Fidelity bond in place
Not reported
Filing
Electronic Engineering Employee Health & Welfare Benefit Plan
Electronic Engineering Co. • EIN 42-0808094 • Plan year 2003
Filing Insights
Participants
Down251 → 146
-105 • -41.83%
Assets
No comparison- → -
No earlier value available.
Investment Management Fee
-
Admin expenses - • Total expenses -
Filing Details
ContextNo event flags were generated for this filing.
Status Flags
Limited-scope audit performed
Not reported
Contributions transmitted on time
Not reported
Participant loans in default
Not reported
Leases in default
Not reported
Reportable party-in-interest issues
Not reported
Loss discovered during year
Not reported
Assets with undetermined value
Not reported
Non-cash contributions
Not reported
Assets held for investment
Not reported
5% transactions reported
Not reported
All plan assets distributed
Not reported
Benefits paid when due
Not reported
Plan blackout period
Not reported
Plan termination resolution adopted
Not reported
Counterparties
Company Timeline
This filing is highlighted inside the broader sponsor history.
| Year / Filing | Filings | Participants | Assets | Contributions | Contrib./Participant |
|---|---|---|---|---|---|
| 2024 | 1 | 86 | $8,517,226 | $510,529 | $5,936iApproximate average salary by contribution assumption: employee only about $148,410 at 4% or $98,940 at 6%; with 50% employer match about $98,940 at 4% or $65,960 at 6%; with 100% employer match about $74,205 at 4% or $49,470 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 86 | $8,517,226 | $510,529 | $5,936iApproximate average salary by contribution assumption: employee only about $148,410 at 4% or $98,940 at 6%; with 50% employer match about $98,940 at 4% or $65,960 at 6%; with 100% employer match about $74,205 at 4% or $49,470 at 6%. |
| 2023 | 1 | 87 | $7,318,312 | $450,889 | $5,183iApproximate average salary by contribution assumption: employee only about $129,566 at 4% or $86,377 at 6%; with 50% employer match about $86,377 at 4% or $57,585 at 6%; with 100% employer match about $64,783 at 4% or $43,189 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 87 | $7,318,312 | $450,889 | $5,183iApproximate average salary by contribution assumption: employee only about $129,566 at 4% or $86,377 at 6%; with 50% employer match about $86,377 at 4% or $57,585 at 6%; with 100% employer match about $64,783 at 4% or $43,189 at 6%. |
| 2022 | 1 | 85 | $6,444,325 | $400,173 | $4,708iApproximate average salary by contribution assumption: employee only about $117,698 at 4% or $78,465 at 6%; with 50% employer match about $78,465 at 4% or $52,310 at 6%; with 100% employer match about $58,849 at 4% or $39,233 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 85 | $6,444,325 | $400,173 | $4,708iApproximate average salary by contribution assumption: employee only about $117,698 at 4% or $78,465 at 6%; with 50% employer match about $78,465 at 4% or $52,310 at 6%; with 100% employer match about $58,849 at 4% or $39,233 at 6%. |
| 2021 | 1 | 76 | $6,247,936 | $434,881 | $5,722iApproximate average salary by contribution assumption: employee only about $143,053 at 4% or $95,369 at 6%; with 50% employer match about $95,369 at 4% or $63,579 at 6%; with 100% employer match about $71,526 at 4% or $47,684 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 76 | $6,247,936 | $434,881 | $5,722iApproximate average salary by contribution assumption: employee only about $143,053 at 4% or $95,369 at 6%; with 50% employer match about $95,369 at 4% or $63,579 at 6%; with 100% employer match about $71,526 at 4% or $47,684 at 6%. |
| 2020 | 1 | 82 | $7,336,418 | $384,420 | $4,688iApproximate average salary by contribution assumption: employee only about $117,201 at 4% or $78,134 at 6%; with 50% employer match about $78,134 at 4% or $52,089 at 6%; with 100% employer match about $58,601 at 4% or $39,067 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 82 | $7,336,418 | $384,420 | $4,688iApproximate average salary by contribution assumption: employee only about $117,201 at 4% or $78,134 at 6%; with 50% employer match about $78,134 at 4% or $52,089 at 6%; with 100% employer match about $58,601 at 4% or $39,067 at 6%. |
| 2019 | 3 | 84 | $8,105,373 | $366,566 | $4,364iApproximate average salary by contribution assumption: employee only about $109,097 at 4% or $72,731 at 6%; with 50% employer match about $72,731 at 4% or $48,488 at 6%; with 100% employer match about $54,549 at 4% or $36,366 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 84 | $8,105,373 | $366,566 | $4,364iApproximate average salary by contribution assumption: employee only about $109,097 at 4% or $72,731 at 6%; with 50% employer match about $72,731 at 4% or $48,488 at 6%; with 100% employer match about $54,549 at 4% or $36,366 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 82 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 82 | - | - | - |
