-0316,159
Total number of active participants reported on line 7a of the Form 55002011-10-0315,521
Number of retired or separated participants receiving benefits2011-10-03983
Number of other retired or separated participants entitled to future benefits2011-10-030
Total of all active and inactive participants2011-10-0316,504
2009: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-09-2815,360
Total number of active participants reported on line 7a of the Form 55002009-09-2814,911
Number of retired or separated participants receiving benefits2009-09-28773
Number of other retired or separated participants entitled to future benefits2009-09-280
Total of all active and inactive participants2009-09-2815,684

Financial Data on HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST

Measure Date Value
2023 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-10-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-10-01$24,023,595
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-10-01$26,743,767
Total income from all sources (including contributions)2023-10-01$217,149,390
Total loss/gain on sale of assets2023-10-01$0
Total of all expenses incurred2023-10-01$205,707,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-10-01$193,363,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-10-01$216,490,887
Value of total assets at end of year2023-10-01$32,189,368
Value of total assets at beginning of year2023-10-01$23,467,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-10-01$12,343,792
Total interest from all sources2023-10-01$658,503
Total dividends received (eg from common stock, registered investment company shares)2023-10-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-10-01No
Was this plan covered by a fidelity bond2023-10-01Yes
Value of fidelity bond cover2023-10-01$2,000,000
Were there any nonexempt tranactions with any party-in-interest2023-10-01No
Contributions received from participants2023-10-01$50,098,407
Participant contributions at end of year2023-10-01$1,158,373
Participant contributions at beginning of year2023-10-01$905,169
Assets. Other investments not covered elsewhere at end of year2023-10-01$772,211
Assets. Other investments not covered elsewhere at beginning of year2023-10-01$199,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-10-01$3,288,492
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-10-01$2,700,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-10-01$1,891,375
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-10-01$4,247,775
Administrative expenses (other) incurred2023-10-01$12,343,792
Liabilities. Value of operating payables at end of year2023-10-01$271,402
Liabilities. Value of operating payables at beginning of year2023-10-01$306,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-10-01No
Value of net income/loss2023-10-01$11,442,325
Value of net assets at end of year (total assets less liabilities)2023-10-01$8,165,773
Value of net assets at beginning of year (total assets less liabilities)2023-10-01$-3,276,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-10-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-10-01No
Were any leases to which the plan was party in default or uncollectible2023-10-01No
Interest earned on other investments2023-10-01$658,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-10-01$23,743,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-10-01$16,491,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-10-01$16,491,000
Expenses. Payments to insurance carriers foe the provision of benefits2023-10-01$1,045,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-10-01Yes
Was there a failure to transmit to the plan any participant contributions2023-10-01No
Has the plan failed to provide any benefit when due under the plan2023-10-01No
Contributions received in cash from employer2023-10-01$166,392,480
Employer contributions (assets) at end of year2023-10-01$3,227,292
Employer contributions (assets) at beginning of year2023-10-01$3,171,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-10-01$192,318,242
Liabilities. Value of benefit claims payable at end of year2023-10-01$21,860,818
Liabilities. Value of benefit claims payable at beginning of year2023-10-01$22,189,118
Did the plan have assets held for investment2023-10-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-10-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-10-01No
Opinion of an independent qualified public accountant for this plan2023-10-01Unqualified
Accountancy firm name2023-10-01RSM US LLP
Accountancy firm EIN2023-10-01420714325
2022 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-10-02$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-02$26,743,767
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-02$25,836,697
Total income from all sources (including contributions)2022-10-02$205,365,119
Total loss/gain on sale of assets2022-10-02$0
Total of all expenses incurred2022-10-02$210,896,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-02$198,290,829
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-02$205,292,272
Value of total assets at end of year2022-10-02$23,467,215
Value of total assets at beginning of year2022-10-02$28,091,611
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-02$12,605,756
Total interest from all sources2022-10-02$72,847
Total dividends received (eg from common stock, registered investment company shares)2022-10-02$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-02No
Was this plan covered by a fidelity bond2022-10-02Yes
Value of fidelity bond cover2022-10-02$2,000,000
Were there any nonexempt tranactions with any party-in-interest2022-10-02No
Contributions received from participants2022-10-02$46,913,989
Participant contributions at end of year2022-10-02$905,169
Participant contributions at beginning of year2022-10-02$2,041,287
Assets. Other investments not covered elsewhere at end of year2022-10-02$199,841
Assets. Other investments not covered elsewhere at beginning of year2022-10-02$170,726
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-10-02$2,700,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-10-02$2,958,171
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-10-02$4,247,775
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-10-02$3,597,125
Administrative expenses (other) incurred2022-10-02$12,605,756
Liabilities. Value of operating payables at end of year2022-10-02$306,874
Liabilities. Value of operating payables at beginning of year2022-10-02$257,876
Total non interest bearing cash at beginning of year2022-10-02$49,779
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-02No
Value of net income/loss2022-10-02$-5,531,466
Value of net assets at end of year (total assets less liabilities)2022-10-02$-3,276,552
Value of net assets at beginning of year (total assets less liabilities)2022-10-02$2,254,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-02No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-02No
Were any leases to which the plan was party in default or uncollectible2022-10-02No
Interest earned on other investments2022-10-02$72,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-10-02$16,491,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-10-02$5,818,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-10-02$5,818,000
