FLEXIBLE BENEFIT PLAN 401k Plan overview

FLEXIBLE BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	BLUE CROSS AND BLUE SHIELD OF NEBRASKA
Employer identification number (EIN):	470095156
NAIC Classification:	524140

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2016-01-01	CATHY FILIPIAK
504	2016-01-01
504	2015-01-01	BRAD SCHROEDER
504	2014-01-01	BRAD SCHROEDER
504	2013-01-01	CATHY FILIPIAK
504	2012-01-01	TOM WHALEN		LEWIS E TROWBRIDGE	2013-06-25
504	2011-01-01	TOMMY WHALEN
504	2010-01-01	TOMMY WHALEN		LEWIS TROWBRIDGE	2011-07-21
504	2009-01-01	TOMMY WHALEN		LEWIS TROWBRIDGE	2010-07-19

Plan Statistics for FLEXIBLE BENEFIT PLAN

Measure	Date	Value
2016: FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	188
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	188
2014: FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	249
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	249
2013: FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	395
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	281
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	281
2012: FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	395
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	395
2011: FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	458
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	309
Number of retired or separated participants receiving benefits	2011-01-01	0
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	309
2010: FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	464
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	440
Number of retired or separated participants receiving benefits	2010-01-01	18
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	458
2009: FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,333
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,333

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