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BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameBLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN
Plan identification number 503

BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

BLOEDORN LUMBER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:BLOEDORN LUMBER COMPANY
Employer identification number (EIN):840150670
NAIC Classification:423300

Additional information about BLOEDORN LUMBER COMPANY

Jurisdiction of Incorporation: Wyoming Corporations Division
Incorporation Date: 1978-09-20
Company Identification Number: 000153000
Legal Registered Office Address: 2120 Main St
PO Box 1077
Torrington
United States of America (USA)
82240

More information about BLOEDORN LUMBER COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-07-01
5032021-07-01
5032020-07-01
5032019-07-01
5032018-07-01
5032017-07-01MARK YUNG
5032016-07-01MARK YUNG
5032015-07-01MARK YUNG
5032014-07-01MARK YUNG
5032013-07-01MARK YUNG
5032012-07-01MARK YUNG
5032011-07-01MARK YUNG
5032009-07-01MARK YUNG

Plan Statistics for BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN

Measure Date Value
2022: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01225
Total number of active participants reported on line 7a of the Form 55002022-07-01220
Total of all active and inactive participants2022-07-01220
Total participants2022-07-01220
2021: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01222
Total number of active participants reported on line 7a of the Form 55002021-07-01225
Total of all active and inactive participants2021-07-01225
Total participants2021-07-01225
2020: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01180
Total number of active participants reported on line 7a of the Form 55002020-07-01222
Total of all active and inactive participants2020-07-01222
Total participants2020-07-01222
2019: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01217
Total number of active participants reported on line 7a of the Form 55002019-07-01180
Total of all active and inactive participants2019-07-01180
Total participants2019-07-01180
2018: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01221
Total number of active participants reported on line 7a of the Form 55002018-07-01217
Total of all active and inactive participants2018-07-01217
Total participants2018-07-01217
2017: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-010
Total number of active participants reported on line 7a of the Form 55002017-07-01221
Total of all active and inactive participants2017-07-01221
Total participants2017-07-01221
2016: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-010
Total number of active participants reported on line 7a of the Form 55002016-07-01208
Total of all active and inactive participants2016-07-01208
Total participants2016-07-01208
2015: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-010
Total number of active participants reported on line 7a of the Form 55002015-07-01207
Total of all active and inactive participants2015-07-01207
Total participants2015-07-010
2014: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01173
Total number of active participants reported on line 7a of the Form 55002014-07-01205
Total of all active and inactive participants2014-07-01205
Total participants2014-07-010
2013: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01167
Total number of active participants reported on line 7a of the Form 55002013-07-01173
Total of all active and inactive participants2013-07-01173
Total participants2013-07-010
2012: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01166
Total number of active participants reported on line 7a of the Form 55002012-07-01167
Total of all active and inactive participants2012-07-01167
Total participants2012-07-010
2011: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01171
Total number of active participants reported on line 7a of the Form 55002011-07-01166
Total of all active and inactive participants2011-07-01166
Total participants2011-07-01166
2009: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01199
Total number of active participants reported on line 7a of the Form 55002009-07-01178
Total of all active and inactive participants2009-07-01178
Total participants2009-07-01178

Form 5500 Responses for BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN

2022: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1573291
Policy instance 1
Insurance contract or identification numberUS1573291
Number of Individuals Covered220
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $623,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181583
Policy instance 1
Insurance contract or identification numberUS1181583
Number of Individuals Covered225
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $597,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181443
Policy instance 1
Insurance contract or identification numberUS1181443
Number of Individuals Covered222
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $526,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181204
Policy instance 1
Insurance contract or identification numberUS1181204
Number of Individuals Covered332
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $578,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS952475
Policy instance 1
Insurance contract or identification numberUS952475
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Welfare Benefit Premiums Paid to CarrierUSD $565,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00618266
Policy instance 1
Insurance contract or identification number00618266
Number of Individuals Covered221
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $8,482
Total amount of fees paid to insurance companyUSD $89,160
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,482
Amount paid for insurance broker fees89160
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
Insurance broker namePRODEGI CORPORATE BENEFIT SVCS, LLC
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
Insurance contract or identification number306216
Number of Individuals Covered207
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
Insurance contract or identification number306216
Number of Individuals Covered205
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
Insurance contract or identification number306216
Number of Individuals Covered173
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
Insurance contract or identification number306216
Number of Individuals Covered167
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216,307070
Policy instance 1
Insurance contract or identification number306216,307070
Number of Individuals Covered166
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $50
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216,307070
Policy instance 1
Insurance contract or identification number306216,307070
Number of Individuals Covered171
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $50
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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