Expenses. Payments to insurance carriers foe the provision of benefits2022-10-02$1,004,245
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-02Yes
Was there a failure to transmit to the plan any participant contributions2022-10-02No
Has the plan failed to provide any benefit when due under the plan2022-10-02No
Contributions received in cash from employer2022-10-02$158,378,283
Employer contributions (assets) at end of year2022-10-02$3,171,205
Employer contributions (assets) at beginning of year2022-10-02$17,053,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-02$197,286,584
Liabilities. Value of benefit claims payable at end of year2022-10-02$22,189,118
Liabilities. Value of benefit claims payable at beginning of year2022-10-02$21,981,696
Did the plan have assets held for investment2022-10-02Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-02No
Opinion of an independent qualified public accountant for this plan2022-10-02Unqualified
Accountancy firm name2022-10-02RSM US LLP
Accountancy firm EIN2022-10-02420714325
2021 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-27$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-27$25,836,697
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-27$23,496,202
Total income from all sources (including contributions)2021-09-27$202,937,537
Total loss/gain on sale of assets2021-09-27$0
Total of all expenses incurred2021-09-27$207,049,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-27$194,501,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-27$202,934,538
Value of total assets at end of year2021-09-27$28,091,611
Value of total assets at beginning of year2021-09-27$29,863,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-27$12,548,310
Total interest from all sources2021-09-27$2,999
Total dividends received (eg from common stock, registered investment company shares)2021-09-27$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-27No
Was this plan covered by a fidelity bond2021-09-27Yes
Value of fidelity bond cover2021-09-27$2,000,000
Were there any nonexempt tranactions with any party-in-interest2021-09-27No
Contributions received from participants2021-09-27$49,733,497
Participant contributions at end of year2021-09-27$2,041,287
Participant contributions at beginning of year2021-09-27$1,139,180
Assets. Other investments not covered elsewhere at end of year2021-09-27$170,726
Assets. Other investments not covered elsewhere at beginning of year2021-09-27$346,747
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-09-27$2,958,171
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-09-27$4,600,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-27$3,597,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-27$4,273,250
Administrative expenses (other) incurred2021-09-27$12,548,310
Liabilities. Value of operating payables at end of year2021-09-27$257,876
Liabilities. Value of operating payables at beginning of year2021-09-27$119,684
Total non interest bearing cash at end of year2021-09-27$49,779
Total non interest bearing cash at beginning of year2021-09-27$774,364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-27No
Value of net income/loss2021-09-27$-4,112,428
Value of net assets at end of year (total assets less liabilities)2021-09-27$2,254,914
Value of net assets at beginning of year (total assets less liabilities)2021-09-27$6,367,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-27No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-27No
Were any leases to which the plan was party in default or uncollectible2021-09-27No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-27$5,818,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-27$20,090,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-27$20,090,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-09-27$2,999
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-27$1,405,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-27Yes
Was there a failure to transmit to the plan any participant contributions2021-09-27No
Has the plan failed to provide any benefit when due under the plan2021-09-27No
Contributions received in cash from employer2021-09-27$153,201,041
Employer contributions (assets) at end of year2021-09-27$17,053,648
Employer contributions (assets) at beginning of year2021-09-27$2,913,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-27$193,095,785
Liabilities. Value of benefit claims payable at end of year2021-09-27$21,981,696
Liabilities. Value of benefit claims payable at beginning of year2021-09-27$19,103,268
Did the plan have assets held for investment2021-09-27Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-27No
Opinion of an independent qualified public accountant for this plan2021-09-27Unqualified
Accountancy firm name2021-09-27RSM US, LLP
Accountancy firm EIN2021-09-27420714325
2020 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-27$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-27$23,496,202
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-27$24,947,156
Total income from all sources (including contributions)2020-09-27$200,252,040
Total loss/gain on sale of assets2020-09-27$0
Total of all expenses incurred2020-09-27$198,106,553
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-27$185,723,914
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-27$200,187,534
Value of total assets at end of year2020-09-27$29,863,544
Value of total assets at beginning of year2020-09-27$29,169,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-27$12,382,639
Total interest from all sources2020-09-27$64,506
Total dividends received (eg from common stock, registered investment company shares)2020-09-27$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-27No
Was this plan covered by a fidelity bond2020-09-27Yes
Value of fidelity bond cover2020-09-27$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-09-27No
Contributions received from participants2020-09-27$47,997,265
Participant contributions at end of year2020-09-27$1,139,180
Participant contributions at beginning of year2020-09-27$1,231,337
Assets. Other investments not covered elsewhere at end of year2020-09-27$346,747
Assets. Other investments not covered elsewhere at beginning of year2020-09-27$443,358
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-27$4,600,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-09-27$2,873,464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-27$4,273,250
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-27$4,284,019
Administrative expenses (other) incurred2020-09-27$12,382,639
Liabilities. Value of operating payables at end of year2020-09-27$119,684
Liabilities. Value of operating payables at beginning of year2020-09-27$148,173
Total non interest bearing cash at end of year2020-09-27$774,364
Total non interest bearing cash at beginning of year2020-09-27$14,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-27No
Value of net income/loss2020-09-27$2,145,487
Value of net assets at end of year (total assets less liabilities)2020-09-27$6,367,342
Value of net assets at beginning of year (total assets less liabilities)2020-09-27$4,221,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-27No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-27No