| 2018 | 3 | 92 | $8,521,633 | $507,056 | $5,511iApproximate average salary by contribution assumption: employee only about $137,787 at 4% or $91,858 at 6%; with 50% employer match about $91,858 at 4% or $61,239 at 6%; with 100% employer match about $68,893 at 4% or $45,929 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 83 | $8,521,633 | $507,056 | $6,109iApproximate average salary by contribution assumption: employee only about $152,728 at 4% or $101,818 at 6%; with 50% employer match about $101,818 at 4% or $67,879 at 6%; with 100% employer match about $76,364 at 4% or $50,909 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 92 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 92 | - | - | - |
| 2017 | 3 | 120 | $8,861,844 | $541,338 | $4,511iApproximate average salary by contribution assumption: employee only about $112,779 at 4% or $75,186 at 6%; with 50% employer match about $75,186 at 4% or $50,124 at 6%; with 100% employer match about $56,389 at 4% or $37,593 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 93 | $8,861,844 | $541,338 | $5,821iApproximate average salary by contribution assumption: employee only about $145,521 at 4% or $97,014 at 6%; with 50% employer match about $97,014 at 4% or $64,676 at 6%; with 100% employer match about $72,760 at 4% or $48,507 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 120 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 120 | - | - | - |
| 2016 | 3 | 104 | $8,009,082 | $390,736 | $3,757iApproximate average salary by contribution assumption: employee only about $93,927 at 4% or $62,618 at 6%; with 50% employer match about $62,618 at 4% or $41,745 at 6%; with 100% employer match about $46,963 at 4% or $31,309 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 104 | $8,009,082 | $390,736 | $3,757iApproximate average salary by contribution assumption: employee only about $93,927 at 4% or $62,618 at 6%; with 50% employer match about $62,618 at 4% or $41,745 at 6%; with 100% employer match about $46,963 at 4% or $31,309 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 100 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 100 | - | - | - |
| 2015 | 3 | 97 | $7,072,735 | $317,728 | $3,276iApproximate average salary by contribution assumption: employee only about $81,889 at 4% or $54,592 at 6%; with 50% employer match about $54,592 at 4% or $36,395 at 6%; with 100% employer match about $40,944 at 4% or $27,296 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 86 | $7,072,735 | $317,728 | $3,695iApproximate average salary by contribution assumption: employee only about $92,363 at 4% or $61,575 at 6%; with 50% employer match about $61,575 at 4% or $41,050 at 6%; with 100% employer match about $46,181 at 4% or $30,788 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 97 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 97 | - | - | - |
| 2014 | 3 | 109 | $7,098,270 | $249,265 | $2,287iApproximate average salary by contribution assumption: employee only about $57,171 at 4% or $38,114 at 6%; with 50% employer match about $38,114 at 4% or $25,409 at 6%; with 100% employer match about $28,585 at 4% or $19,057 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 89 | $7,098,270 | $249,265 | $2,801iApproximate average salary by contribution assumption: employee only about $70,018 at 4% or $46,679 at 6%; with 50% employer match about $46,679 at 4% or $31,119 at 6%; with 100% employer match about $35,009 at 4% or $23,339 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 109 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 109 | - | - | - |
| 2013 | 3 | 108 | $6,970,455 | $227,844 | $2,110iApproximate average salary by contribution assumption: employee only about $52,742 at 4% or $35,161 at 6%; with 50% employer match about $35,161 at 4% or $23,441 at 6%; with 100% employer match about $26,371 at 4% or $17,581 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 96 | $6,970,455 | $227,844 | $2,373iApproximate average salary by contribution assumption: employee only about $59,334 at 4% or $39,556 at 6%; with 50% employer match about $39,556 at 4% or $26,371 at 6%; with 100% employer match about $29,667 at 4% or $19,778 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 108 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 107 | - | - | - |
| 2012 | 3 | 114 | $6,326,583 | $236,678 | $2,076iApproximate average salary by contribution assumption: employee only about $51,903 at 4% or $34,602 at 6%; with 50% employer match about $34,602 at 4% or $23,068 at 6%; with 100% employer match about $25,952 at 4% or $17,301 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 84 | $6,326,583 | $236,678 | $2,818iApproximate average salary by contribution assumption: employee only about $70,440 at 4% or $46,960 at 6%; with 50% employer match about $46,960 at 4% or $31,307 at 6%; with 100% employer match about $35,220 at 4% or $23,480 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 114 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 113 | - | - | - |
