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BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN
Plan identification number 501

BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BLOOM ENGINEERING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:BLOOM ENGINEERING COMPANY, INC.
Employer identification number (EIN):250938174
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-05-01MARK BLAIR
5012015-05-01
5012014-05-01MARK BLAIR
5012013-05-01MARK BLAIR
5012012-05-01ROBERT P. SEMICH
5012011-05-01CHARLES G. DRAGO
5012010-05-01CHARLES G. DRAGO
5012009-05-01CHARLES DRAGO ROBERT GREEN2010-11-22

Plan Statistics for BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN

401k plan membership statisitcs for BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN

Measure Date Value
2018: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01150
Total number of active participants reported on line 7a of the Form 55002018-05-0191
Number of retired or separated participants receiving benefits2018-05-0160
Total of all active and inactive participants2018-05-01151
Total participants2018-05-01151
2015: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01203
Total number of active participants reported on line 7a of the Form 55002015-05-01140
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-0161
Total of all active and inactive participants2015-05-01201
2014: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01196
Total number of active participants reported on line 7a of the Form 55002014-05-01101
Number of retired or separated participants receiving benefits2014-05-0160
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01161
2013: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01153
Total number of active participants reported on line 7a of the Form 55002013-05-01196
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-01196
2012: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-0197
Total number of active participants reported on line 7a of the Form 55002012-05-0195
Number of retired or separated participants receiving benefits2012-05-0158
Total of all active and inactive participants2012-05-01153
Total participants2012-05-01153
2011: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0136
Total number of active participants reported on line 7a of the Form 55002011-05-0197
Total of all active and inactive participants2011-05-0197
Total participants2011-05-0197
2010: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-0136
Total number of active participants reported on line 7a of the Form 55002010-05-0136
Total of all active and inactive participants2010-05-0136
Total participants2010-05-0136
2009: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-0142
Total number of active participants reported on line 7a of the Form 55002009-05-0136
Number of retired or separated participants receiving benefits2009-05-010
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-05-010
Total participants2009-05-0136

Form 5500 Responses for BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN

2018: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01This submission is the final filingYes
2018-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2015: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2010: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Plan is a collectively bargained planYes
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – InsuranceYes
2009: BLOOM ENGINEERING SHORT-TERM/LONG-TERM DISABILITY AND LIFE WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number772783
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number772783
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number772783
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number772783
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number5617/18/19/4756
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number775783
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number5617/18/19/4756
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number617/618/618/756
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number035-5854-00
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number035-5854-00
Policy instance 1

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