NINTH DISTRICT OPPORTUNITY, INC. has sponsored the creation of one or more 401k plans.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2022-08-01 | | | | |
| 501 | 2021-08-01 | | | | |
| 501 | 2020-08-01 | | | | |
| 501 | 2019-08-01 | | | | |
| 501 | 2018-08-01 | | | | |
| 501 | 2017-08-01 | PATSY THOMAS, EXECUTIVE DIRECTOR | | PATSY THOMAS, EXECUTIVE DIRECTOR | 2019-01-30 |
| 501 | 2016-08-01 | PATSY THOMAS, EXECUTIVE DIRECTOR | | PATSY THOMAS, EXECUTIVE DIRECTOR | 2018-03-01 |
| 501 | 2015-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2017-02-03 |
| 501 | 2014-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2016-02-05 |
| 501 | 2013-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2015-02-27 |
| 501 | 2012-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2014-02-26 |
| 501 | 2011-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2013-01-15 |
| 501 | 2010-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2012-01-25 |
| 501 | 2009-08-01 | JANICE RILEY, EXECUTIVE DIRECTOR | | JANICE RILEY, EXECUTIVE DIRECTOR | 2011-02-14 |
| Measure | Date | Value |
|---|
| 2022: NINTH DISTRICT OPPORTUNITY 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-08-01 | 290 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 304 |
| Total of all active and inactive participants | 2022-08-01 | 304 |
| 2021: NINTH DISTRICT OPPORTUNITY 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-08-01 | 328 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 290 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 290 |
| Total of all active and inactive participants | 2021-08-01 | 580 |
| 2020: NINTH DISTRICT OPPORTUNITY 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-08-01 | 347 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 328 |
| Total of all active and inactive participants | 2020-08-01 | 328 |
| 2019: NINTH DISTRICT OPPORTUNITY 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-08-01 | 326 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 347 |
| Total of all active and inactive participants | 2019-08-01 | 347 |
| 2018: NINTH DISTRICT OPPORTUNITY 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-08-01 | 327 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 326 |
| Total of all active and inactive participants | 2018-08-01 | 326 |
| 2017: NINTH DISTRICT OPPORTUNITY 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-08-01 | 316 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 327 |
| Total of all active and inactive participants | 2017-08-01 | 327 |
| 2016: NINTH DISTRICT OPPORTUNITY 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-08-01 | 335 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 316 |
| Total of all active and inactive participants | 2016-08-01 | 316 |
| 2015: NINTH DISTRICT OPPORTUNITY 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 333 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 335 |
| Total of all active and inactive participants | 2015-08-01 | 335 |
| 2014: NINTH DISTRICT OPPORTUNITY 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 351 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 333 |
| Total of all active and inactive participants | 2014-08-01 | 333 |
| 2013: NINTH DISTRICT OPPORTUNITY 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 352 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 351 |
| Total of all active and inactive participants | 2013-08-01 | 351 |
| 2012: NINTH DISTRICT OPPORTUNITY 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-08-01 | 328 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 352 |
| Total of all active and inactive participants | 2012-08-01 | 352 |
| 2011: NINTH DISTRICT OPPORTUNITY 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 391 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 328 |
| Total of all active and inactive participants | 2011-08-01 | 328 |
| 2010: NINTH DISTRICT OPPORTUNITY 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-08-01 | 426 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-08-01 | 391 |
| Total of all active and inactive participants | 2010-08-01 | 391 |
| 2009: NINTH DISTRICT OPPORTUNITY 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 435 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 426 |
| Total of all active and inactive participants | 2009-08-01 | 426 |
| 2022: NINTH DISTRICT OPPORTUNITY 2022 form 5500 responses |
|---|
| 2022-08-01 | Type of plan entity | Single employer plan |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: NINTH DISTRICT OPPORTUNITY 2021 form 5500 responses |
|---|
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: NINTH DISTRICT OPPORTUNITY 2020 form 5500 responses |
|---|
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: NINTH DISTRICT OPPORTUNITY 2019 form 5500 responses |
|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: NINTH DISTRICT OPPORTUNITY 2018 form 5500 responses |
|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: NINTH DISTRICT OPPORTUNITY 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NINTH DISTRICT OPPORTUNITY 2016 form 5500 responses |
|---|
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: NINTH DISTRICT OPPORTUNITY 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: NINTH DISTRICT OPPORTUNITY 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: NINTH DISTRICT OPPORTUNITY 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: NINTH DISTRICT OPPORTUNITY 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: NINTH DISTRICT OPPORTUNITY 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: NINTH DISTRICT OPPORTUNITY 2010 form 5500 responses |
|---|
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: NINTH DISTRICT OPPORTUNITY 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 401 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Total amount of commissions paid to insurance broker | USD $15,369 | | Total amount of fees paid to insurance company | USD $2,051 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,263,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,369 | | Amount paid for insurance broker fees | 2051 | | Insurance broker organization code? | 4 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GAA6557 |
| Policy instance | 2 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $145,253 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GAA6557 |
| Policy instance | 2 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $136,158 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 388 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $14,812 | | Total amount of fees paid to insurance company | USD $2,077 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,689,482 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,812 | | Amount paid for insurance broker fees | 2077 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GAA6557 |
| Policy instance | 2 |
| Insurance contract or identification number | GAA6557 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $13,565 | | Total amount of fees paid to insurance company | USD $5,818 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,651,973 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,565 | | Amount paid for insurance broker fees | 5818 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GAA6557 |
| Policy instance | 2 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 346 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 346 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,577,129 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 326 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,807,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GAA6557 |
| Policy instance | 2 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 326 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA2945 |
| Policy instance | 3 |
| Insurance contract or identification number | GA2945 | | Number of Individuals Covered | 364 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $56 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,987 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA2948 |
| Policy instance | 2 |
| Insurance contract or identification number | GA2948 | | Number of Individuals Covered | 364 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $610 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,246 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GAA6557 |
| Policy instance | 1 |
| Insurance contract or identification number | GAA6557 | | Number of Individuals Covered | 327 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,317,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 101917400 |
| Policy instance | 1 |
| Insurance contract or identification number | 101917400 | | Number of Individuals Covered | 335 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,257,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 101917400 |
| Policy instance | 1 |
| Insurance contract or identification number | 101917400 | | Number of Individuals Covered | 333 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,810,154 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 101917400 |
| Policy instance | 1 |
| Insurance contract or identification number | 101917400 | | Number of Individuals Covered | 351 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,305,087 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 101917400 |
| Policy instance | 1 |
| Insurance contract or identification number | 101917400 | | Number of Individuals Covered | 352 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,114,083 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1019174000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1019174000 | | Number of Individuals Covered | 328 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,069,723 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1019174000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1019174000 | | Number of Individuals Covered | 391 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,605,738 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