Were any leases to which the plan was party in default or uncollectible2020-09-27No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-27$20,090,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-27$21,663,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-27$21,663,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-27$64,506
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-27$1,510,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-27Yes
Was there a failure to transmit to the plan any participant contributions2020-09-27No
Has the plan failed to provide any benefit when due under the plan2020-09-27No
Contributions received in cash from employer2020-09-27$152,190,269
Employer contributions (assets) at end of year2020-09-27$2,913,253
Employer contributions (assets) at beginning of year2020-09-27$2,942,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-27$184,213,457
Liabilities. Value of benefit claims payable at end of year2020-09-27$19,103,268
Liabilities. Value of benefit claims payable at beginning of year2020-09-27$20,514,964
Did the plan have assets held for investment2020-09-27Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-27No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-27No
Opinion of an independent qualified public accountant for this plan2020-09-27Unqualified
Accountancy firm name2020-09-27RSM US LLP
Accountancy firm EIN2020-09-27420714325
2019 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-29$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-29$24,947,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-29$22,303,847
Total income from all sources (including contributions)2019-09-29$205,885,346
Total loss/gain on sale of assets2019-09-29$0
Total of all expenses incurred2019-09-29$206,233,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-29$193,254,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-29$205,658,571
Value of total assets at end of year2019-09-29$29,169,011
Value of total assets at beginning of year2019-09-29$26,874,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-29$12,979,692
Total interest from all sources2019-09-29$226,775
Total dividends received (eg from common stock, registered investment company shares)2019-09-29$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-29No
Administrative expenses professional fees incurred2019-09-29$12,979,692
Was this plan covered by a fidelity bond2019-09-29Yes
Value of fidelity bond cover2019-09-29$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-09-29No
Contributions received from participants2019-09-29$51,436,750
Participant contributions at end of year2019-09-29$1,231,337
Participant contributions at beginning of year2019-09-29$1,213,636
Assets. Other investments not covered elsewhere at end of year2019-09-29$443,358
Assets. Other investments not covered elsewhere at beginning of year2019-09-29$420,968
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-09-29$2,873,464
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-09-29$2,304,002
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-29$4,284,019
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-29$3,900,000
Liabilities. Value of operating payables at end of year2019-09-29$148,173
Liabilities. Value of operating payables at beginning of year2019-09-29$265,815
Total non interest bearing cash at end of year2019-09-29$14,855
Total non interest bearing cash at beginning of year2019-09-29$27,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-29No
Value of net income/loss2019-09-29$-348,364
Value of net assets at end of year (total assets less liabilities)2019-09-29$4,221,855
Value of net assets at beginning of year (total assets less liabilities)2019-09-29$4,570,219
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-29No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-29No
Were any leases to which the plan was party in default or uncollectible2019-09-29No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-29$21,663,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-29$19,984,498
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-29$19,984,498
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-29$226,775
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-29$1,582,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-29Yes
Was there a failure to transmit to the plan any participant contributions2019-09-29No
Has the plan failed to provide any benefit when due under the plan2019-09-29No
Contributions received in cash from employer2019-09-29$154,221,821
Employer contributions (assets) at end of year2019-09-29$2,942,997
Employer contributions (assets) at beginning of year2019-09-29$2,923,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-29$191,671,258
Liabilities. Value of benefit claims payable at end of year2019-09-29$20,514,964
Liabilities. Value of benefit claims payable at beginning of year2019-09-29$18,138,032
Did the plan have assets held for investment2019-09-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-29No
Opinion of an independent qualified public accountant for this plan2019-09-29Unqualified
Accountancy firm name2019-09-29RSM US LLP
Accountancy firm EIN2019-09-29420714325
2018 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$22,303,847
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$19,516,609
Total income from all sources (including contributions)2018-09-30$195,835,074
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$196,960,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$184,073,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$195,479,692
Value of total assets at end of year2018-09-30$26,874,066
Value of total assets at beginning of year2018-09-30$25,212,382
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$12,887,129
Total interest from all sources2018-09-30$355,382
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Administrative expenses professional fees incurred2018-09-30$12,887,129
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$55,540,181
Participant contributions at end of year2018-09-30$1,213,636
Participant contributions at beginning of year2018-09-30$1,130,634
Assets. Other investments not covered elsewhere at end of year2018-09-30$420,968
Assets. Other investments not covered elsewhere at beginning of year2018-09-30$410,175
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-09-30$2,304,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-09-30$1,583,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$3,900,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$0
Liabilities. Value of operating payables at end of year2018-09-30$265,815
Liabilities. Value of operating payables at beginning of year2018-09-30$304,914
Total non interest bearing cash at end of year2018-09-30$27,830
Total non interest bearing cash at beginning of year2018-09-30$53,246
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-1,125,554
Value of net assets at end of year (total assets less liabilities)2018-09-30$4,570,219
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$5,695,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$19,984,498
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$19,005,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$19,005,601
