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DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 401k Plan overview

Plan NameDIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN
Plan identification number 501

DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

DIVERSIFIED TECHNOLOGIES, INC. DBA SUDENGA INDUSTIRES, INC. has sponsored the creation of one or more 401k plans.

Company Name:DIVERSIFIED TECHNOLOGIES, INC. DBA SUDENGA INDUSTIRES, INC.
Employer identification number (EIN):421278787
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Additional information about DIVERSIFIED TECHNOLOGIES, INC. DBA SUDENGA INDUSTIRES, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1986-05-21
Company Identification Number: 108883
Legal Registered Office Address: 2002 KINGBIRD AVENUE
PO BOX 111
GEORGE
United States of America (USA)
51237

More information about DIVERSIFIED TECHNOLOGIES, INC. DBA SUDENGA INDUSTIRES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01CHARLES SJOGREN CHARLES SJOGREN2019-07-05
5012017-01-01LARRY KRUSE LARRY KRUSE2018-06-26
5012016-01-01LARRY KRUSE LARRY KRUSE2017-07-21
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01LARRY KRUSE
5012011-01-01LARRY KRUSE
5012009-01-01MIKAL CLAAR MIKAL CLAAR2013-10-15
5012008-01-01LARRY KRUSE
5012007-01-01LARRY KRUSE
5012006-01-01LARRY KRUSE
5012005-01-01LARRY KRUSE
5012004-01-01LARRY KRUSE
5012003-01-01LARRY KRUSE
5012002-01-01LARRY KRUSE
5012001-01-01LARRY KRUSE
5012000-01-01LARRY KRUSE
5011999-01-01LARRY KRUSE
5011998-01-01LARRY KRUSE
5011997-01-01LARRY KRUSE
5011996-01-01LARRY KRUSE
5011995-01-01LARRY KRUSE
5011994-01-01LARRY KRUSE
5011993-01-01LARRY KRUSE
5011992-01-01LARRY KRUSE
5011991-01-01LARRY KRUSE
5011990-01-01LARRY KRUSE
5011989-01-01LARRY KRUSE
5011988-01-01LARRY KRUSE

Plan Statistics for DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN

401k plan membership statisitcs for DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN

Measure Date Value
2021: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01155
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
2020: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01173
Total number of active participants reported on line 7a of the Form 55002020-01-01154
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01155
2019: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01177
Total number of active participants reported on line 7a of the Form 55002019-01-01173
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01173
2018: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01188
Total number of active participants reported on line 7a of the Form 55002018-01-01175
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01177
2017: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01182
Total number of active participants reported on line 7a of the Form 55002017-01-01187
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01188
2016: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01193
Total number of active participants reported on line 7a of the Form 55002016-01-01181
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01182
2015: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01188
Total number of active participants reported on line 7a of the Form 55002015-01-01193
Total of all active and inactive participants2015-01-01193
2014: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01202
Total number of active participants reported on line 7a of the Form 55002014-01-01188
Total of all active and inactive participants2014-01-01188
2013: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01200
Total number of active participants reported on line 7a of the Form 55002013-01-01202
Total of all active and inactive participants2013-01-01202
2012: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01215
Total number of active participants reported on line 7a of the Form 55002012-01-01200
Total of all active and inactive participants2012-01-01200
2011: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01193
Total number of active participants reported on line 7a of the Form 55002011-01-01215
Total of all active and inactive participants2011-01-01215
2009: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01174
Total number of active participants reported on line 7a of the Form 55002009-01-01176
Total of all active and inactive participants2009-01-01176
2008: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01168
Total number of active participants reported on line 7a of the Form 55002008-01-01174
Total of all active and inactive participants2008-01-01174
2007: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01168
Total number of active participants reported on line 7a of the Form 55002007-01-01168
Total of all active and inactive participants2007-01-01168
2006: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-01188
Total number of active participants reported on line 7a of the Form 55002006-01-01168
Total of all active and inactive participants2006-01-01168
2005: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-01168
Total number of active participants reported on line 7a of the Form 55002005-01-01188
Total of all active and inactive participants2005-01-01188
2004: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-01169
Total number of active participants reported on line 7a of the Form 55002004-01-01168
Total of all active and inactive participants2004-01-01168
2003: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-01151
Total number of active participants reported on line 7a of the Form 55002003-01-01169
Total of all active and inactive participants2003-01-01169
2002: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2002 401k membership
Total participants, beginning-of-year2002-01-01149
Total number of active participants reported on line 7a of the Form 55002002-01-01151
Total of all active and inactive participants2002-01-01151
2001: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2001 401k membership
Total participants, beginning-of-year2001-01-01150
Total number of active participants reported on line 7a of the Form 55002001-01-01149
Total of all active and inactive participants2001-01-01149
2000: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2000 401k membership
Total participants, beginning-of-year2000-01-01151
Total number of active participants reported on line 7a of the Form 55002000-01-01149
Total of all active and inactive participants2000-01-01149
1999: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1999 401k membership
Total participants, beginning-of-year1999-01-01169
Total number of active participants reported on line 7a of the Form 55001999-01-01151
Total of all active and inactive participants1999-01-01151
1998: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1998 401k membership
Total participants, beginning-of-year1998-01-01189
Total number of active participants reported on line 7a of the Form 55001998-01-01169
Total of all active and inactive participants1998-01-01169
1997: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1997 401k membership
Total participants, beginning-of-year1997-01-01172
Total number of active participants reported on line 7a of the Form 55001997-01-01189
Total of all active and inactive participants1997-01-01189
1996: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1996 401k membership
Total participants, beginning-of-year1996-01-01173
Total number of active participants reported on line 7a of the Form 55001996-01-01172
Total of all active and inactive participants1996-01-01172
1995: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1995 401k membership
Total participants, beginning-of-year1995-01-01155
Total number of active participants reported on line 7a of the Form 55001995-01-01173
Total of all active and inactive participants1995-01-01173
1994: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1994 401k membership
Total participants, beginning-of-year1994-01-01155
Total number of active participants reported on line 7a of the Form 55001994-01-01155
Total of all active and inactive participants1994-01-01155
1993: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1993 401k membership
Total participants, beginning-of-year1993-01-01155
Total number of active participants reported on line 7a of the Form 55001993-01-01155
Total of all active and inactive participants1993-01-01155
1992: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1992 401k membership
Total participants, beginning-of-year1992-01-01138
Total number of active participants reported on line 7a of the Form 55001992-01-01155
Total of all active and inactive participants1992-01-01155
1991: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1991 401k membership
Total participants, beginning-of-year1991-01-01123
Total number of active participants reported on line 7a of the Form 55001991-01-01138
Total of all active and inactive participants1991-01-01138
1990: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1990 401k membership
Total participants, beginning-of-year1990-01-01103
Total number of active participants reported on line 7a of the Form 55001990-01-01123
Total of all active and inactive participants1990-01-01123
1989: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1989 401k membership
Total participants, beginning-of-year1989-01-01111
Total number of active participants reported on line 7a of the Form 55001989-01-01103
Total of all active and inactive participants1989-01-01103
1988: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1988 401k membership
Total participants, beginning-of-year1988-01-010
Total number of active participants reported on line 7a of the Form 55001988-01-01111
Total of all active and inactive participants1988-01-01111

