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BLUE CROSS BLUE SHIELD OF FLORIDA 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF FLORIDA
Plan identification number 501

BLUE CROSS BLUE SHIELD OF FLORIDA Benefits

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

401k Sponsoring company profile

USA PARKING SYSTEM INC. has sponsored the creation of one or more 401k plans.

Company Name:USA PARKING SYSTEM INC.
Employer identification number (EIN):621861889
NAIC Classification:812930
NAIC Description:Parking Lots and Garages

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-08-01KAYLA PEACH
5012016-08-01JENNIFER MEYER
5012015-08-01JENNIFER MEYER
5012014-08-01JENNIFER MEYER
5012013-08-01JENNIFER MEYER

Plan Statistics for BLUE CROSS BLUE SHIELD OF FLORIDA

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD OF FLORIDA

Measure Date Value
2017: BLUE CROSS BLUE SHIELD OF FLORIDA 2017 401k membership
Total participants, beginning-of-year2017-08-01120
Total number of active participants reported on line 7a of the Form 55002017-08-0198
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-0198
2016: BLUE CROSS BLUE SHIELD OF FLORIDA 2016 401k membership
Total participants, beginning-of-year2016-08-01135
Total number of active participants reported on line 7a of the Form 55002016-08-01120
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01120
2015: BLUE CROSS BLUE SHIELD OF FLORIDA 2015 401k membership
Total participants, beginning-of-year2015-08-01115
Total number of active participants reported on line 7a of the Form 55002015-08-01135
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01135
2014: BLUE CROSS BLUE SHIELD OF FLORIDA 2014 401k membership
Total participants, beginning-of-year2014-08-01106
Total number of active participants reported on line 7a of the Form 55002014-08-01115
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01115
2013: BLUE CROSS BLUE SHIELD OF FLORIDA 2013 401k membership
Total participants, beginning-of-year2013-08-01104
Total number of active participants reported on line 7a of the Form 55002013-08-01106
Number of retired or separated participants receiving benefits2013-08-011
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-01107

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF FLORIDA

2017: BLUE CROSS BLUE SHIELD OF FLORIDA 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: BLUE CROSS BLUE SHIELD OF FLORIDA 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: BLUE CROSS BLUE SHIELD OF FLORIDA 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: BLUE CROSS BLUE SHIELD OF FLORIDA 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: BLUE CROSS BLUE SHIELD OF FLORIDA 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01First time form 5500 has been submittedYes
2013-08-01Submission has been amendedYes
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64843
Policy instance 1
Insurance contract or identification number64843
Number of Individuals Covered98
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $28,686
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64843
Policy instance 1
Insurance contract or identification number64843
Number of Individuals Covered115
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $32,539
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,539
Insurance broker organization code?3
Insurance broker nameJOHN P. DUDA
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64843
Policy instance 1
Insurance contract or identification number64843
Number of Individuals Covered115
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $28,621
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,621
Insurance broker organization code?3
Insurance broker nameJOHN P. DUDA
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number64843
Policy instance 1
Insurance contract or identification number64843
Number of Individuals Covered106
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $27,452
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 $27,452
Insurance broker organization code?3
Insurance broker nameJOHN P. DUDA

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