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$355,382
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,570,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30Yes
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$139,939,511
Employer contributions (assets) at end of year2018-09-30$2,923,132
Employer contributions (assets) at beginning of year2018-09-30$3,028,733
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$182,502,961
Liabilities. Value of benefit claims payable at end of year2018-09-30$18,138,032
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$19,211,695
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30RSM US LLP
Accountancy firm EIN2018-09-30420714325
2017 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-10-02$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-02$19,516,609
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-02$19,079,634
Total income from all sources (including contributions)2017-10-02$199,578,794
Total loss/gain on sale of assets2017-10-02$0
Total of all expenses incurred2017-10-02$195,928,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-02$193,171,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-02$199,545,430
Value of total assets at end of year2017-10-02$25,212,382
Value of total assets at beginning of year2017-10-02$21,124,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-02$2,756,192
Total interest from all sources2017-10-02$33,364
Total dividends received (eg from common stock, registered investment company shares)2017-10-02$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-02No
Administrative expenses professional fees incurred2017-10-02$57,992
Was this plan covered by a fidelity bond2017-10-02Yes
Value of fidelity bond cover2017-10-02$2,000,000
Were there any nonexempt tranactions with any party-in-interest2017-10-02No
Contributions received from participants2017-10-02$52,144,684
Participant contributions at end of year2017-10-02$1,130,634
Participant contributions at beginning of year2017-10-02$916,963
Assets. Other investments not covered elsewhere at end of year2017-10-02$410,175
Assets. Other investments not covered elsewhere at beginning of year2017-10-02$348,814
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-02$1,583,993
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-02$1,443,166
Administrative expenses (other) incurred2017-10-02$279,568
Liabilities. Value of operating payables at end of year2017-10-02$304,914
Liabilities. Value of operating payables at beginning of year2017-10-02$1,291,340
Total non interest bearing cash at end of year2017-10-02$53,246
Total non interest bearing cash at beginning of year2017-10-02$165,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-02No
Value of net income/loss2017-10-02$3,650,640
Value of net assets at end of year (total assets less liabilities)2017-10-02$5,695,773
Value of net assets at beginning of year (total assets less liabilities)2017-10-02$2,045,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-02No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-02No
Were any leases to which the plan was party in default or uncollectible2017-10-02No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-02$19,005,601
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-02$15,794,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-02$15,794,611
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-10-02$33,364
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-02$1,454,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-02Yes
Was there a failure to transmit to the plan any participant contributions2017-10-02No
Has the plan failed to provide any benefit when due under the plan2017-10-02No
Contributions received in cash from employer2017-10-02$147,400,746
Employer contributions (assets) at end of year2017-10-02$3,028,733
Employer contributions (assets) at beginning of year2017-10-02$2,455,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-02$191,717,035
Asset. Corporate debt instrument debt (other) at end of year2017-10-02$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-10-02$0
Contract administrator fees2017-10-02$2,418,632
Liabilities. Value of benefit claims payable at end of year2017-10-02$19,211,695
Liabilities. Value of benefit claims payable at beginning of year2017-10-02$17,788,294
Did the plan have assets held for investment2017-10-02Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-02No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-02No
Opinion of an independent qualified public accountant for this plan2017-10-02Unqualified
Accountancy firm name2017-10-02RSM US LLP
Accountancy firm EIN2017-10-02420714325
2016 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-02$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-02$19,079,634
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-02$16,485,187
Total income from all sources (including contributions)2016-10-02$178,537,753
Total loss/gain on sale of assets2016-10-02$0
Total of all expenses incurred2016-10-02$180,658,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-02$176,045,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-02$178,493,551
Value of total assets at end of year2016-10-02$21,124,767
Value of total assets at beginning of year2016-10-02$20,651,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-02$4,613,457
Total interest from all sources2016-10-02$44,202
Total dividends received (eg from common stock, registered investment company shares)2016-10-02$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-02No
Administrative expenses professional fees incurred2016-10-02$4,540
Was this plan covered by a fidelity bond2016-10-02Yes
Value of fidelity bond cover2016-10-02$2,000,000
Were there any nonexempt tranactions with any party-in-interest2016-10-02No
Contributions received from participants2016-10-02$47,577,493
Participant contributions at end of year2016-10-02$916,963
Participant contributions at beginning of year2016-10-02$1,435,972
Assets. Other investments not covered elsewhere at end of year2016-10-02$348,814
Assets. Other investments not covered elsewhere at beginning of year2016-10-02$320,350
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-02$1,443,166
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-02$421,093
Administrative expenses (other) incurred2016-10-02$1,872,100
Liabilities. Value of operating payables at end of year2016-10-02$1,291,340
Liabilities. Value of operating payables at beginning of year2016-10-02$1,586,476
Total non interest bearing cash at end of year2016-10-02$165,597
Total non interest bearing cash at beginning of year2016-10-02$25,741
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-02No
Value of net income/loss2016-10-02$-2,120,782
Value of net assets at end of year (total assets less liabilities)2016-10-02$2,045,133
Value of net assets at beginning of year (total assets less liabilities)2016-10-02$4,165,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-02No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-02No
Were any leases to which the plan was party in default or uncollectible2016-10-02No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-02$15,794,611