Form 5500 Responses for DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN

2021: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes
2003: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – InsuranceYes
2002: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2002 form 5500 responses
2002-01-01Type of plan entitySingle employer plan
2002-01-01Plan funding arrangement – InsuranceYes
2002-01-01Plan benefit arrangement – InsuranceYes
2001: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2001 form 5500 responses
2001-01-01Type of plan entitySingle employer plan
2001-01-01Plan funding arrangement – InsuranceYes
2001-01-01Plan benefit arrangement – InsuranceYes
2000: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 2000 form 5500 responses
2000-01-01Type of plan entitySingle employer plan
2000-01-01Plan funding arrangement – InsuranceYes
2000-01-01Plan benefit arrangement – InsuranceYes
1999: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1999 form 5500 responses
1999-01-01Type of plan entitySingle employer plan
1999-01-01Plan funding arrangement – InsuranceYes
1999-01-01Plan benefit arrangement – InsuranceYes
1998: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1998 form 5500 responses
1998-01-01Type of plan entitySingle employer plan
1998-01-01Plan funding arrangement – InsuranceYes
1998-01-01Plan benefit arrangement – InsuranceYes
1997: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1997 form 5500 responses
1997-01-01Type of plan entitySingle employer plan
1997-01-01Plan funding arrangement – InsuranceYes
1997-01-01Plan benefit arrangement – InsuranceYes
1996: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1996 form 5500 responses
1996-01-01Type of plan entitySingle employer plan
1996-01-01Plan funding arrangement – InsuranceYes
1996-01-01Plan benefit arrangement – InsuranceYes
1995: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1995 form 5500 responses
1995-01-01Type of plan entitySingle employer plan
1995-01-01Plan funding arrangement – InsuranceYes
1995-01-01Plan benefit arrangement – InsuranceYes
1994: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1994 form 5500 responses
1994-01-01Type of plan entitySingle employer plan
1994-01-01Plan funding arrangement – InsuranceYes
1994-01-01Plan benefit arrangement – InsuranceYes
1993: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1993 form 5500 responses
1993-01-01Type of plan entitySingle employer plan
1993-01-01Plan funding arrangement – InsuranceYes
1993-01-01Plan benefit arrangement – InsuranceYes
1992: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1992 form 5500 responses
1992-01-01Type of plan entitySingle employer plan
1992-01-01Plan funding arrangement – InsuranceYes
1992-01-01Plan benefit arrangement – InsuranceYes
1991: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1991 form 5500 responses
1991-01-01Type of plan entitySingle employer plan
1991-01-01Plan funding arrangement – InsuranceYes
1991-01-01Plan benefit arrangement – InsuranceYes
1990: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1990 form 5500 responses
1990-01-01Type of plan entitySingle employer plan
1990-01-01Plan funding arrangement – InsuranceYes
1990-01-01Plan benefit arrangement – InsuranceYes
1989: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1989 form 5500 responses
1989-01-01Type of plan entitySingle employer plan
1989-01-01Plan funding arrangement – InsuranceYes
1989-01-01Plan benefit arrangement – InsuranceYes
1988: DIVERSIFIED TECHNOLOGIES, INC. HEALTH INSURANCE PLAN 1988 form 5500 responses
1988-01-01Type of plan entitySingle employer plan
1988-01-01First time form 5500 has been submittedYes
1988-01-01Plan funding arrangement – InsuranceYes
1988-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered193
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $53,328
Total amount of fees paid to insurance companyUSD $15,076
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $355,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,248
Amount paid for insurance broker fees6959
Insurance broker organization code?5
Insurance broker nameSTRATEGIC EMPLOYEE BENEFIT SERVICES
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered188
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $51,637
Total amount of fees paid to insurance companyUSD $12,980
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $344,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,433
Amount paid for insurance broker fees4825
Insurance broker organization code?5
Insurance broker nameSTRATEGIC EMPLOYEE BENEFIT SERVICES
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered202
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $46,683
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,302
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameSTRATEGIC EMPLOYEE BENEFIT SERVICES
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered200
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $39,932
Total amount of fees paid to insurance companyUSD $1,308
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $266,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,996
Amount paid for insurance broker fees1308
Insurance broker organization code?5
Insurance broker nameNWGM
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered215
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $36,907
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402875 0010
Policy instance 1
Insurance contract or identification number402875 0010
Number of Individuals Covered193
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $35,680
Total amount of fees paid to insurance companyUSD $578
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number09HM200169
Policy instance 1
Insurance contract or identification number09HM200169
Number of Individuals Covered174
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $2,426
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,594
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameNWGM
