401k Plan data: INDEPENDENCE BLUE CROSS, KEYSTONE plan

INDEPENDENCE BLUE CROSS, KEYSTONE 401k Plan overview

Plan Name	INDEPENDENCE BLUE CROSS, KEYSTONE
Plan identification number	556

INDEPENDENCE BLUE CROSS, KEYSTONE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

DOPACO, INC. has sponsored the creation of one or more 401k plans.

Company Name: DOPACO, INC.

Employer identification number (EIN): 232106485

NAIC Classification: 322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDEPENDENCE BLUE CROSS, KEYSTONE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
556 2012-01-01 JUDITH HEARN
556 2011-01-01 JUDITH HEARN
556 2010-01-01 JUDITH HEARN
556 2009-01-01 JOCELYN TUSAVITZ

Plan id#	Filing Submission Date	Name of Administrator
556	2012-01-01	JUDITH HEARN
556	2011-01-01	JUDITH HEARN
556	2010-01-01	JUDITH HEARN
556	2009-01-01	JOCELYN TUSAVITZ

Plan Statistics for INDEPENDENCE BLUE CROSS, KEYSTONE

401k plan membership statisitcs for INDEPENDENCE BLUE CROSS, KEYSTONE

Measure Date Value
2012: INDEPENDENCE BLUE CROSS, KEYSTONE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 518
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
2011: INDEPENDENCE BLUE CROSS, KEYSTONE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 740
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 507
Number of retired or separated participants receiving benefits 2011-01-01 11
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 518
2010: INDEPENDENCE BLUE CROSS, KEYSTONE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 727
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 732
Number of retired or separated participants receiving benefits 2010-01-01 8
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 740
2009: INDEPENDENCE BLUE CROSS, KEYSTONE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 727
Total of all active and inactive participants 2009-01-01 727
Total participants 2009-01-01 727

Measure	Date	Value
2012: INDEPENDENCE BLUE CROSS, KEYSTONE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	518
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
2011: INDEPENDENCE BLUE CROSS, KEYSTONE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	740
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	507
Number of retired or separated participants receiving benefits	2011-01-01	11
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	518
2010: INDEPENDENCE BLUE CROSS, KEYSTONE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	727
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	732
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	740
2009: INDEPENDENCE BLUE CROSS, KEYSTONE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	727
Total of all active and inactive participants	2009-01-01	727
Total participants	2009-01-01	727

Form 5500 Responses for INDEPENDENCE BLUE CROSS, KEYSTONE

2012: INDEPENDENCE BLUE CROSS, KEYSTONE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: INDEPENDENCE BLUE CROSS, KEYSTONE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: INDEPENDENCE BLUE CROSS, KEYSTONE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: INDEPENDENCE BLUE CROSS, KEYSTONE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	DOPACO, INC.
Employer identification number (EIN):	232106485
NAIC Classification:	322200