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BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD HEALTH INS. PLAN
Plan identification number 506

BLUE CROSS BLUE SHIELD HEALTH INS. PLAN Benefits

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

401k Sponsoring company profile

LESTER ELECTRICAL OF NEBRASKA, INC has sponsored the creation of one or more 401k plans.

Company Name:LESTER ELECTRICAL OF NEBRASKA, INC
Employer identification number (EIN):470470917
NAIC Classification:335900

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062019-01-01
5062018-01-01
5062017-01-01LAURI EARHART KIM JACKSON2018-07-26
5062016-01-01LAURI EARHART KIM JACKSON2017-07-07
5062015-01-01LAURI EARHART DON WADEMAN2016-05-10
5062014-07-01MICHAEL L. SCHUKAR MICHAEL L. SCHUKAR2015-06-15
5062013-07-01MICHAEL L. SCHUKAR MICHAEL L. SCHUKAR2014-11-19
5062012-07-01MICHAEL L. SCHUKAR MICHAEL L. SCHUKAR2014-01-18
5062011-07-01MICHAEL L SCHUKAR MICHAEL L SCHUKAR2013-01-16
5062010-07-01MICHAEL L SCHUKAR MICHAEL L SCHUKAR2011-11-22
5062009-07-01MICHAEL L SCHUKAR MICHAEL L SCHUKAR2010-12-08

Plan Statistics for BLUE CROSS BLUE SHIELD HEALTH INS. PLAN

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD HEALTH INS. PLAN

Measure Date Value
2019: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01123
Total number of active participants reported on line 7a of the Form 55002019-01-0192
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0192
2018: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01133
Total number of active participants reported on line 7a of the Form 55002018-01-01123
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01123
2017: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01127
Total number of active participants reported on line 7a of the Form 55002017-01-01133
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01133
2016: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01142
Total number of active participants reported on line 7a of the Form 55002016-01-01127
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01127
2015: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01158
Total number of active participants reported on line 7a of the Form 55002015-01-01142
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01142
2014: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01162
Total number of active participants reported on line 7a of the Form 55002014-07-01158
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01158
2013: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01167
Total number of active participants reported on line 7a of the Form 55002013-07-01162
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01162
2012: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01198
Total number of active participants reported on line 7a of the Form 55002012-07-01167
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01167
2011: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01192
Total number of active participants reported on line 7a of the Form 55002011-07-01198
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01198
2010: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01200
Total number of active participants reported on line 7a of the Form 55002010-07-01192
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01192
2009: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01206
Total number of active participants reported on line 7a of the Form 55002009-07-01194
Number of retired or separated participants receiving benefits2009-07-016
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01200

Form 5500 Responses for BLUE CROSS BLUE SHIELD HEALTH INS. PLAN

2019: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: BLUE CROSS BLUE SHIELD HEALTH INS. PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered92
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,939
Total amount of fees paid to insurance companyUSD $122,218
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 $2,939
Amount paid for insurance broker fees122218
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered133
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,768
Total amount of fees paid to insurance companyUSD $176,913
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 $2,768
Amount paid for insurance broker fees176913
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
Insurance broker nameBLUE CROSS BLUE SHIELD OF NEBRASKA
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered142
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12
Total amount of fees paid to insurance companyUSD $70,301
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 $12
Amount paid for insurance broker fees70301
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
Insurance broker nameBLUE CROSS BLUE SHIELD OF NEBRASKA
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered158
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22
Total amount of fees paid to insurance companyUSD $37,037
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 $22
Amount paid for insurance broker fees37037
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
Insurance broker nameBLUE CROSS BLUE SHIELD OF NEBRASKA
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered162
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $72
Total amount of fees paid to insurance companyUSD $76,530
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 $72
Amount paid for insurance broker fees76530
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
Insurance broker nameBLUE CROSS BLUE SHIELD OF NEBRASKA
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered167
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $60
Total amount of fees paid to insurance companyUSD $82,164
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 $60
Amount paid for insurance broker fees82164
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE FEES
Insurance broker organization code?5
Insurance broker nameBLUE CROSS BLUE SHIELD OF NEBRASKA
BLUE CROSS BLUE SHIELD OF NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered198
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $56
Total amount of fees paid to insurance companyUSD $87,386
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 NEBRASKA (National Association of Insurance Commissioners NAIC id number: 77780 )
Policy contract number13138
Policy instance 1
Insurance contract or identification number13138
Number of Individuals Covered192
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of fees paid to insurance companyUSD $85,524
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,515,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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