| 2011 | 4 | 101 | $5,485,054 | $244,053 | $2,416iApproximate average salary by contribution assumption: employee only about $60,409 at 4% or $40,273 at 6%; with 50% employer match about $40,273 at 4% or $26,849 at 6%; with 100% employer match about $30,205 at 4% or $20,136 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 83 | $5,485,054 | $244,053 | $2,940iApproximate average salary by contribution assumption: employee only about $73,510 at 4% or $49,007 at 6%; with 50% employer match about $49,007 at 4% or $32,671 at 6%; with 100% employer match about $36,755 at 4% or $24,503 at 6%. |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 77 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 101 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 101 | - | - | - |
| 2010 | 4 | 96 | $5,559,559 | $209,609 | $2,183iApproximate average salary by contribution assumption: employee only about $54,586 at 4% or $36,390 at 6%; with 50% employer match about $36,390 at 4% or $24,260 at 6%; with 100% employer match about $27,293 at 4% or $18,195 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 93 | $5,559,559 | $209,609 | $2,254iApproximate average salary by contribution assumption: employee only about $56,347 at 4% or $37,564 at 6%; with 50% employer match about $37,564 at 4% or $25,043 at 6%; with 100% employer match about $28,173 at 4% or $18,782 at 6%. |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 76 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 92 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 96 | - | - | - |
| 2009 | 4 | 101 | $4,526,809 | $229,430 | $2,272iApproximate average salary by contribution assumption: employee only about $56,790 at 4% or $37,860 at 6%; with 50% employer match about $37,860 at 4% or $25,240 at 6%; with 100% employer match about $28,395 at 4% or $18,930 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 94 | $4,526,809 | $229,430 | $2,441iApproximate average salary by contribution assumption: employee only about $61,019 at 4% or $40,679 at 6%; with 50% employer match about $40,679 at 4% or $27,119 at 6%; with 100% employer match about $30,509 at 4% or $20,340 at 6%. |
| Electronic Engineering Co. Long Term Disability Plan | - | 101 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 82 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 101 | - | - | - |
| 2008 | 4 | 106 | $4,157,866 | $257,020 | $2,425iApproximate average salary by contribution assumption: employee only about $60,618 at 4% or $40,412 at 6%; with 50% employer match about $40,412 at 4% or $26,941 at 6%; with 100% employer match about $30,309 at 4% or $20,206 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPL OYEES RETIREMENT SAVINGS PLAN | - | 100 | $4,157,866 | $257,020 | $2,570iApproximate average salary by contribution assumption: employee only about $64,255 at 4% or $42,837 at 6%; with 50% employer match about $42,837 at 4% or $28,558 at 6%; with 100% employer match about $32,127 at 4% or $21,418 at 6%. |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 79 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 106 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 106 | - | - | - |
| 2007 | 4 | 113 | $5,368,900 | $301,679 | $2,670iApproximate average salary by contribution assumption: employee only about $66,743 at 4% or $44,495 at 6%; with 50% employer match about $44,495 at 4% or $29,664 at 6%; with 100% employer match about $33,372 at 4% or $22,248 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 102 | $5,368,900 | $301,679 | $2,958iApproximate average salary by contribution assumption: employee only about $73,941 at 4% or $49,294 at 6%; with 50% employer match about $49,294 at 4% or $32,863 at 6%; with 100% employer match about $36,970 at 4% or $24,647 at 6%. |
| Electronic Engineering Co. Long Term Disability Plan | - | 113 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 113 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 87 | - | - | - |
| 2006 | 4 | 118 | $5,658,766 | $332,423 | $2,817iApproximate average salary by contribution assumption: employee only about $70,429 at 4% or $46,952 at 6%; with 50% employer match about $46,952 at 4% or $31,302 at 6%; with 100% employer match about $35,214 at 4% or $23,476 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 102 | $5,658,766 | $332,423 | $3,259iApproximate average salary by contribution assumption: employee only about $81,476 at 4% or $54,317 at 6%; with 50% employer match about $54,317 at 4% or $36,212 at 6%; with 100% employer match about $40,738 at 4% or $27,159 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 118 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 118 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 94 | - | - | - |
