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B BLAIR CORPORATION GROUP MEDICAL PLAN 401k Plan overview

Plan NameB BLAIR CORPORATION GROUP MEDICAL PLAN
Plan identification number 501

B BLAIR CORPORATION GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

B BLAIR CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:B BLAIR CORPORATION
Employer identification number (EIN):233018616
NAIC Classification:484200
NAIC Description: Specialized Freight Trucking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B BLAIR CORPORATION GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012020-04-01
5012019-04-01

Plan Statistics for B BLAIR CORPORATION GROUP MEDICAL PLAN

401k plan membership statisitcs for B BLAIR CORPORATION GROUP MEDICAL PLAN

Measure Date Value
2021: B BLAIR CORPORATION GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0177
Total number of active participants reported on line 7a of the Form 55002021-07-0194
Number of retired or separated participants receiving benefits2021-07-011
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0195
2020: B BLAIR CORPORATION GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0177
Total number of active participants reported on line 7a of the Form 55002020-07-0173
Number of retired or separated participants receiving benefits2020-07-014
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-0177
Total participants, beginning-of-year2020-04-0177
Total number of active participants reported on line 7a of the Form 55002020-04-0176
Number of retired or separated participants receiving benefits2020-04-011
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-0177
2019: B BLAIR CORPORATION GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-0169
Total number of active participants reported on line 7a of the Form 55002019-04-0176
Number of retired or separated participants receiving benefits2019-04-011
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-0177

Financial Data on B BLAIR CORPORATION GROUP MEDICAL PLAN

Measure Date Value
2022 : B BLAIR CORPORATION GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$78,970
Total plan liabilities at beginning of year2022-06-30$28,164
Total income from all sources2022-06-30$965,373
Expenses. Total of all expenses incurred2022-06-30$1,066,066
Benefits paid (including direct rollovers)2022-06-30$637,980
Total plan assets at end of year2022-06-30$278,618
Total plan assets at beginning of year2022-06-30$328,505
Value of fidelity bond covering the plan2022-06-30$50,000
Total contributions received or receivable from participants2022-06-30$153,546
Expenses. Other expenses not covered elsewhere2022-06-30$396,670
Other income received2022-06-30$912
Net income (gross income less expenses)2022-06-30$-100,693
Net plan assets at end of year (total assets less liabilities)2022-06-30$199,648
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$300,341
Total contributions received or receivable from employer(s)2022-06-30$810,915
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$31,416
2021 : B BLAIR CORPORATION GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$28,164
Total plan liabilities at beginning of year2021-06-30$37,115
Total income from all sources2021-06-30$790,343
Expenses. Total of all expenses incurred2021-06-30$683,495
Benefits paid (including direct rollovers)2021-06-30$365,935
Total plan assets at end of year2021-06-30$328,505
Total plan assets at beginning of year2021-06-30$230,608
Value of fidelity bond covering the plan2021-06-30$50,000
Total contributions received or receivable from participants2021-06-30$258,859
Expenses. Other expenses not covered elsewhere2021-06-30$285,082
Contributions received from other sources (not participants or employers)2021-06-30$6,882
Other income received2021-06-30$762
Net income (gross income less expenses)2021-06-30$106,848
Net plan assets at end of year (total assets less liabilities)2021-06-30$300,341
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$193,493
Total contributions received or receivable from employer(s)2021-06-30$523,840
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$32,478
2020 : B BLAIR CORPORATION GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-06-30$37,115
Total plan liabilities at beginning of year2020-06-30$24,295
Total income from all sources2020-06-30$183,509
Expenses. Total of all expenses incurred2020-06-30$146,620
Benefits paid (including direct rollovers)2020-06-30$75,712
Total plan assets at end of year2020-06-30$230,608
Total plan assets at beginning of year2020-06-30$180,899
Value of fidelity bond covering the plan2020-06-30$50,000
Total contributions received or receivable from participants2020-06-30$56,169
Expenses. Other expenses not covered elsewhere2020-06-30$62,072
Contributions received from other sources (not participants or employers)2020-06-30$1,181
Other income received2020-06-30$148
Net income (gross income less expenses)2020-06-30$36,889
Net plan assets at end of year (total assets less liabilities)2020-06-30$193,493
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$156,604
Total contributions received or receivable from employer(s)2020-06-30$126,011
Value of corrective distributions2020-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$8,836
Total plan liabilities at end of year2020-03-31$24,295
Total plan liabilities at beginning of year2020-03-31$0
Total income from all sources2020-03-31$677,472
Expenses. Total of all expenses incurred2020-03-31$520,868
Benefits paid (including direct rollovers)2020-03-31$258,875
Total plan assets at end of year2020-03-31$180,899
Total plan assets at beginning of year2020-03-31$0
Value of fidelity bond covering the plan2020-03-31$50,000
Total contributions received or receivable from participants2020-03-31$252,833
Expenses. Other expenses not covered elsewhere2020-03-31$229,213
Contributions received from other sources (not participants or employers)2020-03-31$3,542
Other income received2020-03-31$278
Net income (gross income less expenses)2020-03-31$156,604
Net plan assets at end of year (total assets less liabilities)2020-03-31$156,604
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$0
Total contributions received or receivable from employer(s)2020-03-31$420,819
Value of certain deemed distributions of participant loans2020-03-31$0
Value of corrective distributions2020-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-03-31$32,780

Form 5500 Responses for B BLAIR CORPORATION GROUP MEDICAL PLAN

2021: B BLAIR CORPORATION GROUP MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: B BLAIR CORPORATION GROUP MEDICAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
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)Yes
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: B BLAIR CORPORATION GROUP MEDICAL PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01First time form 5500 has been submittedYes
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 funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL31000048
Policy instance 1
Insurance contract or identification numberSL31000048
Number of Individuals Covered94
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 BenefitNo
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 $315,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL31000048
Policy instance 1
Insurance contract or identification numberSL31000048
Number of Individuals Covered73
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 BenefitNo
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 $223,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL31000048
Policy instance 1
Insurance contract or identification numberSL31000048
Number of Individuals Covered76
Insurance policy start date2020-04-01
Insurance policy end date2020-06-30
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 BenefitNo
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 $300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000048
Policy instance 1
Insurance contract or identification number31000048
Number of Individuals Covered76
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
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 BenefitNo
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 $168,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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