401k Plan data: BLUE CARE ELECT PREFERRED plan

BLUE CARE ELECT PREFERRED 401k Plan overview

Plan Name	BLUE CARE ELECT PREFERRED
Plan identification number	501

BLUE CARE ELECT PREFERRED Benefits

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

401k Sponsoring company profile

BROCKWAY-SMITH COMPANY has sponsored the creation of one or more 401k plans.

Company Name: BROCKWAY-SMITH COMPANY

Employer identification number (EIN): 041123740

NAIC Classification: 423300

Additional information about BROCKWAY-SMITH COMPANY

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 1994-01-24

Company Identification Number: 64628

Legal Registered Office Address: 17 G W Tatro Dr

Jeffersonville
United States of America (USA)
05464

More information about BROCKWAY-SMITH COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CARE ELECT PREFERRED

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-07-01 LINDA LYONS 2024-01-09
501 2021-07-01
501 2021-07-01 LINDA LYONS
501 2020-07-01
501 2019-07-01
501 2018-07-01
501 2017-07-01 LINDA LYONS LINDA LYONS 2019-01-29
501 2016-07-01 LINDA LYONS LINDA LYONS 2018-01-24
501 2015-07-01 LINDA LYONS LINDA LYONS 2017-01-26
501 2014-07-01 LINDA LYONS
501 2013-07-01 LINDA LYONS
501 2012-07-01 LINDA LYONS LINDA LYONS 2014-04-01
501 2011-07-01 LINDA LYONS
501 2010-07-01 LINDA LYONS
501 2009-07-01 LINDA EDDY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-07-01	LINDA LYONS	2024-01-09
501	2021-07-01
501	2021-07-01	LINDA LYONS
501	2020-07-01
501	2019-07-01
501	2018-07-01
501	2017-07-01	LINDA LYONS		LINDA LYONS	2019-01-29
501	2016-07-01	LINDA LYONS		LINDA LYONS	2018-01-24
501	2015-07-01	LINDA LYONS		LINDA LYONS	2017-01-26
501	2014-07-01	LINDA LYONS
501	2013-07-01	LINDA LYONS
501	2012-07-01	LINDA LYONS		LINDA LYONS	2014-04-01
501	2011-07-01	LINDA LYONS
501	2010-07-01	LINDA LYONS
501	2009-07-01	LINDA EDDY

Plan Statistics for BLUE CARE ELECT PREFERRED

401k plan membership statisitcs for BLUE CARE ELECT PREFERRED

Measure Date Value
2022: BLUE CARE ELECT PREFERRED 2022 401k membership
Total participants, beginning-of-year 2022-07-01 318
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 308
Number of retired or separated participants receiving benefits 2022-07-01 7
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 315
Number of employers contributing to the scheme 2022-07-01 0
2021: BLUE CARE ELECT PREFERRED 2021 401k membership
Total participants, beginning-of-year 2021-07-01 310
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 318
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 318
2020: BLUE CARE ELECT PREFERRED 2020 401k membership
Total participants, beginning-of-year 2020-07-01 311
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 307
Number of retired or separated participants receiving benefits 2020-07-01 3
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 310
2019: BLUE CARE ELECT PREFERRED 2019 401k membership
Total participants, beginning-of-year 2019-07-01 280
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 309
Number of retired or separated participants receiving benefits 2019-07-01 2
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 311
2018: BLUE CARE ELECT PREFERRED 2018 401k membership
Total participants, beginning-of-year 2018-07-01 261
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 278
Number of retired or separated participants receiving benefits 2018-07-01 2
Total of all active and inactive participants 2018-07-01 280
Total participants 2018-07-01 280
2017: BLUE CARE ELECT PREFERRED 2017 401k membership
Total participants, beginning-of-year 2017-07-01 232
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 256
Number of retired or separated participants receiving benefits 2017-07-01 5
Total of all active and inactive participants 2017-07-01 261
Total participants 2017-07-01 261
2016: BLUE CARE ELECT PREFERRED 2016 401k membership
Total participants, beginning-of-year 2016-07-01 234
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 229
Number of retired or separated participants receiving benefits 2016-07-01 3
Total of all active and inactive participants 2016-07-01 232
Total participants 2016-07-01 232
2015: BLUE CARE ELECT PREFERRED 2015 401k membership
Total participants, beginning-of-year 2015-07-01 240
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 234
Number of retired or separated participants receiving benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 234
Total participants 2015-07-01 234
2014: BLUE CARE ELECT PREFERRED 2014 401k membership
Total participants, beginning-of-year 2014-07-01 241
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 240
Total of all active and inactive participants 2014-07-01 240
Total participants 2014-07-01 240
2013: BLUE CARE ELECT PREFERRED 2013 401k membership
Total participants, beginning-of-year 2013-07-01 283
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 241
Total of all active and inactive participants 2013-07-01 241
Total participants 2013-07-01 241
2012: BLUE CARE ELECT PREFERRED 2012 401k membership
Total participants, beginning-of-year 2012-07-01 311
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 283
Total of all active and inactive participants 2012-07-01 283
Total participants 2012-07-01 283
2011: BLUE CARE ELECT PREFERRED 2011 401k membership
Total participants, beginning-of-year 2011-07-01 374
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 304
Number of retired or separated participants receiving benefits 2011-07-01 7
Total of all active and inactive participants 2011-07-01 311
Total participants 2011-07-01 311
2010: BLUE CARE ELECT PREFERRED 2010 401k membership
Total participants, beginning-of-year 2010-07-01 424
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 343
Number of retired or separated participants receiving benefits 2010-07-01 31
Total of all active and inactive participants 2010-07-01 374
Total participants 2010-07-01 374
2009: BLUE CARE ELECT PREFERRED 2009 401k membership
Total participants, beginning-of-year 2009-07-01 496
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 391
Number of retired or separated participants receiving benefits 2009-07-01 33
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 424
Total participants 2009-07-01 424