| 2005 | 4 | 191 | $0 | $0 | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 118 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 191 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 118 | - | - | - |
| ELECTRONIC ENGINEERING COMPANY EMPL OYEES RETIREMENT SAVINGS PLAN | - | 104 | - | - | - |
| 2004 | 3 | 115 | $0 | $0 | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 115 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 89 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 115 | - | - | - |
| 2003 | 4 | 146 | $4,158,493 | $323,348 | $2,215iApproximate average salary by contribution assumption: employee only about $55,368 at 4% or $36,912 at 6%; with 50% employer match about $36,912 at 4% or $24,608 at 6%; with 100% employer match about $27,684 at 4% or $18,456 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 128 | $4,158,493 | $323,348 | $2,526iApproximate average salary by contribution assumption: employee only about $63,154 at 4% or $42,103 at 6%; with 50% employer match about $42,103 at 4% or $28,068 at 6%; with 100% employer match about $31,577 at 4% or $21,051 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 130 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | Current | 146 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 130 | - | - | - |
| 2002 | 4 | 251 | $0 | $0 | - |
| Electronic Engineering Co. Life Insurance Plan | - | 131 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 131 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 251 | - | - | - |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 130 | - | - | - |
| 2001 | 4 | 152 | $0 | $0 | - |
| Electronic Engineering Co. Life Insurance Plan | - | 143 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 152 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 143 | - | - | - |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 133 | - | - | - |
| 2000 | 4 | 151 | $3,560,048 | $414,899 | $2,748iApproximate average salary by contribution assumption: employee only about $68,692 at 4% or $45,795 at 6%; with 50% employer match about $45,795 at 4% or $30,530 at 6%; with 100% employer match about $34,346 at 4% or $22,897 at 6%. |
| ELECTRONIC ENGINEERING COMPANY EMPLOYEES RETIREMENT SAVINGS PLAN | - | 137 | $3,560,048 | $414,899 | $3,028iApproximate average salary by contribution assumption: employee only about $75,711 at 4% or $50,474 at 6%; with 50% employer match about $50,474 at 4% or $33,650 at 6%; with 100% employer match about $37,856 at 4% or $25,237 at 6%. |
| Electronic Engineering Co. Life Insurance Plan | - | 134 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 151 | - | - | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 134 | - | - | - |
| 1999 | 3 | 149 | $0 | $0 | - |
| Electronic Engineering Co. Long Term Disability Plan | - | 133 | - | - | - |
| Electronic Engineering Employee Health & Welfare Benefit Plan | - | 149 | - | - | - |
| Electronic Engineering Co. Life Insurance Plan | - | 133 | - | - | - |
Schedule Details
Schedule A
- Row 1
- Filing Id
- 84037034567775
- Form Id
- 56495017
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020008
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $3,674
- Ins Broker Fees Pd 01 Amount
- $0
- Row 2
- Filing Id
- 84037034567775
- Form Id
- 56495011
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020002
- Ins Broker 01 Name
- LAMAIR MULOCK CONDON COMPANY
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $14,293
- Ins Broker Fees Pd 01 Amount
- $0
- Row 3
- Filing Id
- 84037034567775
- Form Id
- 56495012
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020003
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $3,480
- Ins Broker Fees Pd 01 Amount
- $0
- Row 4
- Filing Id
- 84037034567775
- Form Id
- 56495013
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020004
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $2,827
- Ins Broker Fees Pd 01 Amount
- $0
- Row 5
- Filing Id
- 84037034567775
- Form Id
- 56495014
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020005
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $3,256
- Ins Broker Fees Pd 01 Amount
- $0
- Row 6
- Filing Id
- 84037034567775
- Form Id
- 56495015
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020006
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $3,487
- Ins Broker Fees Pd 01 Amount
- $0
- Row 7
- Filing Id
- 84037034567775
- Form Id
- 56495016
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 3040375034567020007
- Ins Broker 01 Name
- LAMAIR-MULOCK-CONDON CO.
- Ins Broker 01 Street Addr
- 4200 UNIVERSITY AVENUE, SUITE 200
- Ins Broker 01 City
- WEST DES MOINES
- Ins Broker 01 State
- IA
- Ins Broker 01 ZIP Code
- 502665945
- Ins Broker Comm Pd 01 Amount
- $93
- Ins Broker Fees Pd 01 Amount
- $0
- Row 8
- Ins Carrier Name: WELLMARK, INC.
- Filing Id
- 84037034567775
- Form Id
- 56495011
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- WELLMARK, INC.
