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VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 401k Plan overview

Plan NameVERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD
Plan identification number 501

VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD Benefits

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

401k Sponsoring company profile

VERMONT LAW SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:VERMONT LAW SCHOOL
Employer identification number (EIN):237251952
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-07-01CHANTELLE BRACKETT CHANTELLE BRACKETT2017-07-17
5012015-07-01CHANTELLE BLAKE CHANTELLE BLAKE2017-01-31
5012014-07-01LORI CAMPBELL LORI CAMPBELL2016-01-15
5012013-07-01CHANTELLE BLAKE CHANTELLE BLAKE2015-02-04
5012012-07-01CHANTELLE LYMAN CHANTELLE LYMAN2014-01-21
5012011-07-01CHANTELLE LYMAN
5012009-07-01CLARKE COLLINS

Plan Statistics for VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD

401k plan membership statisitcs for VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD

Measure Date Value
2016: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2016 401k membership
Total participants, beginning-of-year2016-07-01118
Total number of active participants reported on line 7a of the Form 55002016-07-010
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-010
2015: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2015 401k membership
Total participants, beginning-of-year2015-07-01379
Total number of active participants reported on line 7a of the Form 55002015-07-01341
Total of all active and inactive participants2015-07-01341
Total participants2015-07-01341
2014: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2014 401k membership
Total participants, beginning-of-year2014-07-01434
Total number of active participants reported on line 7a of the Form 55002014-07-01379
Total of all active and inactive participants2014-07-01379
Total participants2014-07-01379
2013: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2013 401k membership
Total participants, beginning-of-year2013-07-01510
Total number of active participants reported on line 7a of the Form 55002013-07-01434
Total of all active and inactive participants2013-07-01434
Total participants2013-07-01434
2012: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2012 401k membership
Total participants, beginning-of-year2012-07-01622
Total number of active participants reported on line 7a of the Form 55002012-07-01510
Total of all active and inactive participants2012-07-01510
Total participants2012-07-01510
2011: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2011 401k membership
Total participants, beginning-of-year2011-07-01659
Total number of active participants reported on line 7a of the Form 55002011-07-01622
Total of all active and inactive participants2011-07-01622
Total participants2011-07-01622
2009: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2009 401k membership
Total participants, beginning-of-year2009-07-01655
Total number of active participants reported on line 7a of the Form 55002009-07-01677
Total of all active and inactive participants2009-07-01677
Total participants2009-07-01677

Form 5500 Responses for VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD

2016: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingYes
2016-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: VERMONT LAW SCHOOL BLUE CROSS AND BLUE SHIELD 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number23758, 23759
Policy instance 1
Insurance contract or identification number23758, 23759
Number of Individuals Covered341
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $11,790
Total amount of fees paid to insurance companyUSD $1,986
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,179,924
Commission paid to Insurance BrokerUSD $11,790
Amount paid for insurance broker fees1986
Additional information about fees paid to insurance brokerPRO-RATE ALLOCATION OF BONUS FOR NEW AND RETAINED BUSINESS
Insurance broker organization code?3
Insurance broker nameHACKETT, VALINE & MACDONALD
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number23759, 23758
Policy instance 1
Insurance contract or identification number23759, 23758
Number of Individuals Covered379
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $21,452
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,363,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,452
Insurance broker organization code?3
Insurance broker nameHACKETT, VALINE & MACDONALD
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number81534, 81535
Policy instance 1
Insurance contract or identification number81534, 81535
Number of Individuals Covered434
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $16,444
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,404,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,444
Insurance broker organization code?3
Insurance broker nameHACKETT, VALINE & MACDONALD
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number81534, 81535
Policy instance 1
Insurance contract or identification number81534, 81535
Number of Individuals Covered510
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $12,934
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,653,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,934
Insurance broker organization code?3
Insurance broker nameHACKETT, VALINE AND MACDONALD
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number81534,81535
Policy instance 1
Insurance contract or identification number81534,81535
Number of Individuals Covered622
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $16,232
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,966,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number81534, 81535
Policy instance 1
Insurance contract or identification number81534, 81535
Number of Individuals Covered659
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $15,461
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,770,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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