LYNN'S INC C/O ROD MESSMER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN
Measure | Date | Value |
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2021: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-06-01 | 216 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 211 |
Number of retired or separated participants receiving benefits | 2021-06-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2021-06-01 | 0 |
Total of all active and inactive participants | 2021-06-01 | 213 |
2020: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-06-01 | 217 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-06-01 | 216 |
Number of retired or separated participants receiving benefits | 2020-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-06-01 | 0 |
Total of all active and inactive participants | 2020-06-01 | 216 |
2019: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-06-01 | 187 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 217 |
Number of retired or separated participants receiving benefits | 2019-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-06-01 | 0 |
Total of all active and inactive participants | 2019-06-01 | 217 |
2018: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-06-01 | 155 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 187 |
Number of retired or separated participants receiving benefits | 2018-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-06-01 | 0 |
Total of all active and inactive participants | 2018-06-01 | 187 |
2017: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-06-01 | 561 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 155 |
Number of retired or separated participants receiving benefits | 2017-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-06-01 | 0 |
Total of all active and inactive participants | 2017-06-01 | 155 |
2016: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-06-01 | 155 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 164 |
Number of retired or separated participants receiving benefits | 2016-06-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2016-06-01 | 0 |
Total of all active and inactive participants | 2016-06-01 | 165 |
2015: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-06-01 | 146 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 155 |
Number of retired or separated participants receiving benefits | 2015-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 0 |
Total of all active and inactive participants | 2015-06-01 | 155 |
2014: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-06-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 146 |
Number of retired or separated participants receiving benefits | 2014-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 0 |
Total of all active and inactive participants | 2014-06-01 | 146 |
2013: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-06-01 | 128 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 129 |
Total of all active and inactive participants | 2013-06-01 | 129 |
2012: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-06-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 128 |
Total of all active and inactive participants | 2012-06-01 | 128 |
2011: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-06-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 129 |
Total of all active and inactive participants | 2011-06-01 | 129 |
2010: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-06-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 134 |
Total of all active and inactive participants | 2010-06-01 | 134 |
2009: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-06-01 | 132 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 129 |
Total of all active and inactive participants | 2009-06-01 | 129 |
2021: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2021 form 5500 responses |
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2021-06-01 | Type of plan entity | Mulitple employer plan |
2021-06-01 | Plan funding arrangement – Insurance | Yes |
2021-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-06-01 | Plan benefit arrangement – Insurance | Yes |
2021-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2020 form 5500 responses |
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2020-06-01 | Type of plan entity | Mulitple employer plan |
2020-06-01 | Plan funding arrangement – Insurance | Yes |
2020-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-06-01 | Plan benefit arrangement – Insurance | Yes |
2020-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2019 form 5500 responses |
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2019-06-01 | Type of plan entity | Mulitple employer plan |
2019-06-01 | Plan funding arrangement – Insurance | Yes |
2019-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-06-01 | Plan benefit arrangement – Insurance | Yes |
2019-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2018 form 5500 responses |
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2018-06-01 | Type of plan entity | Mulitple employer plan |
2018-06-01 | Plan funding arrangement – Insurance | Yes |
2018-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-06-01 | Plan benefit arrangement – Insurance | Yes |
2018-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2017 form 5500 responses |
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2017-06-01 | Type of plan entity | Mulitple employer plan |
2017-06-01 | Plan funding arrangement – Insurance | Yes |
2017-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-06-01 | Plan benefit arrangement – Insurance | Yes |
2017-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2016 form 5500 responses |
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2016-06-01 | Type of plan entity | Mulitple employer plan |
2016-06-01 | Plan funding arrangement – Insurance | Yes |
2016-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-06-01 | Plan benefit arrangement – Insurance | Yes |
2016-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2015 form 5500 responses |
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2015-06-01 | Type of plan entity | Mulitple employer plan |
2015-06-01 | Plan funding arrangement – Insurance | Yes |
2015-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-06-01 | Plan benefit arrangement – Insurance | Yes |
2015-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2014 form 5500 responses |
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2014-06-01 | Type of plan entity | Mulitple employer plan |
2014-06-01 | Plan funding arrangement – Insurance | Yes |
2014-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-06-01 | Plan benefit arrangement – Insurance | Yes |
2014-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2013 form 5500 responses |
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2013-06-01 | Type of plan entity | Mulitple employer plan |
2013-06-01 | Plan funding arrangement – Insurance | Yes |
2013-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-06-01 | Plan benefit arrangement – Insurance | Yes |
2013-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2012 form 5500 responses |
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2012-06-01 | Type of plan entity | Mulitple employer plan |
2012-06-01 | Plan funding arrangement – Insurance | Yes |
2012-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-06-01 | Plan benefit arrangement – Insurance | Yes |
2012-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2011 form 5500 responses |
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2011-06-01 | Type of plan entity | Mulitple employer plan |
2011-06-01 | Plan funding arrangement – Insurance | Yes |
2011-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-06-01 | Plan benefit arrangement – Insurance | Yes |
2011-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2010 form 5500 responses |
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2010-06-01 | Type of plan entity | Mulitple employer plan |
2010-06-01 | Plan funding arrangement – Insurance | Yes |
2010-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-06-01 | Plan benefit arrangement – Insurance | Yes |
2010-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: LYNNS INC PARTIAL SELF-FUNDED HEALTH PLAN 2009 form 5500 responses |
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2009-06-01 | Type of plan entity | Mulitple employer plan |
2009-06-01 | Plan funding arrangement – Insurance | Yes |
2009-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-06-01 | Plan benefit arrangement – Insurance | Yes |
2009-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 ) |
Policy contract number | 2342 |
Policy instance | 5 |
Insurance contract or identification number | 2342 | Number of Individuals Covered | 212 | Insurance policy start date | 2022-06-01 | Insurance policy end date | 2023-05-31 | Total amount of commissions paid to insurance broker | USD $1,749 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $95,775 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,749 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00067549 |
