BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401k Plan overview

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA Benefits

401k Sponsoring company profile

Company Name:	COASTAL COMMUNITY ACTION, INC.
Employer identification number (EIN):	566075606
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
507	2016-01-01	PAULS DICKSON
507	2015-01-01	KENNETH HUNT
507	2014-01-01	KENNETH HUNT
507	2013-01-01	KENNETH HUNT
507	2012-01-01	KENNETH HUNT
507	2011-01-01	DAWN KOFFARNUS
507	2009-01-01	ANGELA MILLER

Plan Statistics for BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA

Measure	Date	Value
2016: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2016 401k membership
Total participants, beginning-of-year	2016-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	161
Total of all active and inactive participants	2016-01-01	161
Total participants	2016-01-01	161
2015: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2015 401k membership
Total participants, beginning-of-year	2015-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	178
Total of all active and inactive participants	2015-01-01	178
Total participants	2015-01-01	178
2014: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2014 401k membership
Total participants, beginning-of-year	2014-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	166
Total of all active and inactive participants	2014-01-01	166
Total participants	2014-01-01	166
2013: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2013 401k membership
Total participants, beginning-of-year	2013-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	162
Total of all active and inactive participants	2013-01-01	162
Total participants	2013-01-01	162
2012: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2012 401k membership
Total participants, beginning-of-year	2012-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	165
Number of retired or separated participants receiving benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	166
Total participants	2012-01-01	166
2011: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2011 401k membership
Total participants, beginning-of-year	2011-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	160
Number of retired or separated participants receiving benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	161
Total participants	2011-01-01	161
2009: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 2009 401k membership
Total participants, beginning-of-year	2009-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	162
Number of retired or separated participants receiving benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	163
Total participants	2009-01-01	163

Form 5500 Responses for BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA

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• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 201137248]
• BLUE CROSS BLUE SHIELD OF ILLINOIS GROUP HEALTH INSURANCE PLAN [EIN = 362754650]
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• BLUE CROSS BLUE SHIELD OF GREATER NY MEDICAL PLAN [EIN = 133957095]
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• BLUE CROSS OF NORTHWEST OHIO EMPLOYEES' RETIREMENT TRUST [EIN = 340648820]
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• BLUE CROSS BLUE SHIELD OF ILLINIOS HMOS [EIN = 363984647]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561975885]
• BLUE CROSS & BLUE SHIELD OF ALABAMA ELECTIVE LIFE INSURANCE PLAN [EIN = 630103830]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561625075]
• BLUE CROSS BLUE SHIELD OF RI [EIN = 160812661]
• BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN [EIN = 942872506]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 581622664]
• BLUE CROSS BLUE SHIELD OF MA GROUP HLTH INS EMPLS UNION BUTTERFIELD [EIN = 561628422]
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• BLUE CROSS AND BLUE SHIELD PPO [EIN = 205832739]
• BLUE CROSS BLUE SHIELD COMPCARE [EIN = 391500683]
• BLUE CROSS BLUE SHIELD [EIN = 751299243]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 133082788]
• BLUE CROSS BLUE SHIELD OF MISSISSIPPI [EIN = 620510412]
• BLUE CROSS/BLUE SHIELD OF MICHIGAN GAYLORD DIVISION PLAN [EIN = 340549970]
• BLUE CROSS BLUE SHIELD GROUP INSURANCE [EIN = 160743037]
• BLUE CROSS OF NORTHEASTERN PENNSYLVANIA [EIN = 231743282]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561038919]
• BLUE CROSS BLUE SHIELD ALABAMA [EIN = 630355713]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF NORTH CAROLINA [EIN = 562384240]
• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
• BLUE CROSS BLUE SHIELD OF MINNESOTA [EIN = 416050237]
• BLUE CROSS ANIMAL HOSPITAL GROUP 401(K) PLAN [EIN = 870903171]
• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. EXECUTIVE SEVERANCE PLAN [EIN = 860004538]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF AZ [EIN = 882806512]
• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 831077369]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS MEDICAL [EIN = 844205975]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA [EIN = 411500646]
• BLUE CROSS BLUE SHIELD OF TEXAS [EIN = 812845733]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA PENSION PLAN [EIN = 831330245]

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