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O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 401k Plan overview

Plan NameO-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN
Plan identification number 502

O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN Benefits

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

401k Sponsoring company profile

O-AT-KA MILK PRODUCTS COOPERATIVE I has sponsored the creation of one or more 401k plans.

Company Name:O-AT-KA MILK PRODUCTS COOPERATIVE I
Employer identification number (EIN):160819699
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-04-01KATHRYN RIBBECK2022-07-19
5022021-04-01MICHAEL J. FUCHS2023-04-25
5022020-04-01
5022019-04-01
5022017-04-01KATHRYN RIBBECK
5022016-04-01KATHRYN RIBBECK KATHRYN RIBBECK2017-06-22
5022015-04-01KATHRYN RIBBECK KATHRYN RIBBECK2016-09-29
5022014-04-01KATHRYN RIBBECK KATHRYN RIBBECK2016-01-04
5022014-04-01KATHRYN RIBBECK KATHRYN RIBBECK2016-01-04
5022013-04-01LORI LUKASIK LORI LUKASIK2014-10-31
5022012-04-01LORI LUKASIK LORI LUKASIK2013-10-24
5022011-04-01LORI LUKASIK
5022010-04-01DANIEL DAUDELIN
5022009-04-01DANIEL DAUDELIN

Plan Statistics for O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN

401k plan membership statisitcs for O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN

Measure Date Value
2021: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01454
Total number of active participants reported on line 7a of the Form 55002021-04-01434
Number of retired or separated participants receiving benefits2021-04-012
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01436
Number of employers contributing to the scheme2021-04-010
2020: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01444
Total number of active participants reported on line 7a of the Form 55002020-04-01453
Number of retired or separated participants receiving benefits2020-04-011
Total of all active and inactive participants2020-04-01454
2019: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01449
Total number of active participants reported on line 7a of the Form 55002019-04-01440
Number of retired or separated participants receiving benefits2019-04-014
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01444
2017: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01404
Total number of active participants reported on line 7a of the Form 55002017-04-01418
Number of retired or separated participants receiving benefits2017-04-017
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01425
Total participants2017-04-01425
2016: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01361
Total number of active participants reported on line 7a of the Form 55002016-04-01279
Total of all active and inactive participants2016-04-01279
Total participants2016-04-01279
2015: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01323
Total number of active participants reported on line 7a of the Form 55002015-04-01361
Total of all active and inactive participants2015-04-01361
Total participants2015-04-01361
2014: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01315
Total number of active participants reported on line 7a of the Form 55002014-04-01323
Total of all active and inactive participants2014-04-01323
Total participants2014-04-01323
2013: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01312
Total number of active participants reported on line 7a of the Form 55002013-04-01315
Total of all active and inactive participants2013-04-01315
Total participants2013-04-01315
2012: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01307
Total number of active participants reported on line 7a of the Form 55002012-04-01309
Total of all active and inactive participants2012-04-01309
Total participants2012-04-01309
2011: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01309
Total number of active participants reported on line 7a of the Form 55002011-04-01307
Total of all active and inactive participants2011-04-01307
Total participants2011-04-01307
2010: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01295
Total number of active participants reported on line 7a of the Form 55002010-04-01304
Total of all active and inactive participants2010-04-01304
Total participants2010-04-01304
2009: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01294
Total number of active participants reported on line 7a of the Form 55002009-04-01293
Total of all active and inactive participants2009-04-01293
Total participants2009-04-01293

Form 5500 Responses for O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN

2021: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedYes
2021-04-01This submission is the final filingYes
2021-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 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 planYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan is a collectively bargained planYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan is a collectively bargained planYes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 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: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 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: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 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: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01First time form 5500 has been submittedYes
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 funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
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 – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01First time form 5500 has been submittedYes
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 – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2010: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01First time form 5500 has been submittedYes
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – General assets of the sponsorYes
2010-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: O-AT-KA MILK PRODUCTS COOPERATIVE, INC. BLUE CROSS BLUE SHIELD PLAN 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 – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number484897
Policy instance 3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10056541001
Policy instance 2
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number417959
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00484897
Policy instance 4
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10120231001
Policy instance 3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10056541001
Policy instance 2
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number00417959
Policy instance 1
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10120231001
Policy instance 4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00484897
Policy instance 3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10056541001
Policy instance 2
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number00417959
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00484897
Policy instance 4
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10056541001
Policy instance 3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number00417959
Policy instance 2
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number00090147
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00484897
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00484897
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0048497
Policy instance 1

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