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BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF NORTH CAROLINA
Plan identification number 503

BLUE CROSS BLUE SHIELD OF NORTH CAROLINA Benefits

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

401k Sponsoring company profile

NORTH CAROLINA FARM BUREAU FEDERATION INC has sponsored the creation of one or more 401k plans.

Company Name:NORTH CAROLINA FARM BUREAU FEDERATION INC
Employer identification number (EIN):560340590
NAIC Classification:524290

Additional information about NORTH CAROLINA FARM BUREAU FEDERATION INC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0104086

More information about NORTH CAROLINA FARM BUREAU FEDERATION INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-01-01PERRY CRUTCHFIELD
5032013-01-01PERRY CRUTCHFIELD PERRY CRUTCHFIELD2014-10-14
5032012-01-01PERRY CRUTCHFIELD
5032011-01-01PERRY CRUTCHFIELD
5032010-01-01PERRY CRUTCHFIELD
5032009-01-01PERRY CRUTCHFIELD

Plan Statistics for BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

Measure Date Value
2014: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2014 401k membership
Total participants, beginning-of-year2014-01-011,623
Total number of active participants reported on line 7a of the Form 55002014-01-011,552
Number of retired or separated participants receiving benefits2014-01-0131
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,583
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,583
Number of participants with account balances2014-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
Number of employers contributing to the scheme2014-01-010
2013: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2013 401k membership
Total participants, beginning-of-year2013-01-011,580
Total number of active participants reported on line 7a of the Form 55002013-01-011,594
Number of retired or separated participants receiving benefits2013-01-0129
Total of all active and inactive participants2013-01-011,623
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,623
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
Number of employers contributing to the scheme2013-01-010
2012: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2012 401k membership
Total participants, beginning-of-year2012-01-011,608
Total number of active participants reported on line 7a of the Form 55002012-01-011,536
Number of retired or separated participants receiving benefits2012-01-0144
Total of all active and inactive participants2012-01-011,580
Total participants2012-01-011,580
2011: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2011 401k membership
Total participants, beginning-of-year2011-01-011,597
Total number of active participants reported on line 7a of the Form 55002011-01-011,584
Number of retired or separated participants receiving benefits2011-01-0124
Total of all active and inactive participants2011-01-011,608
Total participants2011-01-011,608
2010: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2010 401k membership
Total participants, beginning-of-year2010-01-011,605
Total number of active participants reported on line 7a of the Form 55002010-01-011,575
Number of retired or separated participants receiving benefits2010-01-0122
Total of all active and inactive participants2010-01-011,597
Total participants2010-01-011,597
2009: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2009 401k membership
Total participants, beginning-of-year2009-01-011,570
Total number of active participants reported on line 7a of the Form 55002009-01-011,584
Number of retired or separated participants receiving benefits2009-01-0121
Total of all active and inactive participants2009-01-011,605
Total participants2009-01-011,605

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

2014: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008574
Policy instance 1
Insurance contract or identification number008574
Number of Individuals Covered1583
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008574
Policy instance 1
Insurance contract or identification number008574
Number of Individuals Covered1579
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008574
Policy instance 1
Insurance contract or identification number008574
Number of Individuals Covered1580
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $78,106
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,106
Additional information about fees paid to insurance brokerBROKER
Insurance broker nameJRW ASSOCIATES
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008574
Policy instance 1
Insurance contract or identification number008574
Number of Individuals Covered1608
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $78,223
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number008574
Policy instance 1
Insurance contract or identification number008574
Number of Individuals Covered1597
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $71,874
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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