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI96022
Policy instance 2
Insurance contract or identification numberCLI96022
Number of Individuals Covered174
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $34,570
Total amount of fees paid to insurance companyUSD $11,644
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $216,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,661
Amount paid for insurance broker fees3292
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?5
Insurance broker nameNWGM
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberJL-744
Policy instance 2
Insurance contract or identification numberJL-744
Number of Individuals Covered0
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $-135
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $-900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $-135
Insurance broker organization code?5
Insurance broker nameDAKOTACARE ADMINISTRATIVE SERVICES
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI96022
Policy instance 1
Insurance contract or identification numberCLI96022
Number of Individuals Covered168
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $40,722
Total amount of fees paid to insurance companyUSD $8,076
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $206,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,947
Amount paid for insurance broker fees0
Insurance broker organization code?5
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker nameNWGM
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberJL-744
Policy instance 1
Insurance contract or identification numberJL-744
Number of Individuals Covered168
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $28,009
Total amount of fees paid to insurance companyUSD $8,064
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $207,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,258
Insurance broker organization code?5
Amount paid for insurance broker fees8064
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker nameNWGM
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberJL-744
Policy instance 1
Insurance contract or identification numberJL-744
Number of Individuals Covered188
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $32,521
Total amount of fees paid to insurance companyUSD $6,792
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $150,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,602
Insurance broker organization code?5
Amount paid for insurance broker fees6792
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker nameNWGM
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number20383-020
Policy instance 1
Insurance contract or identification number20383-020
Number of Individuals Covered168
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $35,127
Total amount of fees paid to insurance companyUSD $6,692
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,194
Insurance broker organization code?5
Amount paid for insurance broker fees6692
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker nameNWGM
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number20383-020
Policy instance 1
Insurance contract or identification number20383-020
Number of Individuals Covered169
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $19,066
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,066
Insurance broker organization code?5
Insurance broker nameDAKOTACARE ADMINISTRATIVE SERVICES
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number20383-020
Policy instance 1
Insurance contract or identification number20383-020
Number of Individuals Covered151
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $17,832
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $118,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,832
Insurance broker organization code?5
Insurance broker nameDAKOTACARE ADMINISTRATIVE SERVICES
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number20383-020
Policy instance 1
Insurance contract or identification number20383-020
Number of Individuals Covered149
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $15,266
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,266
Insurance broker organization code?5
Insurance broker nameDAKOTACARE ADMINISTRATIVE SERVICES
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered149
Insurance policy start date2000-01-01
Insurance policy end date2000-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered151
Insurance policy start date1999-01-01
Insurance policy end date1999-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered169
Insurance policy start date1998-01-01
Insurance policy end date1998-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered189
Insurance policy start date1997-01-01
Insurance policy end date1997-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered172
Insurance policy start date1996-01-01
Insurance policy end date1996-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered173
Insurance policy start date1995-01-01
Insurance policy end date1995-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered155
Insurance policy start date1994-01-01
Insurance policy end date1994-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered155
Insurance policy start date1993-01-01
Insurance policy end date1993-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered155
Insurance policy start date1992-01-01
Insurance policy end date1992-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered138
Insurance policy start date1991-01-01
Insurance policy end date1991-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered123
Insurance policy start date1990-01-01
Insurance policy end date1990-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered103
Insurance policy start date1989-01-01
Insurance policy end date1989-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered111
Insurance policy start date1988-01-01
Insurance policy end date1988-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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