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-02$16,200,242
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-02$16,200,242
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-10-02$44,202
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-02$1,432,081
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-02Yes
Was there a failure to transmit to the plan any participant contributions2016-10-02No
Has the plan failed to provide any benefit when due under the plan2016-10-02No
Contributions received in cash from employer2016-10-02$130,916,058
Employer contributions (assets) at end of year2016-10-02$2,455,616
Employer contributions (assets) at beginning of year2016-10-02$2,247,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-02$174,612,997
Asset. Corporate debt instrument debt (other) at end of year2016-10-02$0
Asset. Corporate debt instrument debt (other) at beginning of year2016-10-02$0
Contract administrator fees2016-10-02$2,736,817
Liabilities. Value of benefit claims payable at end of year2016-10-02$17,788,294
Liabilities. Value of benefit claims payable at beginning of year2016-10-02$14,898,711
Did the plan have assets held for investment2016-10-02Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-02No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-02No
Opinion of an independent qualified public accountant for this plan2016-10-02Unqualified
Accountancy firm name2016-10-02RSM US LLP
Accountancy firm EIN2016-10-02420714325
2015 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-27$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-27$16,485,187
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-27$14,505,888
Total income from all sources (including contributions)2015-09-27$161,554,274
Total loss/gain on sale of assets2015-09-27$0
Total of all expenses incurred2015-09-27$161,699,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-27$151,558,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-27$161,550,528
Value of total assets at end of year2015-09-27$20,651,102
Value of total assets at beginning of year2015-09-27$18,816,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-27$10,140,177
Total interest from all sources2015-09-27$3,746
Total dividends received (eg from common stock, registered investment company shares)2015-09-27$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-27No
Administrative expenses professional fees incurred2015-09-27$3,500
Was this plan covered by a fidelity bond2015-09-27Yes
Value of fidelity bond cover2015-09-27$2,000,000
Were there any nonexempt tranactions with any party-in-interest2015-09-27No
Contributions received from participants2015-09-27$40,836,591
Participant contributions at end of year2015-09-27$1,435,972
Participant contributions at beginning of year2015-09-27$1,248,042
Assets. Other investments not covered elsewhere at end of year2015-09-27$320,350
Assets. Other investments not covered elsewhere at beginning of year2015-09-27$321,914
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-27$421,093
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-27$413,331
Administrative expenses (other) incurred2015-09-27$3,952,602
Liabilities. Value of operating payables at end of year2015-09-27$1,586,476
Liabilities. Value of operating payables at beginning of year2015-09-27$94,707
Total non interest bearing cash at end of year2015-09-27$25,741
Total non interest bearing cash at beginning of year2015-09-27$1,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-27No
Value of net income/loss2015-09-27$-144,789
Value of net assets at end of year (total assets less liabilities)2015-09-27$4,165,915
Value of net assets at beginning of year (total assets less liabilities)2015-09-27$4,310,704
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-27No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-27No
Were any leases to which the plan was party in default or uncollectible2015-09-27No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-27$16,200,242
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-27$9,910,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-27$9,910,901
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-27$3,746
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-27$1,320,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-27Yes
Was there a failure to transmit to the plan any participant contributions2015-09-27No
Has the plan failed to provide any benefit when due under the plan2015-09-27No
Contributions received in cash from employer2015-09-27$120,713,937
Employer contributions (assets) at end of year2015-09-27$2,247,704
Employer contributions (assets) at beginning of year2015-09-27$1,921,707
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-27$150,238,531
Asset. Corporate debt instrument debt (other) at end of year2015-09-27$0
Asset. Corporate debt instrument debt (other) at beginning of year2015-09-27$4,999,625
Contract administrator fees2015-09-27$6,184,075
Liabilities. Value of benefit claims payable at end of year2015-09-27$14,898,711
Liabilities. Value of benefit claims payable at beginning of year2015-09-27$14,411,181
Did the plan have assets held for investment2015-09-27Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-27No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-27No
Opinion of an independent qualified public accountant for this plan2015-09-27Unqualified
Accountancy firm name2015-09-27RSM US LLP
Accountancy firm EIN2015-09-27420714325
2014 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-28$14,505,888
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-28$8,214,865
Total income from all sources (including contributions)2014-09-28$134,691,845
Total loss/gain on sale of assets2014-09-28$0
Total of all expenses incurred2014-09-28$141,340,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-28$131,603,212
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-28$134,685,105
Value of total assets at end of year2014-09-28$18,816,592
Value of total assets at beginning of year2014-09-28$19,174,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-28$9,737,519
Total interest from all sources2014-09-28$6,740
Total dividends received (eg from common stock, registered investment company shares)2014-09-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-28No
Administrative expenses professional fees incurred2014-09-28$4,018
Was this plan covered by a fidelity bond2014-09-28Yes
Value of fidelity bond cover2014-09-28$2,000,000
Were there any nonexempt tranactions with any party-in-interest2014-09-28No
Contributions received from participants2014-09-28$37,512,906
Participant contributions at end of year2014-09-28$1,248,042
Participant contributions at beginning of year2014-09-28$1,341,463
Assets. Other investments not covered elsewhere at end of year2014-09-28$321,914
Assets. Other investments not covered elsewhere at beginning of year2014-09-28$252,813
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-28$413,331
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-09-28$344,645
Administrative expenses (other) incurred2014-09-28$466,445
Liabilities. Value of operating payables at end of year2014-09-28$94,707
Liabilities. Value of operating payables at beginning of year2014-09-28$95,673
Total non interest bearing cash at end of year2014-09-28$1,072
