401k Plan data: ARKANSAS BLUE CROSS BLUE SHIELD

ARKANSAS BLUE CROSS BLUE SHIELD - LTD 401k Plan overview

Plan Name	ARKANSAS BLUE CROSS BLUE SHIELD - LTD
Plan identification number	501

ARKANSAS BLUE CROSS BLUE SHIELD - LTD Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

USABLE MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: USABLE MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 710226428

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARKANSAS BLUE CROSS BLUE SHIELD - LTD

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 R KEVIN NORTON CPA 2024-09-10 R KEVIN NORTON CPA 2024-09-10
501 2022-01-01 R. KEVIN NORTON, CPA 2023-10-13 R. KEVIN NORTON, CPA 2023-10-13
501 2021-01-01 R. KEVIN NORTON, CPA 2022-10-12 R. KEVIN NORTON, CPA 2022-10-12
501 2020-01-01 R. KEVIN NORTON, CPA 2021-10-13 R. KEVIN NORTON, CPA 2021-10-13
501 2019-01-01 R. KEVIN NORTON, CPA 2020-10-15
501 2017-01-01
501 2016-01-01
501 2015-01-01 THOMAS G. MAY, CPA RICHARD COOPER
501 2015-01-01
501 2014-01-01 R. KEVIN NORTON
501 2014-01-01 SETH GIVENS R. KEVIN NORTON
501 2013-01-01 LESLIE BROWN RICHARD COOPER 2014-07-29
501 2012-01-01 LESLIE BROWN RICHARD COOPER 2013-08-21
501 2011-01-01 LESLIE BROWN RICHARD COOPER 2012-10-01
501 2009-01-01 LESLIE BROWN RICHARD COOPER 2010-07-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	R KEVIN NORTON CPA	2024-09-10	R KEVIN NORTON CPA	2024-09-10
501	2022-01-01	R. KEVIN NORTON, CPA	2023-10-13	R. KEVIN NORTON, CPA	2023-10-13
501	2021-01-01	R. KEVIN NORTON, CPA	2022-10-12	R. KEVIN NORTON, CPA	2022-10-12
501	2020-01-01	R. KEVIN NORTON, CPA	2021-10-13	R. KEVIN NORTON, CPA	2021-10-13
501	2019-01-01	R. KEVIN NORTON, CPA	2020-10-15
501	2017-01-01
501	2016-01-01
501	2015-01-01	THOMAS G. MAY, CPA		RICHARD COOPER
501	2015-01-01
501	2014-01-01	R. KEVIN NORTON
501	2014-01-01	SETH GIVENS		R. KEVIN NORTON
501	2013-01-01	LESLIE BROWN		RICHARD COOPER	2014-07-29
501	2012-01-01	LESLIE BROWN		RICHARD COOPER	2013-08-21
501	2011-01-01	LESLIE BROWN		RICHARD COOPER	2012-10-01
501	2009-01-01	LESLIE BROWN		RICHARD COOPER	2010-07-07

Plan Statistics for ARKANSAS BLUE CROSS BLUE SHIELD - LTD

401k plan membership statisitcs for ARKANSAS BLUE CROSS BLUE SHIELD - LTD

Measure Date Value
2023: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2023 401k membership
Total participants, beginning-of-year 2023-01-01 2,784
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 3,010
Number of retired or separated participants receiving benefits 2023-01-01 43
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 3,053
2022: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,974
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2,784
Number of retired or separated participants receiving benefits 2022-01-01 44
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 2,828
2021: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3,028
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2,974
Number of retired or separated participants receiving benefits 2021-01-01 47
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 3,021
2020: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,975
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3,028
Number of retired or separated participants receiving benefits 2020-01-01 47
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 3,075
2019: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,147
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,978
Number of retired or separated participants receiving benefits 2019-01-01 51
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 2,029
2017: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,570
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,282
Number of retired or separated participants receiving benefits 2017-01-01 57
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 2,339
2016: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,576
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,610
Number of retired or separated participants receiving benefits 2016-01-01 56
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 2,666
2015: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,476
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,545
Number of retired or separated participants receiving benefits 2015-01-01 31
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 2,576
2014: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,432
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,476
Number of retired or separated participants receiving benefits 2014-01-01 36
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 2,512
2013: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,444
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,340
Number of retired or separated participants receiving benefits 2013-01-01 50
Total of all active and inactive participants 2013-01-01 2,390
Total participants 2013-01-01 2,390
2012: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,757
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,379
Number of retired or separated participants receiving benefits 2012-01-01 65
Total of all active and inactive participants 2012-01-01 2,444
Total participants 2012-01-01 2,444
2011: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,726
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,687
Number of retired or separated participants receiving benefits 2011-01-01 70
Total of all active and inactive participants 2011-01-01 2,757
Total participants 2011-01-01 2,757
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,344
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,386
Number of retired or separated participants receiving benefits 2009-01-01 56
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 2,442
Total participants 2009-01-01 2,442

Measure	Date	Value
2023: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2023 401k membership
Total participants, beginning-of-year	2023-01-01	2,784
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	3,010
Number of retired or separated participants receiving benefits	2023-01-01	43
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	3,053
2022: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,974
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2,784
Number of retired or separated participants receiving benefits	2022-01-01	44
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	2,828
2021: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3,028
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2,974
Number of retired or separated participants receiving benefits	2021-01-01	47
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	3,021
2020: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,975
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3,028
Number of retired or separated participants receiving benefits	2020-01-01	47
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	3,075
2019: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,147
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,978
Number of retired or separated participants receiving benefits	2019-01-01	51
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	2,029
2017: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,570
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,282
Number of retired or separated participants receiving benefits	2017-01-01	57
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	2,339
2016: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,576
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,610
Number of retired or separated participants receiving benefits	2016-01-01	56
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	2,666
2015: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,476
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,545
Number of retired or separated participants receiving benefits	2015-01-01	31
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	2,576
2014: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,432
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,476
Number of retired or separated participants receiving benefits	2014-01-01	36
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	2,512
2013: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,444
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,340
Number of retired or separated participants receiving benefits	2013-01-01	50
Total of all active and inactive participants	2013-01-01	2,390
Total participants	2013-01-01	2,390
2012: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,757
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,379
Number of retired or separated participants receiving benefits	2012-01-01	65
Total of all active and inactive participants	2012-01-01	2,444
Total participants	2012-01-01	2,444
2011: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,726
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,687
Number of retired or separated participants receiving benefits	2011-01-01	70
Total of all active and inactive participants	2011-01-01	2,757
Total participants	2011-01-01	2,757
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,344
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,386
Number of retired or separated participants receiving benefits	2009-01-01	56
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	2,442
Total participants	2009-01-01	2,442

Form 5500 Responses for ARKANSAS BLUE CROSS BLUE SHIELD - LTD

2023: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2017: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LTD 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	50002018
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	0200-11
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	0200-11
Policy instance	1

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Company Name:	USABLE MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	710226428
NAIC Classification:	524140