Plan Name | BLUE CROSS AND BLUE SHIELD OF MINNESOTA |
Plan identification number | 507 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | KOWALSKI COMPANIES, INC. |
Employer identification number (EIN): | 411500646 |
NAIC Classification: | 445110 |
NAIC Description: | Supermarkets and Other Grocery (except Convenience) Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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507 | 2023-01-01 | JAKE HEURUNG | 2024-07-23 |
Measure | Date | Value |
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2023: BLUE CROSS AND BLUE SHIELD OF MINNESOTA 2023 401k membership | ||
Total participants, beginning-of-year | 2023-01-01 | 108 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
Total of all active and inactive participants | 2023-01-01 | 0 |
Number of employers contributing to the scheme | 2023-01-01 | 0 |
2023: BLUE CROSS AND BLUE SHIELD OF MINNESOTA 2023 form 5500 responses | ||
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2023-01-01 | Type of plan entity | Single employer plan |
2023-01-01 | First time form 5500 has been submitted | Yes |
2023-01-01 | This submission is the final filing | Yes |
2023-01-01 | Plan funding arrangement – Insurance | Yes |
2023-01-01 | Plan benefit arrangement – Insurance | Yes |
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) | |||||||||||||||||||
Policy contract number | 178146 | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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