DUBUQUE INTERNAL MEDICINE PC DBA GRAND RIVER MEDICAL GROUP has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT
401k plan membership statisitcs for DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT
| Measure | Date | Value |
|---|
| 2018: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 286 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| 2017: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 282 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 289 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 289 |
| 2016: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 283 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 283 |
| 2015: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 245 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 252 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 252 |
| 2014: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 232 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 13 |
| Total of all active and inactive participants | 2014-01-01 | 245 |
| 2013: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 132 |
| Total of all active and inactive participants | 2013-01-01 | 132 |
| 2012: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 242 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 231 |
| Total of all active and inactive participants | 2012-01-01 | 231 |
| 2011: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 242 |
| Total of all active and inactive participants | 2011-01-01 | 242 |
| 2009: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 230 |
| Total of all active and inactive participants | 2009-01-01 | 230 |
| 2018: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DUBUQUE INTERNAL MEDICINE PC D/B/A/ GRAND RIVER MEDICAL GROUP GROUP TERM LIFE, ACCIDENTAL DEATH & DISMEMBERMENT 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 151585 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 151585 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,150 | | Total amount of fees paid to insurance company | USD $458 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $29,488 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,150 | | Amount paid for insurance broker fees | 458 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 | | Insurance broker name | PEDERSEN DOWIE CLABBY & MCCAUSLAND |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 124338 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 124338 | | Number of Individuals Covered | 281 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $4,453 | | Total amount of fees paid to insurance company | USD $1,206 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,453 | | Amount paid for insurance broker fees | 1206 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 | | Insurance broker name | PEDERSEN DOWIE CLABBY & MCCAUSLAND |
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