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BLUE CROSS BLUE SHIELD PLAN 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD PLAN
Plan identification number 502

BLUE CROSS BLUE SHIELD PLAN Benefits

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

401k Sponsoring company profile

HUMAN LEARNING SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:HUMAN LEARNING SYSTEMS
Employer identification number (EIN):451580204
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-11-01

Plan Statistics for BLUE CROSS BLUE SHIELD PLAN

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD PLAN

Measure Date Value
2019: BLUE CROSS BLUE SHIELD PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01137
Total number of active participants reported on line 7a of the Form 55002019-11-01137
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01137
Total participants2019-11-01137

Form 5500 Responses for BLUE CROSS BLUE SHIELD PLAN

2019: BLUE CROSS BLUE SHIELD PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9572
Policy instance 1
Insurance contract or identification numberGA9572
Number of Individuals Covered95
Insurance policy start date2019-11-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $340,192
Total amount of fees paid to insurance companyUSD $340,192
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

Potentially related plans

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