DUBUQUE RACING ASSOCIATION, LTD has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN
401k plan membership statisitcs for DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN
| Measure | Date | Value |
|---|
| 2022: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-12-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-12-01 | 209 |
| Number of retired or separated participants receiving benefits | 2022-12-01 | 0 |
| Total of all active and inactive participants | 2022-12-01 | 209 |
| 2021: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 160 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 160 |
| 2020: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 172 |
| Total of all active and inactive participants | 2020-12-01 | 172 |
| 2019: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-12-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 210 |
| Number of retired or separated participants receiving benefits | 2019-12-01 | 2 |
| Total of all active and inactive participants | 2019-12-01 | 212 |
| 2018: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-01 | 221 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 208 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 1 |
| Total of all active and inactive participants | 2018-12-01 | 209 |
| 2017: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 226 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 212 |
| Total of all active and inactive participants | 2017-12-01 | 212 |
| 2016: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 188 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 2 |
| Total of all active and inactive participants | 2016-12-01 | 190 |
| 2015: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-01 | 256 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 223 |
| Number of retired or separated participants receiving benefits | 2015-12-01 | 1 |
| Total of all active and inactive participants | 2015-12-01 | 224 |
| 2014: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-01 | 226 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 216 |
| Number of retired or separated participants receiving benefits | 2014-12-01 | 1 |
| Total of all active and inactive participants | 2014-12-01 | 217 |
| 2013: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-01 | 234 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 200 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 26 |
| Total of all active and inactive participants | 2013-12-01 | 226 |
| 2012: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-01 | 245 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 231 |
| Number of retired or separated participants receiving benefits | 2012-12-01 | 3 |
| Total of all active and inactive participants | 2012-12-01 | 234 |
| 2011: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-01 | 257 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 243 |
| Number of retired or separated participants receiving benefits | 2011-12-01 | 2 |
| Total of all active and inactive participants | 2011-12-01 | 245 |
| 2010: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-12-01 | 251 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-12-01 | 257 |
| Total of all active and inactive participants | 2010-12-01 | 257 |
| 2009: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-01 | 271 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-01 | 251 |
| Total of all active and inactive participants | 2009-12-01 | 251 |
| 2022: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2022 form 5500 responses |
|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2021 form 5500 responses |
|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2020 form 5500 responses |
|---|
| 2020-12-01 | Type of plan entity | Single employer plan |
| 2020-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2019 form 5500 responses |
|---|
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2018 form 5500 responses |
|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2016 form 5500 responses |
|---|
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2015 form 5500 responses |
|---|
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2014 form 5500 responses |
|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2013 form 5500 responses |
|---|
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2012 form 5500 responses |
|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2011 form 5500 responses |
|---|
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2010 form 5500 responses |
|---|
| 2010-12-01 | Type of plan entity | Single employer plan |
| 2010-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DUBUQUE RACING ASSOCIATION, LTD CAFETERIA PLAN 2009 form 5500 responses |
|---|
| 2009-12-01 | Type of plan entity | Single employer plan |
| 2009-12-01 | This submission is the final filing | No |
| 2009-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-12-01 | Plan benefit arrangement – Insurance | Yes |
| VERATRUS BUSINESS SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 13742 ) |
| Policy contract number | 32641 |
| Policy instance | 3 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $2,501 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,845 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 32641 |
| Policy instance | 2 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 195 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $2,961 | | Total amount of fees paid to insurance company | USD $140 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $98,686 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,227 | | Amount paid for insurance broker fees | 140 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 026011 |
| Policy instance | 1 |
| Insurance contract or identification number | 026011 | | Number of Individuals Covered | 201 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,447,065 | | 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 number | 32641 |
| Policy instance | 2 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $3,107 | | Total amount of fees paid to insurance company | USD $99 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $103,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,107 | | Amount paid for insurance broker fees | 99 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 026011 |
| Policy instance | 1 |
| Insurance contract or identification number | 026011 | | Number of Individuals Covered | 184 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,467,330 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 026011 |
| Policy instance | 1 |
| Insurance contract or identification number | 026011 | | Number of Individuals Covered | 215 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,669,097 | | 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 number | 32641 |
| Policy instance | 2 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $2,186 | | Total amount of fees paid to insurance company | USD $96 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,855 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,186 | | Amount paid for insurance broker fees | 96 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 40173 |
| Policy instance | 2 |
| Insurance contract or identification number | 40173 | | Number of Individuals Covered | 178 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-11-30 | | Total amount of commissions paid to insurance broker | USD $14,460 | | Total amount of fees paid to insurance company | USD $3,033 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $138,520 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,460 | | Amount paid for insurance broker fees | 3033 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 026011 |
| Policy instance | 1 |
| Insurance contract or identification number | 026011 | | Number of Individuals Covered | 234 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,800,470 | | 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 number | 32641 |
| Policy instance | 2 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 209 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $2,237 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,383 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,237 | | Insurance broker organization code? | 3 |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO12 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO12 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,702,727 | | 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 number | 32641 |
| Policy instance | 2 |
| Insurance contract or identification number | 32641 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $2,256 | | Total amount of fees paid to insurance company | USD $571 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $75,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO12 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO12 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $31,050 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,736,698 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO 7 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO 7 | | Number of Individuals Covered | 287 | | Insurance policy start date | 2014-12-01 | | Insurance policy end date | 2015-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,742,752 | | 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 number | 329 & 330 |
| Policy instance | 2 |
| Insurance contract or identification number | 329 & 330 | | Number of Individuals Covered | 205 | | Insurance policy start date | 2014-12-01 | | Insurance policy end date | 2015-11-30 | | Total amount of commissions paid to insurance broker | USD $2,020 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,020 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | HEALTH ADVISORS, INC. |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 329 & 330 |
| Policy instance | 2 |
| Insurance contract or identification number | 329 & 330 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2013-12-01 | | Insurance policy end date | 2014-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $60,040 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO 7 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO 7 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2013-12-01 | | Insurance policy end date | 2014-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,220,094 | | 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 number | 329 & 330 |
| Policy instance | 2 |
| Insurance contract or identification number | 329 & 330 | | Number of Individuals Covered | 251 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,490 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO 7 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO 7 | | Number of Individuals Covered | 366 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,205,486 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO 7 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO 7 | | Number of Individuals Covered | 380 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,140,144 | | 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 number | 329 & 330 |
| Policy instance | 2 |
| Insurance contract or identification number | 329 & 330 | | Number of Individuals Covered | 250 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,035 | | 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 number | 888 |
| Policy instance | 2 |
| Insurance contract or identification number | 888 | | Number of Individuals Covered | 268 | | Insurance policy start date | 2010-12-01 | | Insurance policy end date | 2011-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $62,475 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) |
| Policy contract number | 0260110001 TO 7 |
| Policy instance | 1 |
| Insurance contract or identification number | 0260110001 TO 7 | | Number of Individuals Covered | 381 | | Insurance policy start date | 2010-12-01 | | Insurance policy end date | 2011-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,224,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
