?>
Logo

BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 401k Plan overview

Plan NameBLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE
Plan identification number 505

BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

BLUE CROSS AND BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:BLUE CROSS AND BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY
Employer identification number (EIN):640295748
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-04-01
5052021-04-01
5052020-04-01
5052019-04-01
5052018-04-01
5052017-04-01CHERI GREEN CHERI GREEN2018-10-26
5052016-04-01CHERI GREEN CHERI GREEN2017-09-25
5052015-04-01CHERI GREEN CHERI GREEN2016-10-26
5052014-04-01CHERI GREEN CHERI GREEN2016-01-12
5052013-04-01JOHN H. PROCTOR III JOHN H. PROCTOR III2014-10-31
5052012-04-01JOHN PROCTOR JOHN PROCTOR2013-06-10
5052011-04-01AMY AYERS AMY AYERS2012-07-05
5052009-04-01AMY AYERS AMY AYERS2010-07-20

Plan Statistics for BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE

401k plan membership statisitcs for BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE

Measure Date Value
2022: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2022 401k membership
Total participants, beginning-of-year2022-04-01841
Total number of active participants reported on line 7a of the Form 55002022-04-01467
Number of retired or separated participants receiving benefits2022-04-01359
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01826
2021: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2021 401k membership
Total participants, beginning-of-year2021-04-01872
Total number of active participants reported on line 7a of the Form 55002021-04-01534
Number of retired or separated participants receiving benefits2021-04-01347
Total of all active and inactive participants2021-04-01881
2020: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2020 401k membership
Total participants, beginning-of-year2020-04-01887
Total number of active participants reported on line 7a of the Form 55002020-04-01534
Number of retired or separated participants receiving benefits2020-04-01347
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01881
2019: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2019 401k membership
Total participants, beginning-of-year2019-04-01898
Total number of active participants reported on line 7a of the Form 55002019-04-01549
Number of retired or separated participants receiving benefits2019-04-01338
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01887
2018: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2018 401k membership
Total participants, beginning-of-year2018-04-01890
Total number of active participants reported on line 7a of the Form 55002018-04-01574
Number of retired or separated participants receiving benefits2018-04-01324
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01898
2017: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2017 401k membership
Total participants, beginning-of-year2017-04-01865
Total number of active participants reported on line 7a of the Form 55002017-04-01568
Number of retired or separated participants receiving benefits2017-04-01322
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01890
2016: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2016 401k membership
Total participants, beginning-of-year2016-04-01857
Total number of active participants reported on line 7a of the Form 55002016-04-01543
Number of retired or separated participants receiving benefits2016-04-01322
Total of all active and inactive participants2016-04-01865
2015: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2015 401k membership
Total participants, beginning-of-year2015-04-01849
Total number of active participants reported on line 7a of the Form 55002015-04-01551
Number of retired or separated participants receiving benefits2015-04-01306
Total of all active and inactive participants2015-04-01857
2014: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2014 401k membership
Total participants, beginning-of-year2014-04-01854
Total number of active participants reported on line 7a of the Form 55002014-04-01550
Number of retired or separated participants receiving benefits2014-04-01279
Number of other retired or separated participants entitled to future benefits2014-04-0117
Total of all active and inactive participants2014-04-01846
2013: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2013 401k membership
Total participants, beginning-of-year2013-04-01859
Total number of active participants reported on line 7a of the Form 55002013-04-01861
Number of retired or separated participants receiving benefits2013-04-01275
Number of other retired or separated participants entitled to future benefits2013-04-0119
Total of all active and inactive participants2013-04-011,155
2012: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2012 401k membership
Total participants, beginning-of-year2012-04-01861
Total number of active participants reported on line 7a of the Form 55002012-04-01585
Number of retired or separated participants receiving benefits2012-04-01278
Number of other retired or separated participants entitled to future benefits2012-04-0121
Total of all active and inactive participants2012-04-01884
2011: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2011 401k membership
Total participants, beginning-of-year2011-04-01863
Total number of active participants reported on line 7a of the Form 55002011-04-01608
Number of retired or separated participants receiving benefits2011-04-01258
Number of other retired or separated participants entitled to future benefits2011-04-0110
Total of all active and inactive participants2011-04-01876
2009: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2009 401k membership
Total participants, beginning-of-year2009-04-01971
Total number of active participants reported on line 7a of the Form 55002009-04-01669
Number of retired or separated participants receiving benefits2009-04-01251
Number of other retired or separated participants entitled to future benefits2009-04-0115
Total of all active and inactive participants2009-04-01935
Total participants2009-04-010

Form 5500 Responses for BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE

2022: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2009: BLUE CROSS & BLUE SHIELD OF MS INC. GROUP LIFE INS BLUEBONNET LIFE 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered826
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $762,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered881
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $770,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered881
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $751,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered887
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $831,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered898
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $813,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUEBONNET LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 68535 )
Policy contract numberBG80079
Policy instance 1
Insurance contract or identification numberBG80079
Number of Individuals Covered890
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $719,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3