BLUE CROSS BLUE SHIELD DENTAL 401k Plan overview

BLUE CROSS BLUE SHIELD DENTAL Benefits

401k Sponsoring company profile

Company Name:	INTERIM HEALTHCARE OF GREENVILLE, INC
Employer identification number (EIN):	570678887
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2013-01-01	CRYSTAL ADAMS
506	2011-01-01	CRYSTAL ADAMS
506	2010-01-01	CRYSTAL ADAMS
506	2009-01-01	ELIZABETH GOULD

Plan Statistics for BLUE CROSS BLUE SHIELD DENTAL

Measure	Date	Value
2013: BLUE CROSS BLUE SHIELD DENTAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	225
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	210
Number of retired or separated participants receiving benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	212
Total participants	2013-01-01	212
2011: BLUE CROSS BLUE SHIELD DENTAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	656
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	575
Number of retired or separated participants receiving benefits	2011-01-01	7
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	582
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	582
2010: BLUE CROSS BLUE SHIELD DENTAL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	573
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	656
Total of all active and inactive participants	2010-01-01	656
Total participants	2010-01-01	656
2009: BLUE CROSS BLUE SHIELD DENTAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	573
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	624
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	624
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	624
Number of participants with account balances	2009-01-01	0

Form 5500 Responses for BLUE CROSS BLUE SHIELD DENTAL

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• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF ALABAMA [EIN = 273410813]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
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• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
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• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. EXECUTIVE SEVERANCE PLAN [EIN = 860004538]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
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• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
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• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS MEDICAL [EIN = 844205975]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA [EIN = 411500646]
• BLUE CROSS BLUE SHIELD OF TEXAS [EIN = 812845733]

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