Total non interest bearing cash at beginning of year2014-09-28$2,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-28No
Value of net income/loss2014-09-28$-6,648,886
Value of net assets at end of year (total assets less liabilities)2014-09-28$4,310,704
Value of net assets at beginning of year (total assets less liabilities)2014-09-28$10,959,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-28No
Were any leases to which the plan was party in default or uncollectible2014-09-28No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-28$9,910,901
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-28$15,332,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-28$15,332,538
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-28$6,740
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-28$1,178,291
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-28Yes
Was there a failure to transmit to the plan any participant contributions2014-09-28No
Has the plan failed to provide any benefit when due under the plan2014-09-28No
Contributions received in cash from employer2014-09-28$97,172,199
Employer contributions (assets) at end of year2014-09-28$1,921,707
Employer contributions (assets) at beginning of year2014-09-28$1,900,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-28$130,424,921
Asset. Corporate debt instrument debt (other) at end of year2014-09-28$4,999,625
Contract administrator fees2014-09-28$9,267,056
Liabilities. Value of benefit claims payable at end of year2014-09-28$14,411,181
Liabilities. Value of benefit claims payable at beginning of year2014-09-28$8,119,192
Did the plan have assets held for investment2014-09-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-28No
Opinion of an independent qualified public accountant for this plan2014-09-28Unqualified
Accountancy firm name2014-09-28MCGLADREY LLP
Accountancy firm EIN2014-09-28420714325
2013 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-29$8,214,865
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-29$7,098,272
Total income from all sources (including contributions)2013-09-29$139,877,352
Total of all expenses incurred2013-09-29$137,691,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-29$129,375,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-29$139,869,887
Value of total assets at end of year2013-09-29$19,174,455
Value of total assets at beginning of year2013-09-29$15,872,469
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-29$8,316,061
Total interest from all sources2013-09-29$7,465
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-29No
Administrative expenses professional fees incurred2013-09-29$43,700
Was this plan covered by a fidelity bond2013-09-29Yes
Value of fidelity bond cover2013-09-29$2,000,000
Were there any nonexempt tranactions with any party-in-interest2013-09-29No
Contributions received from participants2013-09-29$38,638,268
Participant contributions at end of year2013-09-29$1,341,463
Participant contributions at beginning of year2013-09-29$1,207,984
Assets. Other investments not covered elsewhere at end of year2013-09-29$252,813
Assets. Other investments not covered elsewhere at beginning of year2013-09-29$182,755
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-09-29$344,645
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-29$354,702
Administrative expenses (other) incurred2013-09-29$251,684
Liabilities. Value of operating payables at end of year2013-09-29$95,673
Liabilities. Value of operating payables at beginning of year2013-09-29$30,349
Total non interest bearing cash at end of year2013-09-29$2,078
Total non interest bearing cash at beginning of year2013-09-29$2,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-29No
Value of net income/loss2013-09-29$2,185,393
Value of net assets at end of year (total assets less liabilities)2013-09-29$10,959,590
Value of net assets at beginning of year (total assets less liabilities)2013-09-29$8,774,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-29No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-29No
Were any leases to which the plan was party in default or uncollectible2013-09-29No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-29$15,332,538
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-29$12,347,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-29$12,347,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-29$7,465
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-29$1,103,883
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-29Yes
Was there a failure to transmit to the plan any participant contributions2013-09-29No
Has the plan failed to provide any benefit when due under the plan2013-09-29No
Contributions received in cash from employer2013-09-29$101,231,619
Employer contributions (assets) at end of year2013-09-29$1,900,918
Employer contributions (assets) at beginning of year2013-09-29$1,776,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-29$128,272,015
Contract administrator fees2013-09-29$8,020,677
Liabilities. Value of benefit claims payable at end of year2013-09-29$8,119,192
Liabilities. Value of benefit claims payable at beginning of year2013-09-29$7,067,923
Did the plan have assets held for investment2013-09-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-29No
Opinion of an independent qualified public accountant for this plan2013-09-29Unqualified
Accountancy firm name2013-09-29MCGLADREY LLP
Accountancy firm EIN2013-09-29420714325
2012 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$7,098,272
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$5,170,715
Total income from all sources (including contributions)2012-09-30$129,209,211
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$128,744,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$121,556,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$129,200,365
Value of total assets at end of year2012-09-30$15,872,469
Value of total assets at beginning of year2012-09-30$13,480,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$7,188,556
Total interest from all sources2012-09-30$8,846
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Administrative expenses professional fees incurred2012-09-30$114,948
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$36,180,482
Participant contributions at end of year2012-09-30$1,207,984
Participant contributions at beginning of year2012-09-30$1,152,538
Assets. Other investments not covered elsewhere at end of year2012-09-30$182,755
Assets. Other investments not covered elsewhere at beginning of year2012-09-30$127,006
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-09-30$354,702
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$430,525
Liabilities. Value of operating payables at end of year2012-09-30$30,349
Liabilities. Value of operating payables at beginning of year2012-09-30$31,717
Total non interest bearing cash at end of year2012-09-30$2,717
Total non interest bearing cash at beginning of year2012-09-30$1,090
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$464,552
Value of net assets at end of year (total assets less liabilities)2012-09-30$8,774,197
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$8,309,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$12,347,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$10,047,493
