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MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 401k Plan overview

Plan NameMINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN
Plan identification number 502

MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN Benefits

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

401k Sponsoring company profile

MINOT VOCATIONAL ADJUSTMENT WORKSHOP D/B/A KALIX has sponsored the creation of one or more 401k plans.

Company Name:MINOT VOCATIONAL ADJUSTMENT WORKSHOP D/B/A KALIX
Employer identification number (EIN):450313122
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01MISTY WANNER2023-10-16
5022021-07-01BORGI BEELER2023-04-14
5022020-07-01BORGI BEELER2022-03-07
5022019-07-01JOY SMITH2021-02-01
5022018-07-01BORGI BEELER2020-01-30
5022017-07-01
5022016-07-01
5022015-07-01
5022014-07-01
5022012-07-01BORGI BEELER
5022011-07-01BORGI BEELER
5022010-07-01BORGI BEELER
5022009-07-01BORGI BEELER

Plan Statistics for MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN

401k plan membership statisitcs for MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN

Measure Date Value
2022: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01226
Total number of active participants reported on line 7a of the Form 55002022-07-010
Total of all active and inactive participants2022-07-010
2021: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01228
Total number of active participants reported on line 7a of the Form 55002021-07-01224
Number of retired or separated participants receiving benefits2021-07-012
Total of all active and inactive participants2021-07-01226
2020: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01236
Total number of active participants reported on line 7a of the Form 55002020-07-01227
Number of retired or separated participants receiving benefits2020-07-011
Total of all active and inactive participants2020-07-01228
2019: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01232
Total number of active participants reported on line 7a of the Form 55002019-07-01233
Number of retired or separated participants receiving benefits2019-07-013
Total of all active and inactive participants2019-07-01236
2018: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01237
Total number of active participants reported on line 7a of the Form 55002018-07-01228
Number of retired or separated participants receiving benefits2018-07-014
Total of all active and inactive participants2018-07-01232
Total participants2018-07-01232
2017: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01252
Total number of active participants reported on line 7a of the Form 55002017-07-01237
Total of all active and inactive participants2017-07-01237
2016: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01240
Total number of active participants reported on line 7a of the Form 55002016-07-01252
Total of all active and inactive participants2016-07-01252
2015: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01227
Total number of active participants reported on line 7a of the Form 55002015-07-01239
Number of retired or separated participants receiving benefits2015-07-011
Total of all active and inactive participants2015-07-01240
2014: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01230
Total number of active participants reported on line 7a of the Form 55002014-07-01227
Total of all active and inactive participants2014-07-01227
Total participants2014-07-01227
2012: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01233
Total number of active participants reported on line 7a of the Form 55002012-07-01218
Number of retired or separated participants receiving benefits2012-07-013
Total of all active and inactive participants2012-07-01221
2011: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01235
Total number of active participants reported on line 7a of the Form 55002011-07-01232
Number of retired or separated participants receiving benefits2011-07-011
Total of all active and inactive participants2011-07-01233
2010: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01241
Total number of active participants reported on line 7a of the Form 55002010-07-01234
Number of retired or separated participants receiving benefits2010-07-011
Total of all active and inactive participants2010-07-01235
2009: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01223
Total number of active participants reported on line 7a of the Form 55002009-07-01239
Number of retired or separated participants receiving benefits2009-07-012
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01241

Form 5500 Responses for MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN

2022: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingYes
2022-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2012: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: MINOT VOCATIONAL ADJUSTMENT WORKSHOP - BCBS HEALTH & BCBS DENTAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19880
Policy instance 1
Insurance contract or identification number19880
Number of Individuals Covered456
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19880
Policy instance 1
Insurance contract or identification number19880
Number of Individuals Covered273
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number25762
Policy instance 1
Insurance contract or identification number25762
Number of Individuals Covered341
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number25762
Policy instance 2
Insurance contract or identification number25762
Number of Individuals Covered420
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number25762
Policy instance 1
Insurance contract or identification number25762
Number of Individuals Covered322
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE DENTAL SERVICE CORPORATION OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 47054 )
Policy contract number25762
Policy instance 2
Insurance contract or identification number25762
Number of Individuals Covered370
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number25762
Policy instance 1
Insurance contract or identification number25762
Number of Individuals Covered340
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE DENTAL SERVICE CORPORATION OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 47054 )
Policy contract number25762
Policy instance 2
Insurance contract or identification number25762
Number of Individuals Covered404
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE DENTAL SERVICE CORPORATION OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 47054 )
Policy contract number25762
Policy instance 2
Insurance contract or identification number25762
Number of Individuals Covered389
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number25762
Policy instance 1
Insurance contract or identification number25762
Number of Individuals Covered318
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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