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BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN
Plan identification number 505

BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT 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
  • Other welfare benefit cover

401k Sponsoring company profile

BLUEPRINT AUTOMATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:BLUEPRINT AUTOMATION, INC.
Employer identification number (EIN):541401039
NAIC Classification:333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-12-01KELLY OVERSTREET2024-09-12
5052021-12-01KELLY OVERSTREET2023-06-28
5052020-12-01KELLY OVERSTREET2022-06-22
5052019-12-01KELLY OVERSTREET2021-07-02
5052016-12-01KELLY OVERSTREET

Plan Statistics for BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN

401k plan membership statisitcs for BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN

Measure Date Value
2022: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01207
Total number of active participants reported on line 7a of the Form 55002022-12-01207
Number of retired or separated participants receiving benefits2022-12-012
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01209
2021: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01189
Total number of active participants reported on line 7a of the Form 55002021-12-01203
Number of retired or separated participants receiving benefits2021-12-012
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01205
2020: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01190
Total number of active participants reported on line 7a of the Form 55002020-12-01187
Number of retired or separated participants receiving benefits2020-12-015
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01192
2019: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01178
Total number of active participants reported on line 7a of the Form 55002019-12-01183
Number of retired or separated participants receiving benefits2019-12-013
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01186
2016: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01140
Total number of active participants reported on line 7a of the Form 55002016-12-01146
Number of retired or separated participants receiving benefits2016-12-011
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01147

Form 5500 Responses for BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN

2022: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2016: BLUEPRINT AUTOMATION INC WRAP WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01First time form 5500 has been submittedYes
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL03805
Policy instance 5
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberESL 6500231 00
Policy instance 4
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberL03805
Policy instance 3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL03805
Policy instance 2
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCM10001111
Policy instance 1
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract numberL03805
Policy instance 3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberL03805
Policy instance 2
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCM10001111
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number308413
Policy instance 4
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number919339
Policy instance 3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006349
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30071358
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number919339
Policy instance 3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006349
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30071358
Policy instance 1

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