Form 5500 · Employee benefit plan · ROCK VALLEY, IA
HOPE HAVEN, INC
HOPE HAVEN, INC of ROCK VALLEY, IA is a 404-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTL GREAT PLAINS LLC. Coverage is written through DELTA DENTAL OF IOWA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-0890017 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 8 insured contracts covering vision, life and disability; the largest, with DELTA DENTAL OF IOWA, covers 238 people.
Reported premium across the insured contracts is $370,248, with $39,367 in disclosed broker commissions — about 11% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HUB INTL GREAT PLAINS LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing — DELTA DENTAL OF IOWA, AMERICAN HERITAGE LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN — with DELTA DENTAL OF IOWA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 220 | December | $53,128 | $10,081 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 122 | December | $35,444 | $7,988 |
| DELTA DENTAL OF IOWA | — | 238 | December | $140,673 | $6,201 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 143 | December | $32,042 | $3,602 |
| VISION SERVICE PLAN | Vision | 234 | December | $35,673 | $3,568 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 84 | December | $40,245 | $3,512 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 92 | December | $22,221 | $3,333 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 413 | December | $10,822 | $1,082 |
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