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GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 401k Plan overview

Plan NameGROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY
Plan identification number 501

GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

JONES BLAIR COMPANY has sponsored the creation of one or more 401k plans.

Company Name:JONES BLAIR COMPANY
Employer identification number (EIN):750366370
NAIC Classification:325500

Additional information about JONES BLAIR COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 745270

More information about JONES BLAIR COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-03-01SHARON COWNE
5012014-03-01SHARON COWNE
5012013-03-01SHARON COWNE
5012012-03-01SHARON COWNE
5012011-03-01SHARON COWNE
5012009-03-01SHARON COWNE

Plan Statistics for GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY

401k plan membership statisitcs for GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY

Measure Date Value
2015: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2015 401k membership
Total participants, beginning-of-year2015-03-01186
Total number of active participants reported on line 7a of the Form 55002015-03-010
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-010
2014: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2014 401k membership
Total participants, beginning-of-year2014-03-01512
Total number of active participants reported on line 7a of the Form 55002014-03-01556
Total of all active and inactive participants2014-03-01556
Total participants2014-03-010
2013: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2013 401k membership
Total participants, beginning-of-year2013-03-01803
Total number of active participants reported on line 7a of the Form 55002013-03-01512
Total of all active and inactive participants2013-03-01512
Total participants2013-03-010
2012: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2012 401k membership
Total participants, beginning-of-year2012-03-01482
Total number of active participants reported on line 7a of the Form 55002012-03-01803
Total of all active and inactive participants2012-03-01803
Total participants2012-03-010
2011: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2011 401k membership
Total participants, beginning-of-year2011-03-01465
Total number of active participants reported on line 7a of the Form 55002011-03-01482
Total of all active and inactive participants2011-03-01482
Total participants2011-03-01482
2009: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2009 401k membership
Total participants, beginning-of-year2009-03-01572
Total number of active participants reported on line 7a of the Form 55002009-03-01659
Total of all active and inactive participants2009-03-01659
Total participants2009-03-01659

Form 5500 Responses for GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY

2015: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01This submission is the final filingYes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE & HEALTH PLAN FOR EMPLOYEES OF JONES BLAIR COMPANY 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05922853
Policy instance 1
Insurance contract or identification numberKM05922853
Number of Individuals Covered381
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $28,535
Total amount of fees paid to insurance companyUSD $961
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $185,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,338
Insurance broker organization code?3
Amount paid for insurance broker fees961
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker nameHOLMES MURPHY & ASSOCIATES INC
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract numberKM05922853
Policy instance 3
Insurance contract or identification numberKM05922853
Number of Individuals Covered124
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,174
Total amount of fees paid to insurance companyUSD $80
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $954
Insurance broker organization code?3
Amount paid for insurance broker fees80
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker nameHOLMES MURPHY & ASSOCIATES INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number754179
Policy instance 2
Insurance contract or identification number754179
Number of Individuals Covered356
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $85,337
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,505,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees36874
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
Insurance broker nameHOLMES MURPHY & ASSOCIATES INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453482
Policy instance 1
Insurance contract or identification number00453482
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,442
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,221
Insurance broker organization code?3
Insurance broker nameGARY C. COOK
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number754179
Policy instance 2
Insurance contract or identification number754179
Number of Individuals Covered353
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $87,624
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,760,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,812
Insurance broker organization code?3
Insurance broker nameBIG BENEFIT CORP
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number033216 033326
Policy instance 1
Insurance contract or identification number033216 033326
Number of Individuals Covered325
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $74,114
Total amount of fees paid to insurance companyUSD $978
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,480,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,114
Amount paid for insurance broker fees978
Insurance broker organization code?3
Insurance broker nameGARY C. COOK
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453482
Policy instance 2
Insurance contract or identification number00453482
Number of Individuals Covered187
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $30,440
Total amount of fees paid to insurance companyUSD $9,533
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,220
Amount paid for insurance broker fees9533
Insurance broker organization code?3
Insurance broker nameGARY C. COOK
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $27,674
Total amount of fees paid to insurance companyUSD $6,362
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $214,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,837
Amount paid for insurance broker fees6362
Insurance broker organization code?3
Insurance broker nameMARC PIERONI
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number033216 033326
Policy instance 2
Insurance contract or identification number033216 033326
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $35,331
Total amount of fees paid to insurance companyUSD $661
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,413,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,331
Amount paid for insurance broker fees661
Insurance broker organization code?3
Insurance broker nameGARY C. COOK
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,670
Total amount of fees paid to insurance companyUSD $5,794
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $197,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number033216 033326
Policy instance 2
Insurance contract or identification number033216 033326
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $68,248
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,490,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 1
Number of Individuals Covered156
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $22,210
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number033216 033326
Policy instance 2
Insurance contract or identification number033216 033326
Number of Individuals Covered309
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $59,786
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,136,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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