Measure	Date	Value
2022: BLUE CARE ELECT PREFERRED 2022 401k membership
Total participants, beginning-of-year	2022-07-01	318
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	308
Number of retired or separated participants receiving benefits	2022-07-01	7
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	315
Number of employers contributing to the scheme	2022-07-01	0
2021: BLUE CARE ELECT PREFERRED 2021 401k membership
Total participants, beginning-of-year	2021-07-01	310
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	318
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	318
2020: BLUE CARE ELECT PREFERRED 2020 401k membership
Total participants, beginning-of-year	2020-07-01	311
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	307
Number of retired or separated participants receiving benefits	2020-07-01	3
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	310
2019: BLUE CARE ELECT PREFERRED 2019 401k membership
Total participants, beginning-of-year	2019-07-01	280
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	309
Number of retired or separated participants receiving benefits	2019-07-01	2
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	311
2018: BLUE CARE ELECT PREFERRED 2018 401k membership
Total participants, beginning-of-year	2018-07-01	261
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	278
Number of retired or separated participants receiving benefits	2018-07-01	2
Total of all active and inactive participants	2018-07-01	280
Total participants	2018-07-01	280
2017: BLUE CARE ELECT PREFERRED 2017 401k membership
Total participants, beginning-of-year	2017-07-01	232
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	256
Number of retired or separated participants receiving benefits	2017-07-01	5
Total of all active and inactive participants	2017-07-01	261
Total participants	2017-07-01	261
2016: BLUE CARE ELECT PREFERRED 2016 401k membership
Total participants, beginning-of-year	2016-07-01	234
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	229
Number of retired or separated participants receiving benefits	2016-07-01	3
Total of all active and inactive participants	2016-07-01	232
Total participants	2016-07-01	232
2015: BLUE CARE ELECT PREFERRED 2015 401k membership
Total participants, beginning-of-year	2015-07-01	240
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	234
Number of retired or separated participants receiving benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	234
Total participants	2015-07-01	234
2014: BLUE CARE ELECT PREFERRED 2014 401k membership
Total participants, beginning-of-year	2014-07-01	241
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	240
Total of all active and inactive participants	2014-07-01	240
Total participants	2014-07-01	240
2013: BLUE CARE ELECT PREFERRED 2013 401k membership
Total participants, beginning-of-year	2013-07-01	283
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	241
Total of all active and inactive participants	2013-07-01	241
Total participants	2013-07-01	241
2012: BLUE CARE ELECT PREFERRED 2012 401k membership
Total participants, beginning-of-year	2012-07-01	311
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	283
Total of all active and inactive participants	2012-07-01	283
Total participants	2012-07-01	283
2011: BLUE CARE ELECT PREFERRED 2011 401k membership
Total participants, beginning-of-year	2011-07-01	374
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	304
Number of retired or separated participants receiving benefits	2011-07-01	7
Total of all active and inactive participants	2011-07-01	311
Total participants	2011-07-01	311
2010: BLUE CARE ELECT PREFERRED 2010 401k membership
Total participants, beginning-of-year	2010-07-01	424
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	343
Number of retired or separated participants receiving benefits	2010-07-01	31
Total of all active and inactive participants	2010-07-01	374
Total participants	2010-07-01	374
2009: BLUE CARE ELECT PREFERRED 2009 401k membership
Total participants, beginning-of-year	2009-07-01	496
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	391
Number of retired or separated participants receiving benefits	2009-07-01	33
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	424
Total participants	2009-07-01	424

Form 5500 Responses for BLUE CARE ELECT PREFERRED

2022: BLUE CARE ELECT PREFERRED 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: BLUE CARE ELECT PREFERRED 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: BLUE CARE ELECT PREFERRED 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: BLUE CARE ELECT PREFERRED 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: BLUE CARE ELECT PREFERRED 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: BLUE CARE ELECT PREFERRED 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: BLUE CARE ELECT PREFERRED 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: BLUE CARE ELECT PREFERRED 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: BLUE CARE ELECT PREFERRED 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: BLUE CARE ELECT PREFERRED 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: BLUE CARE ELECT PREFERRED 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: BLUE CARE ELECT PREFERRED 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: BLUE CARE ELECT PREFERRED 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: BLUE CARE ELECT PREFERRED 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	123588
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	0123588
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	0123588
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	0123588
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	0123588
Policy instance	1
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number	0123588
Policy instance	1

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Company Name:	BROCKWAY-SMITH COMPANY
Employer identification number (EIN):	041123740
NAIC Classification:	423300

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	1994-01-24
Company Identification Number:	64628
Legal Registered Office Address:	17 G W Tatro Dr Jeffersonville United States of America (USA) 05464