- Ins Carrier EIN
- 42-0318333
- Ins Carrier Naic Code
- 88848
- Ins Contract Num
- 00017883
- Ins Prsn Covered End of year Count
- 71
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $14,293
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- AHK
- Wlfr Premium Rcvd Amount
- $479,687
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $479,687
- Wlfr Claims Paid Amount
- $357,441
- Wlfr Incr Reserve Amount
- $3,954
- Wlfr Incurred Claim Amount
- $361,395
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $14,293
- Wlfr Ret Admin Amount
- $20,049
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $5,678
- Wlfr Ret Taxes Amount
- $9,594
- Wlfr Ret Charges Amount
- $68,678
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $118,292
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $63,078
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $0
- Wlfr Acquis Cost Amount
- $0
- Row 9
- Ins Carrier Name: COVENTRY HEALTH CARE OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495012
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- COVENTRY HEALTH CARE OF IOWA
- Ins Carrier EIN
- 42-1244752
- Ins Carrier Naic Code
- 95241
- Ins Contract Num
- 7007240002
- Ins Prsn Covered End of year Count
- 19
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $3,480
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- ACH
- Wlfr Premium Rcvd Amount
- $57,739
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $57,739
- Wlfr Claims Paid Amount
- $27,736
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $27,736
- Wlfr Claims Chrgd Amount
- $27,736
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $0
- Wlfr Acquis Cost Amount
- $0
- Row 10
- Ins Carrier Name: COVENTRY HEALTH CARE OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495013
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- COVENTRY HEALTH CARE OF IOWA
- Ins Carrier EIN
- 42-1244752
- Ins Carrier Naic Code
- 95241
- Ins Contract Num
- 7007240004
- Ins Prsn Covered End of year Count
- 20
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $2,827
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- ACH
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $46,913
- Wlfr Acquis Cost Amount
- $0
- Row 11
- Ins Carrier Name: COVENTRY HEALTH CARE OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495014
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- COVENTRY HEALTH CARE OF IOWA
- Ins Carrier EIN
- 42-1244752
- Ins Carrier Naic Code
- 95241
- Ins Contract Num
- 7007240006
- Ins Prsn Covered End of year Count
- 16
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2003-07-31
- Ins Broker Comm Total Amount
- $3,256
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- ACH
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $54,030
- Wlfr Acquis Cost Amount
- $0
- Row 12
- Ins Carrier Name: COVENTRY HEALTH CARE OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495015
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- COVENTRY HEALTH CARE OF IOWA
- Ins Carrier EIN
- 42-1244752
- Ins Carrier Naic Code
- 95241
- Ins Contract Num
- 7007240007
- Ins Prsn Covered End of year Count
- 20
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $3,487
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- ACH
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $57,849
- Wlfr Acquis Cost Amount
- $0
- Row 13
- Ins Carrier Name: COVENTRY HEALTH CARE OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495016
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- COVENTRY HEALTH CARE OF IOWA
- Ins Carrier EIN
- 42-1244752
- Ins Carrier Naic Code
- 95241
- Ins Contract Num
- 7007240999
- Ins Prsn Covered End of year Count
- 0
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $93
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- ACH
- Wlfr Premium Rcvd Amount
- $1,547
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $1,547
- Wlfr Claims Paid Amount
- $1,055
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $1,055
- Wlfr Claims Chrgd Amount
- $1,055
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $0
- Wlfr Acquis Cost Amount
- $0
- Row 14
- Ins Carrier Name: DELTA DENTAL PLAN OF IOWA
- Filing Id
- 84037034567775
- Form Id
- 56495017
- Schedule A EIN
- 42-0808094
- Schedule A Plan Num
- 501
- Schedule A Plan Year Begin Date
- 2003-08-01
- Schedule A Tax Period
- 20040731
- Ins Carrier Name
- DELTA DENTAL PLAN OF IOWA
- Ins Carrier EIN
- 42-0959302
- Ins Carrier Naic Code
- 55786
- Ins Contract Num
- 50
- Ins Prsn Covered End of year Count
- 108
- Ins Policy From Date
- 2003-08-01
- Ins Policy To Date
- 2004-07-31
- Ins Broker Comm Total Amount
- $3,674
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- B
- Wlfr Premium Rcvd Amount
- $66,089
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $66,089
- Wlfr Claims Paid Amount
- $50,972
- Wlfr Incr Reserve Amount
- $1,575
- Wlfr Incurred Claim Amount
- $52,547
- Wlfr Claims Chrgd Amount
- $52,547
- Wlfr Ret Commissions Amount
- $3,674
- Wlfr Ret Admin Amount
- $6,313
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $1,059
- Wlfr Ret Charges Amount
- $1,983
- Wlfr Ret Oth Chrgs Amount
- $512
- Wlfr Ret Total Amount
- $13,541
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $0
- Wlfr Acquis Cost Amount
- $0