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$10,047,493
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$8,846
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$1,081,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$93,019,883
Employer contributions (assets) at end of year2012-09-30$1,776,971
Employer contributions (assets) at beginning of year2012-09-30$1,721,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$120,475,102
Contract administrator fees2012-09-30$7,073,608
Liabilities. Value of benefit claims payable at end of year2012-09-30$7,067,923
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$5,138,998
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30MCGLADREY LLP
Accountancy firm EIN2012-09-30420714325
2011 : HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-02$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-02$5,170,715
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-02$4,560,746
Total income from all sources (including contributions)2011-10-02$120,197,908
Total loss/gain on sale of assets2011-10-02$0
Total of all expenses incurred2011-10-02$118,924,276
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-02$112,159,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-02$120,192,101
Value of total assets at end of year2011-10-02$13,480,360
Value of total assets at beginning of year2011-10-02$11,596,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-02$6,764,710
Total interest from all sources2011-10-02$5,807
Total dividends received (eg from common stock, registered investment company shares)2011-10-02$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-02No
Administrative expenses professional fees incurred2011-10-02$154,333
Was this plan covered by a fidelity bond2011-10-02Yes
Value of fidelity bond cover2011-10-02$2,000,000
Were there any nonexempt tranactions with any party-in-interest2011-10-02No
Contributions received from participants2011-10-02$34,016,397
Participant contributions at end of year2011-10-02$1,152,538
Participant contributions at beginning of year2011-10-02$1,136,458
Assets. Other investments not covered elsewhere at end of year2011-10-02$127,006
Assets. Other investments not covered elsewhere at beginning of year2011-10-02$86,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-02$430,525
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-02$740,791
Administrative expenses (other) incurred2011-10-02$-1,685
Liabilities. Value of operating payables at end of year2011-10-02$31,717
Liabilities. Value of operating payables at beginning of year2011-10-02$66
Total non interest bearing cash at end of year2011-10-02$1,090
Total non interest bearing cash at beginning of year2011-10-02$1,573
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-02No
Value of net income/loss2011-10-02$1,273,632
Value of net assets at end of year (total assets less liabilities)2011-10-02$8,309,645
Value of net assets at beginning of year (total assets less liabilities)2011-10-02$7,036,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-02No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-02No
Were any leases to which the plan was party in default or uncollectible2011-10-02No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-02$10,047,493
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-02$9,631,687
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-02$9,631,687
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-02$5,807
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-02$1,159,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-02Yes
Was there a failure to transmit to the plan any participant contributions2011-10-02No
Has the plan failed to provide any benefit when due under the plan2011-10-02No
Contributions received in cash from employer2011-10-02$86,175,704
Employer contributions (assets) at end of year2011-10-02$1,721,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-02$111,000,336
Contract administrator fees2011-10-02$6,612,062
Liabilities. Value of benefit claims payable at end of year2011-10-02$5,138,998
Liabilities. Value of benefit claims payable at beginning of year2011-10-02$4,560,680
Did the plan have assets held for investment2011-10-02Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-02No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-02No
Opinion of an independent qualified public accountant for this plan2011-10-02Unqualified
Accountancy firm name2011-10-02MCGLADREY & PULLEN, LLP
Accountancy firm EIN2011-10-02420714325

Form 5500 Responses for HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST

2022: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2022 form 5500 responses
2022-10-03Type of plan entitySingle employer plan
2022-10-03Submission has been amendedNo
2022-10-03This submission is the final filingNo
2022-10-03This return/report is a short plan year return/report (less than 12 months)Yes
2022-10-03Plan is a collectively bargained planNo
2022-10-03Plan funding arrangement – InsuranceYes
2022-10-03Plan funding arrangement – TrustYes
2022-10-03Plan benefit arrangement – InsuranceYes
2022-10-03Plan benefit arrangement - TrustYes
2021: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2021 form 5500 responses
2021-10-04Type of plan entitySingle employer plan
2021-10-04Submission has been amendedNo
2021-10-04This submission is the final filingNo
2021-10-04This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-04Plan is a collectively bargained planNo
2021-10-04Plan funding arrangement – InsuranceYes
2021-10-04Plan funding arrangement – TrustYes
2021-10-04Plan benefit arrangement – InsuranceYes
2021-10-04Plan benefit arrangement - TrustYes
2020: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2020 form 5500 responses
2020-09-28Type of plan entitySingle employer plan
2020-09-28Submission has been amendedNo
2020-09-28This submission is the final filingNo
2020-09-28This return/report is a short plan year return/report (less than 12 months)No
2020-09-28Plan is a collectively bargained planNo
2020-09-28Plan funding arrangement – InsuranceYes
2020-09-28Plan funding arrangement – TrustYes
2020-09-28Plan benefit arrangement – InsuranceYes
2020-09-28Plan benefit arrangement - TrustYes
2019: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2019 form 5500 responses
2019-09-30Type of plan entitySingle employer plan
2019-09-30Submission has been amendedYes
2019-09-30This submission is the final filingNo
2019-09-30This return/report is a short plan year return/report (less than 12 months)Yes
2019-09-30Plan is a collectively bargained planNo
2019-09-30Plan funding arrangement – InsuranceYes
2019-09-30Plan funding arrangement – TrustYes
2019-09-30Plan benefit arrangement – InsuranceYes
2019-09-30Plan benefit arrangement - TrustYes
2018: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2017 form 5500 responses
2017-10-03Type of plan entitySingle employer plan
2017-10-03Submission has been amendedYes
2017-10-03This submission is the final filingNo
2017-10-03This return/report is a short plan year return/report (less than 12 months)Yes
2017-10-03Plan is a collectively bargained planNo
2017-10-03Plan funding arrangement – InsuranceYes