Policy instance | 4 |
Insurance contract or identification number | 00067549 | Number of Individuals Covered | 56 | Insurance policy start date | 2022-06-01 | Insurance policy end date | 2023-05-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $629,679 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 168 | Insurance policy start date | 2022-06-01 | Insurance policy end date | 2023-05-31 | Total amount of commissions paid to insurance broker | USD $2,605 | Temporary 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 $2,605 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 168 | Insurance policy start date | 2022-06-01 | Insurance policy end date | 2023-05-31 | Total amount of commissions paid to insurance broker | USD $2,661 | Life 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 $2,661 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 106 | Insurance policy start date | 2022-06-01 | Insurance policy end date | 2023-05-31 | Total amount of commissions paid to insurance broker | USD $15,120 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,103,359 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,120 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 152 | Insurance policy start date | 2021-06-01 | Insurance policy end date | 2022-05-31 | Total amount of commissions paid to insurance broker | USD $12,837 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,939,721 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,837 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 214 | Insurance policy start date | 2021-06-01 | Insurance policy end date | 2022-05-31 | Total amount of commissions paid to insurance broker | USD $2,751 | Life 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 $2,751 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 214 | Insurance policy start date | 2021-06-01 | Insurance policy end date | 2022-05-31 | Total amount of commissions paid to insurance broker | USD $2,697 | Temporary 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 $2,697 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00067549 |
Policy instance | 4 |
Insurance contract or identification number | 00067549 | Number of Individuals Covered | 59 | Insurance policy start date | 2021-06-01 | Insurance policy end date | 2022-05-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $513,248 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 ) |
Policy contract number | 2342 |
Policy instance | 5 |
Insurance contract or identification number | 2342 | Number of Individuals Covered | 299 | Insurance policy start date | 2021-06-01 | Insurance policy end date | 2022-05-31 | Total amount of commissions paid to insurance broker | USD $1,848 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $99,174 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,848 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 ) |
Policy contract number | 2342 |
Policy instance | 5 |
Insurance contract or identification number | 2342 | Number of Individuals Covered | 313 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Total amount of commissions paid to insurance broker | USD $1,803 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $100,909 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,803 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00067549 |
Policy instance | 4 |
Insurance contract or identification number | 00067549 | Number of Individuals Covered | 57 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Total amount of commissions paid to insurance broker | USD $4,134 | Health 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 $4,134 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 216 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Total amount of commissions paid to insurance broker | USD $2,732 | Temporary 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 $2,732 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 216 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Total amount of commissions paid to insurance broker | USD $2,694 | Life 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 $2,694 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 159 | Insurance policy start date | 2020-06-01 | Insurance policy end date | 2021-05-31 | Total amount of commissions paid to insurance broker | USD $9,045 | Health 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 $9,045 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 ) |
Policy contract number | 2342 |
Policy instance | 5 |
Insurance contract or identification number | 2342 | Number of Individuals Covered | 325 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Total amount of commissions paid to insurance broker | USD $1,800 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $96,273 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,800 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00067549 |
Policy instance | 4 |
Insurance contract or identification number | 00067549 | Number of Individuals Covered | 55 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Total amount of commissions paid to insurance broker | USD $5,256 | Health 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 $5,256 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 219 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Total amount of commissions paid to insurance broker | USD $2,786 | Temporary 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 $2,786 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 219 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Total amount of commissions paid to insurance broker | USD $2,696 | Life 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 $2,696 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 162 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-05-31 | Total amount of commissions paid to insurance broker | USD $11,344 | Health 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 $11,344 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 160 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of commissions paid to insurance broker | USD $11,237 | Health 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 $11,237 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 186 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of commissions paid to insurance broker | USD $2,117 | Life 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 $2,117 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 186 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of commissions paid to insurance broker | USD $2,155 | Temporary 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 $2,155 | Insurance broker organization code? | 3 |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00067549 |
Policy instance | 4 |
Insurance contract or identification number | 00067549 | Number of Individuals Covered | 26 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of commissions paid to insurance broker | USD $1,980 | Health 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 $1,980 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 ) |
Policy contract number | 2342 |
Policy instance | 5 |
Insurance contract or identification number | 2342 | Number of Individuals Covered | 295 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of commissions paid to insurance broker | USD $1,394 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $87,709 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,394 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 3 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 179 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $2,142 | Temporary 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 $2,142 | Insurance broker organization code? | 3 | Insurance broker name | JAMES R MCDONALD |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 159979 |
Policy instance | 2 |
Insurance contract or identification number | 159979 | Number of Individuals Covered | 179 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $1,701 | Life 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 $1,701 | Insurance broker organization code? | 3 | Insurance broker name | JAMES R MCDONALD |
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WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) |
Policy contract number | 00032844 |
Policy instance | 1 |
Insurance contract or identification number | 00032844 | Number of Individuals Covered | 177 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $20,659 | Health 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 $20,659 | Insurance broker organization code? | 3 | Insurance broker name | JAMES MCDONALD |
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