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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
5032024-07-01MARK YUNG
5032023-07-01
5032023-07-01MARK YUNG
5032022-07-01
5032022-07-01MARK YUNG
5032021-07-01
5032021-07-01MARK YUNG
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

Form 5500 Responses for BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN

2023: BLOEDORN LUMBER COMPANY GROUP HEALTH INSURANCE PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
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 numberUS1573436
Policy instance 1
Insurance contract or identification numberUS1573436
Number of Individuals Covered231
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $779,968
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 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
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181443
Policy instance 1
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181204
Policy instance 1
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS952475
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00618266
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216,307070
Policy instance 1
BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )
Policy contract number306216,307070
Policy instance 1

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