401k Plan data: ARKANSAS BLUE CROSS BLUE SHIELD

ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 401k Plan overview

Plan Name	ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE
Plan identification number	502

ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

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 - LIFE INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 R KEVIN NORTON 2024-09-10 R KEVIN NORTON 2024-09-10
502 2022-01-01 R. KEVIN NORTON 2023-10-12 R. KEVIN NORTON 2023-10-12
502 2021-01-01 R. KEVN NORTON, CPA 2022-10-12 R. KEVN NORTON, CPA 2022-10-12
502 2020-01-01 R. KEVIN NORTON, CPA 2021-10-13 R. KEVIN NORTON, CPA 2021-10-13
502 2019-01-01 R. KEVIN NORTON, CPA 2020-10-15 R. KEVIN NORTON, CPA 2020-10-15
502 2017-01-01
502 2016-01-01
502 2015-01-01
502 2014-01-01 SETH GIVENS R. KEVIN NORTON
502 2014-01-01 R. KEVIN NORTON
502 2013-01-01 LESLIE BROWN RICHARD COOPER 2014-07-29
502 2012-01-01 LESLIE BROWN RICHARD COOPER 2013-08-21
502 2011-01-01 LESLIE BROWN RICHARD COOPER 2012-10-01
502 2010-01-01 LESLIE BROWN RICHARD COOPER 2011-07-28
502 2009-01-01 LESLIE BROWN RICHARD COOPER 2010-07-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2023-01-01	R KEVIN NORTON	2024-09-10	R KEVIN NORTON	2024-09-10
502	2022-01-01	R. KEVIN NORTON	2023-10-12	R. KEVIN NORTON	2023-10-12
502	2021-01-01	R. KEVN NORTON, CPA	2022-10-12	R. KEVN NORTON, CPA	2022-10-12
502	2020-01-01	R. KEVIN NORTON, CPA	2021-10-13	R. KEVIN NORTON, CPA	2021-10-13
502	2019-01-01	R. KEVIN NORTON, CPA	2020-10-15	R. KEVIN NORTON, CPA	2020-10-15
502	2017-01-01
502	2016-01-01
502	2015-01-01
502	2014-01-01	SETH GIVENS		R. KEVIN NORTON
502	2014-01-01	R. KEVIN NORTON
502	2013-01-01	LESLIE BROWN		RICHARD COOPER	2014-07-29
502	2012-01-01	LESLIE BROWN		RICHARD COOPER	2013-08-21
502	2011-01-01	LESLIE BROWN		RICHARD COOPER	2012-10-01
502	2010-01-01	LESLIE BROWN		RICHARD COOPER	2011-07-28
502	2009-01-01	LESLIE BROWN		RICHARD COOPER	2010-07-06

Plan Statistics for ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE

401k plan membership statisitcs for ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE

Measure Date Value
2023: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2023 401k membership
Total participants, beginning-of-year 2023-01-01 3,224
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 3,340
Number of retired or separated participants receiving benefits 2023-01-01 595
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 3,935
2022: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3,108
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 3,224
Number of retired or separated participants receiving benefits 2022-01-01 570
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 3,794
2021: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3,173
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3,108
Number of retired or separated participants receiving benefits 2021-01-01 579
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 3,687
2020: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3,624
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3,175
Number of retired or separated participants receiving benefits 2020-01-01 533
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 3,708
2019: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3,495
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3,097
Number of retired or separated participants receiving benefits 2019-01-01 470
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 3,567
2017: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,279
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,881
Number of retired or separated participants receiving benefits 2017-01-01 485
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 3,366
2016: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,245
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,832
Number of retired or separated participants receiving benefits 2016-01-01 447
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 3,279
2015: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,129
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,824
Number of retired or separated participants receiving benefits 2015-01-01 421
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 3,245
2014: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,523
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,773
Number of retired or separated participants receiving benefits 2014-01-01 356
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 3,129
2013: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,174
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,537
Number of retired or separated participants receiving benefits 2013-01-01 358
Total of all active and inactive participants 2013-01-01 2,895
Total participants 2013-01-01 2,895
2012: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,231
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,774
Number of retired or separated participants receiving benefits 2012-01-01 400
Total of all active and inactive participants 2012-01-01 3,174
Total participants 2012-01-01 3,174
2011: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,248
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,901
Number of retired or separated participants receiving benefits 2011-01-01 330
Total of all active and inactive participants 2011-01-01 3,231
Total participants 2011-01-01 3,231
2010: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3,032
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,901
Number of retired or separated participants receiving benefits 2010-01-01 347
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 3,248
Total participants 2010-01-01 3,248
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,683
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,790
Number of retired or separated participants receiving benefits 2009-01-01 242
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 3,032
Total participants 2009-01-01 3,032

Measure	Date	Value
2023: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2023 401k membership
Total participants, beginning-of-year	2023-01-01	3,224
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	3,340
Number of retired or separated participants receiving benefits	2023-01-01	595
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	3,935
2022: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3,108
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	3,224
Number of retired or separated participants receiving benefits	2022-01-01	570
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	3,794
2021: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3,173
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3,108
Number of retired or separated participants receiving benefits	2021-01-01	579
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	3,687
2020: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3,624
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3,175
Number of retired or separated participants receiving benefits	2020-01-01	533
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	3,708
2019: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3,495
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3,097
Number of retired or separated participants receiving benefits	2019-01-01	470
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	3,567
2017: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,279
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,881
Number of retired or separated participants receiving benefits	2017-01-01	485
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	3,366
2016: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,245
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,832
Number of retired or separated participants receiving benefits	2016-01-01	447
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	3,279
2015: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,129
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,824
Number of retired or separated participants receiving benefits	2015-01-01	421
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	3,245
2014: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,523
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,773
Number of retired or separated participants receiving benefits	2014-01-01	356
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	3,129
2013: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,174
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,537
Number of retired or separated participants receiving benefits	2013-01-01	358
Total of all active and inactive participants	2013-01-01	2,895
Total participants	2013-01-01	2,895
2012: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,231
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,774
Number of retired or separated participants receiving benefits	2012-01-01	400
Total of all active and inactive participants	2012-01-01	3,174
Total participants	2012-01-01	3,174
2011: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,248
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,901
Number of retired or separated participants receiving benefits	2011-01-01	330
Total of all active and inactive participants	2011-01-01	3,231
Total participants	2011-01-01	3,231
2010: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3,032
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,901
Number of retired or separated participants receiving benefits	2010-01-01	347
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	3,248
Total participants	2010-01-01	3,248
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,683
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,790
Number of retired or separated participants receiving benefits	2009-01-01	242
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	3,032
Total participants	2009-01-01	3,032

Form 5500 Responses for ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE

2023: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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 - LIFE INSURANCE 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
2010: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: ARKANSAS BLUE CROSS BLUE SHIELD - LIFE INSURANCE 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	0200-01
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	0200-01
Policy instance	1
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number	0200-10
Policy instance	2

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