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BCBS MEDICAL PLAN 401k Plan overview

Plan NameBCBS MEDICAL PLAN
Plan identification number 509

BCBS MEDICAL PLAN Benefits

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

401k Sponsoring company profile

AGNES SCOTT COLLEGE has sponsored the creation of one or more 401k plans.

Company Name:AGNES SCOTT COLLEGE
Employer identification number (EIN):580566116
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BCBS MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092015-07-01KAREN GILBERT
5092014-07-01KAREN GILBERT KAREN GILBERT2016-04-11
5092014-07-01KAREN GILBERT
5092013-07-01KAREN GILBERT KAREN GILBERT2016-04-07
5092012-07-01KAREN GILBERT
5092011-07-01KAREN GILBERT KAREN GILBERT2013-04-12
5092010-07-01KAREN GILBERT
5092009-07-01 KAREN GILBERT2011-04-08
5092009-07-01KAREN GILBERT

Plan Statistics for BCBS MEDICAL PLAN

401k plan membership statisitcs for BCBS MEDICAL PLAN

Measure Date Value
2015: BCBS MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01328
Total number of active participants reported on line 7a of the Form 55002015-07-01342
Total of all active and inactive participants2015-07-01342
2014: BCBS MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01328
Total number of active participants reported on line 7a of the Form 55002014-07-01328
Total of all active and inactive participants2014-07-01328
Total participants2014-07-01328
2013: BCBS MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01314
Total number of active participants reported on line 7a of the Form 55002013-07-01314
Total of all active and inactive participants2013-07-01314
Total participants2013-07-01314
2012: BCBS MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01346
Total number of active participants reported on line 7a of the Form 55002012-07-01290
Number of retired or separated participants receiving benefits2012-07-0156
Total of all active and inactive participants2012-07-01346
Total participants2012-07-01346
2011: BCBS MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01346
Total number of active participants reported on line 7a of the Form 55002011-07-01290
Number of retired or separated participants receiving benefits2011-07-0156
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01346
2010: BCBS MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01357
Total number of active participants reported on line 7a of the Form 55002010-07-01334
Total of all active and inactive participants2010-07-01334
2009: BCBS MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01357
Total number of active participants reported on line 7a of the Form 55002009-07-01301
Number of retired or separated participants receiving benefits2009-07-0156
Total of all active and inactive participants2009-07-01357
Total participants2009-07-01357

Form 5500 Responses for BCBS MEDICAL PLAN

2015: BCBS MEDICAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: BCBS MEDICAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: BCBS MEDICAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: BCBS MEDICAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: BCBS MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: BCBS MEDICAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: BCBS MEDICAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA6080
Policy instance 1
Insurance contract or identification numberGA6080
Number of Individuals Covered342
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $-383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA6080
Policy instance 1
Insurance contract or identification numberGA6080
Number of Individuals Covered328
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $141,352
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $2,998,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $141,352
Insurance broker organization code?3
Insurance broker nameANDREA WENDT
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA06080
Policy instance 1
Insurance contract or identification numberGA06080
Number of Individuals Covered314
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $137,518
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $2,790,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $137,518
Insurance broker organization code?3
Insurance broker nameANDREA WENDT
BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract number1014993000
Policy instance 1
Insurance contract or identification number1014993000
Number of Individuals Covered307
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $68,386
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $2,966,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,386
Insurance broker organization code?3
Insurance broker nameANDREA WENDT
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract number101499300
Policy instance 1
Insurance contract or identification number101499300
Number of Individuals Covered357
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $51,411
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,680,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract number1014993000
Policy instance 1
Insurance contract or identification number1014993000
Number of Individuals Covered334
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $135,065
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,701,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135,065
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameANDREA WENDT

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