2017-10-03Plan funding arrangement – TrustYes
2017-10-03Plan benefit arrangement – InsuranceYes
2017-10-03Plan benefit arrangement - TrustYes
2016: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2016 form 5500 responses
2016-09-28Type of plan entitySingle employer plan
2016-09-28Submission has been amendedNo
2016-09-28This submission is the final filingNo
2016-09-28This return/report is a short plan year return/report (less than 12 months)No
2016-09-28Plan is a collectively bargained planNo
2016-09-28Plan funding arrangement – InsuranceYes
2016-09-28Plan funding arrangement – TrustYes
2016-09-28Plan benefit arrangement – InsuranceYes
2016-09-28Plan benefit arrangement - TrustYes
2015: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2015 form 5500 responses
2015-09-28Type of plan entitySingle employer plan
2015-09-28Submission has been amendedNo
2015-09-28This submission is the final filingNo
2015-09-28This return/report is a short plan year return/report (less than 12 months)No
2015-09-28Plan is a collectively bargained planNo
2015-09-28Plan funding arrangement – InsuranceYes
2015-09-28Plan funding arrangement – TrustYes
2015-09-28Plan benefit arrangement – InsuranceYes
2015-09-28Plan benefit arrangement - TrustYes
2014: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2014 form 5500 responses
2014-09-29Type of plan entitySingle employer plan
2014-09-29Submission has been amendedNo
2014-09-29This submission is the final filingNo
2014-09-29This return/report is a short plan year return/report (less than 12 months)Yes
2014-09-29Plan is a collectively bargained planNo
2014-09-29Plan funding arrangement – InsuranceYes
2014-09-29Plan funding arrangement – TrustYes
2014-09-29Plan benefit arrangement – InsuranceYes
2014-09-29Plan benefit arrangement - TrustYes
2013: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2013 form 5500 responses
2013-09-30Type of plan entitySingle employer plan
2013-09-30Submission has been amendedNo
2013-09-30This submission is the final filingNo
2013-09-30This return/report is a short plan year return/report (less than 12 months)Yes
2013-09-30Plan is a collectively bargained planNo
2013-09-30Plan funding arrangement – InsuranceYes
2013-09-30Plan funding arrangement – TrustYes
2013-09-30Plan benefit arrangement – InsuranceYes
2013-09-30Plan benefit arrangement - TrustYes
2012: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2011 form 5500 responses
2011-10-03Type of plan entitySingle employer plan
2011-10-03Submission has been amendedNo
2011-10-03This submission is the final filingNo
2011-10-03This return/report is a short plan year return/report (less than 12 months)Yes
2011-10-03Plan is a collectively bargained planNo
2011-10-03Plan funding arrangement – InsuranceYes
2011-10-03Plan funding arrangement – TrustYes
2011-10-03Plan benefit arrangement – InsuranceYes
2011-10-03Plan benefit arrangement - TrustYes
2009: HY-VEE AND AFFILIATES' BENEFIT PLAN AND TRUST 2009 form 5500 responses
2009-09-28Type of plan entitySingle employer plan
2009-09-28Submission has been amendedNo
2009-09-28This submission is the final filingNo
2009-09-28This return/report is a short plan year return/report (less than 12 months)No
2009-09-28Plan is a collectively bargained planNo
2009-09-28Plan funding arrangement – InsuranceYes
2009-09-28Plan funding arrangement – TrustYes
2009-09-28Plan benefit arrangement – InsuranceYes
2009-09-28Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberSA2890LF0746-01
Policy instance 1
Insurance contract or identification numberSA2890LF0746-01
Number of Individuals Covered24200
Insurance policy start date2022-06-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $8,860
Total amount of fees paid to insurance companyUSD $24,511
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $371,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,860
Amount paid for insurance broker fees9547
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered19500
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $122,517
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,517,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $122,517
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberSA2890LF0746-01
Policy instance 2
Insurance contract or identification numberSA2890LF0746-01
Number of Individuals Covered140
Insurance policy start date2022-06-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $153
Total amount of fees paid to insurance companyUSD $2,548
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $22,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $153
Amount paid for insurance broker fees442
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered27559
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $120,357
Total amount of fees paid to insurance companyUSD $9,731
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,189,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120,357
Amount paid for insurance broker fees9731
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered19499
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $109,670
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,316,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109,670
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered21276
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $110,461
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,372,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,461
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered22120
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $112,779
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,297,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered20752
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 $1,448,332
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered19117
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 $1,189,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered17189
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $1,114,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered16932
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $1,088,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398485G
Policy instance 1
Insurance contract or identification number398485G
Number of Individuals Covered15273
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $893,052
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0139222
Policy instance 2
Insurance contract or identification number0139222
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,846
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number820
Policy instance 3
Insurance contract or identification number820
Number of Individuals Covered15013
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0139222
Policy instance 2
Insurance contract or identification number0139222
Number of Individuals Covered30063
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $28,260
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 $1,441,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number92068
Policy instance 1
Insurance contract or identification number92068
Number of Individuals Covered15174
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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