401k Plan data: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN plan

MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 401k Plan overview

Plan Name	MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN
Plan identification number	501

MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover

401k Sponsoring company profile

MIDWEST METAL PRODUCTS CO has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST METAL PRODUCTS CO

Employer identification number (EIN): 420896086

NAIC Classification: 332900

Additional information about MIDWEST METAL PRODUCTS CO

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1962-09-10

Company Identification Number: 028085

Legal Registered Office Address: 327 2ND STREET, SUITE 300

CORALVILLE
United States of America (USA)
52241

More information about MIDWEST METAL PRODUCTS CO

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-02-01
501 2021-02-01
501 2020-02-01
501 2019-02-01
501 2018-02-01
501 2017-02-01 G. KEVIN URBAN
501 2016-02-01 G. KEVIN URBAN
501 2015-02-01 G. KEVIN URBAN
501 2014-02-01 G. KEVIN URBAN
501 2013-02-01 G. KEVIN URBAN
501 2012-02-01 G. KEVIN URBAN
501 2011-02-01 G KEVIN URBAN
501 2010-02-01 G KEVIN URBAN
501 2009-02-01 G KEVIN URBAN

Plan Statistics for MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN

401k plan membership statisitcs for MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN

Measure Date Value
2022: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-02-01 66
Total number of active participants reported on line 7a of the Form 5500 2022-02-01 68
Total of all active and inactive participants 2022-02-01 68
Total participants 2022-02-01 68
2021: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-02-01 80
Total number of active participants reported on line 7a of the Form 5500 2021-02-01 66
Total of all active and inactive participants 2021-02-01 66
Total participants 2021-02-01 66
2020: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-02-01 80
Total number of active participants reported on line 7a of the Form 5500 2020-02-01 80
Total of all active and inactive participants 2020-02-01 80
Total participants 2020-02-01 80
2019: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-02-01 81
Total number of active participants reported on line 7a of the Form 5500 2019-02-01 80
Total of all active and inactive participants 2019-02-01 80
Total participants 2019-02-01 80
2018: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-02-01 77
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 81
Total of all active and inactive participants 2018-02-01 81
Total participants 2018-02-01 81
2017: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-02-01 86
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 77
Total of all active and inactive participants 2017-02-01 77
Total participants 2017-02-01 77
2016: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-01 87
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 86
Total of all active and inactive participants 2016-02-01 86
Total participants 2016-02-01 0
2015: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-02-01 92
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 87
Total of all active and inactive participants 2015-02-01 87
Total participants 2015-02-01 0
2014: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-02-01 81
Total number of active participants reported on line 7a of the Form 5500 2014-02-01 92
Total of all active and inactive participants 2014-02-01 92
Total participants 2014-02-01 0
2013: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-02-01 87
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 81
Total of all active and inactive participants 2013-02-01 81
Total participants 2013-02-01 0
2012: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-02-01 89
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 87
Total of all active and inactive participants 2012-02-01 87
Total participants 2012-02-01 0
2011: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-02-01 97
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 89
Total of all active and inactive participants 2011-02-01 89
Total participants 2011-02-01 89
2010: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-02-01 104
Total number of active participants reported on line 7a of the Form 5500 2010-02-01 97
Total of all active and inactive participants 2010-02-01 97
Total participants 2010-02-01 97
2009: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-01 127
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 104
Total of all active and inactive participants 2009-02-01 104
Total participants 2009-02-01 104

Measure	Date	Value
2022: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-02-01	66
Total number of active participants reported on line 7a of the Form 5500	2022-02-01	68
Total of all active and inactive participants	2022-02-01	68
Total participants	2022-02-01	68
2021: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-02-01	80
Total number of active participants reported on line 7a of the Form 5500	2021-02-01	66
Total of all active and inactive participants	2021-02-01	66
Total participants	2021-02-01	66
2020: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-02-01	80
Total number of active participants reported on line 7a of the Form 5500	2020-02-01	80
Total of all active and inactive participants	2020-02-01	80
Total participants	2020-02-01	80
2019: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-02-01	81
Total number of active participants reported on line 7a of the Form 5500	2019-02-01	80
Total of all active and inactive participants	2019-02-01	80
Total participants	2019-02-01	80
2018: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-02-01	77
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	81
Total of all active and inactive participants	2018-02-01	81
Total participants	2018-02-01	81
2017: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-02-01	86
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	77
Total of all active and inactive participants	2017-02-01	77
Total participants	2017-02-01	77
2016: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-01	87
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	86
Total of all active and inactive participants	2016-02-01	86
Total participants	2016-02-01	0
2015: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-02-01	92
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	87
Total of all active and inactive participants	2015-02-01	87
Total participants	2015-02-01	0
2014: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-02-01	81
Total number of active participants reported on line 7a of the Form 5500	2014-02-01	92
Total of all active and inactive participants	2014-02-01	92
Total participants	2014-02-01	0
2013: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-02-01	87
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	81
Total of all active and inactive participants	2013-02-01	81
Total participants	2013-02-01	0
2012: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-02-01	89
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	87
Total of all active and inactive participants	2012-02-01	87
Total participants	2012-02-01	0
2011: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	97
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	89
Total of all active and inactive participants	2011-02-01	89
Total participants	2011-02-01	89
2010: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-02-01	104
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	97
Total of all active and inactive participants	2010-02-01	97
Total participants	2010-02-01	97
2009: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	127
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	104
Total of all active and inactive participants	2009-02-01	104
Total participants	2009-02-01	104

