| Plan Name | BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| 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
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2024-07-01 | MARK YUNG | |||
| 503 | 2023-07-01 | ||||
| 503 | 2023-07-01 | MARK YUNG | |||
| 503 | 2022-07-01 | ||||
| 503 | 2022-07-01 | MARK YUNG | |||
| 503 | 2021-07-01 | ||||
| 503 | 2021-07-01 | MARK YUNG | |||
| 503 | 2020-07-01 | ||||
| 503 | 2019-07-01 | ||||
| 503 | 2018-07-01 | ||||
| 503 | 2017-07-01 | MARK YUNG | |||
| 503 | 2016-07-01 | MARK YUNG | |||
| 503 | 2015-07-01 | MARK YUNG | |||
| 503 | 2014-07-01 | MARK YUNG | |||
| 503 | 2013-07-01 | MARK YUNG | |||
| 503 | 2012-07-01 | MARK YUNG | |||
| 503 | 2011-07-01 | MARK YUNG | |||
| 503 | 2009-07-01 | MARK YUNG |
| 2023: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2020 form 5500 responses | ||
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2019 form 5500 responses | ||
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses | ||
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses | ||
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US1573436 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| |||||||||||||||
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US1573291 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| |||||||||||||||
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US1181583 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US1181443 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US1181204 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||
| Policy contract number | US952475 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||
| Policy contract number | 00618266 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216,307070 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
| BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 ) | |||||||||||||||
| Policy contract number | 306216,307070 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||