Financial Data on MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN

Measure	Date	Value
2016 : MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2016 401k financial data
Assets. Value of tangible personal property	2016-01-31	$0
Assets. Value of loans (other than to participants)	2016-01-31	$0
Assets. Value of participant loans	2016-01-31	$0
Assets. Value of assets in partnership/joint-venture interests	2016-01-31	$0
Assets. Value of real-estate (other than employer real property)	2016-01-31	$0
Assets. Value of employer securities	2016-01-31	$0
Assets. Value of employer real property	2016-01-31	$0
2015 : MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2015 401k financial data
Assets. Value of tangible personal property	2015-01-31	$0
Assets. Value of loans (other than to participants)	2015-01-31	$0
Assets. Value of participant loans	2015-01-31	$0
Assets. Value of assets in partnership/joint-venture interests	2015-01-31	$0
Assets. Value of real-estate (other than employer real property)	2015-01-31	$0
Assets. Value of employer securities	2015-01-31	$0
Assets. Value of employer real property	2015-01-31	$0
2014 : MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2014 401k financial data
Assets. Value of tangible personal property	2014-01-31	$0
Assets. Value of loans (other than to participants)	2014-01-31	$0
Assets. Value of participant loans	2014-01-31	$0
Assets. Value of assets in partnership/joint-venture interests	2014-01-31	$0
Assets. Value of real-estate (other than employer real property)	2014-01-31	$0
Assets. Value of employer securities	2014-01-31	$0
Assets. Value of employer real property	2014-01-31	$0

Form 5500 Responses for MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN

2022: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2022 form 5500 responses
2022-02-01	Type of plan entity	Single employer plan
2022-02-01	Plan funding arrangement – Insurance	Yes
2022-02-01	Plan benefit arrangement – Insurance	Yes
2021: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2021 form 5500 responses
2021-02-01	Type of plan entity	Single employer plan
2021-02-01	Plan funding arrangement – Insurance	Yes
2021-02-01	Plan benefit arrangement – Insurance	Yes
2020: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2020 form 5500 responses
2020-02-01	Type of plan entity	Single employer plan
2020-02-01	Plan funding arrangement – Insurance	Yes
2020-02-01	Plan benefit arrangement – Insurance	Yes
2019: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2019 form 5500 responses
2019-02-01	Type of plan entity	Single employer plan
2019-02-01	Plan funding arrangement – Insurance	Yes
2019-02-01	Plan benefit arrangement – Insurance	Yes
2018: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Plan funding arrangement – Insurance	Yes
2018-02-01	Plan benefit arrangement – Insurance	Yes
2017: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan benefit arrangement – Insurance	Yes
2016: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2015: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2014: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	Plan funding arrangement – Insurance	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2013: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2012: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2011: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Single employer plan
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2010: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2010 form 5500 responses
2010-02-01	Type of plan entity	Single employer plan
2010-02-01	Plan funding arrangement – Insurance	Yes
2010-02-01	Plan benefit arrangement – Insurance	Yes
2009: MIDWEST METAL PRODUCTS GROUP INSURANCE PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	38
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $384,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33223

Policy instance

Insurance contract or identification number	33223
Number of Individuals Covered	81
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $59,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	30
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $206,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Number of Individuals Covered	92
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,444
Total amount of fees paid to insurance company	USD $1,510
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,444
Amount paid for insurance broker fees	1510
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

33223

Policy instance

Insurance contract or identification number	33223
Number of Individuals Covered	81
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $63,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Number of Individuals Covered	92
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,551
Total amount of fees paid to insurance company	USD $1,600
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,551
Amount paid for insurance broker fees	1600
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	24
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $178,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $485,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	24
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $189,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Number of Individuals Covered	109
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,464
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,464
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	56
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $540,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	92
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $67,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	29
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $215,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Number of Individuals Covered	109
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,464
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,464
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	51
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $424,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	91
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $63,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	88
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	50
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $392,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Number of Individuals Covered	101
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2,328
Total amount of fees paid to insurance company	USD $1,252
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $760
Amount paid for insurance broker fees	1252
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	31
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $221,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	47
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $379,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AYKV

Policy instance

Insurance contract or identification number	G000AYKV
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	30
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $203,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	85
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $59,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	69
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $493,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	98
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $69,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	18
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $169,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	112
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $632
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	632
Additional information about fees paid to insurance broker	BONUS AMOUNT
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	74
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $509,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	110
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	18
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $158,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	110
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	100
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	60
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $408,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	21
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $172,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	100
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	94
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $61,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	100
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

1190

Policy instance

Insurance contract or identification number	1190
Number of Individuals Covered	98
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $59,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	26
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $194,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	109
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )

Policy contract number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	61
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $417,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	29
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	105
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $435
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	30
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $590
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $63,572
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 number

00017740

Policy instance

Insurance contract or identification number	00017740
Number of Individuals Covered	89
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $658,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H38113

Policy instance

Insurance contract or identification number	H38113
Number of Individuals Covered	97
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $7,500
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $727,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	7500
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	107
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $974
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $974
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

211938

Policy instance

Insurance contract or identification number	211938
Number of Individuals Covered	102
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $638
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $62,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	638
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	TRUE NORTH COMPANIES LC

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Company Name:	MIDWEST METAL PRODUCTS CO
Employer identification number (EIN):	420896086
NAIC Classification:	332900

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1962-09-10
Company Identification Number:	028085
Legal Registered Office Address:	327 2ND STREET, SUITE 300 CORALVILLE United States of America (USA) 52241