401k Plan data: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN plan

BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 401k Plan overview

Plan Name	BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN
Plan identification number	501

BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN Benefits

401k Plan Type	Welfare 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

BLUEGRASS FAMILY HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLUEGRASS FAMILY HEALTH, INC.

Employer identification number (EIN): 611241101

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01
501 2013-01-01
501 2012-01-01 CAROLE OWEN
501 2011-01-01 CAROLE OWEN
501 2010-01-01 CAROLE OWEN
501 2009-01-01 CAROLE OWEN
501 2006-01-01 JOAN SANDERS
501 2005-01-01 JOAN SANDERS
501 2003-01-01 JOAN SANDERS
501 2001-01-01 JOAN SANDERS
501 2000-01-01 JOAN SANDERS

Plan Statistics for BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN

401k plan membership statisitcs for BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN

Measure Date Value
2014: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 197
Total of all active and inactive participants 2014-01-01 197
2013: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 197
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 200
Total of all active and inactive participants 2013-01-01 200
2012: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 198
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 197
Total of all active and inactive participants 2012-01-01 197
2011: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 198
Total of all active and inactive participants 2011-01-01 198
2010: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 194
Total of all active and inactive participants 2010-01-01 194
2009: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 198
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 188
Number of retired or separated participants receiving benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 196
2006: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 196
Number of retired or separated participants receiving benefits 2006-01-01 2
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 198
2005: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 199
Number of retired or separated participants receiving benefits 2005-01-01 2
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2005-01-01 0
Total participants 2005-01-01 201
2003: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2003 401k membership
Total participants, beginning-of-year 2003-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2003-01-01 198
Number of retired or separated participants receiving benefits 2003-01-01 6
Number of other retired or separated participants entitled to future benefits 2003-01-01 0
Total of all active and inactive participants 2003-01-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2003-01-01 0
Total participants 2003-01-01 204
2001: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2001 401k membership
Total participants, beginning-of-year 2001-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2001-01-01 167
Number of retired or separated participants receiving benefits 2001-01-01 4
Number of other retired or separated participants entitled to future benefits 2001-01-01 0
Total of all active and inactive participants 2001-01-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2001-01-01 0
Total participants 2001-01-01 171
2000: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2000 401k membership
Total participants, beginning-of-year 2000-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2000-01-01 142
Number of retired or separated participants receiving benefits 2000-01-01 4
Number of other retired or separated participants entitled to future benefits 2000-01-01 0
Total of all active and inactive participants 2000-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2000-01-01 0
Total participants 2000-01-01 146

Measure	Date	Value
2014: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	197
Total of all active and inactive participants	2014-01-01	197
2013: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	200
Total of all active and inactive participants	2013-01-01	200
2012: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	198
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	197
Total of all active and inactive participants	2012-01-01	197
2011: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	198
Total of all active and inactive participants	2011-01-01	198
2010: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	194
Total of all active and inactive participants	2010-01-01	194
2009: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	198
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	188
Number of retired or separated participants receiving benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	196
2006: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	196
Number of retired or separated participants receiving benefits	2006-01-01	2
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	198
2005: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	199
Number of retired or separated participants receiving benefits	2005-01-01	2
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2005-01-01	0
Total participants	2005-01-01	201
2003: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2003 401k membership
Total participants, beginning-of-year	2003-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2003-01-01	198
Number of retired or separated participants receiving benefits	2003-01-01	6
Number of other retired or separated participants entitled to future benefits	2003-01-01	0
Total of all active and inactive participants	2003-01-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2003-01-01	0
Total participants	2003-01-01	204
2001: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2001 401k membership
Total participants, beginning-of-year	2001-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2001-01-01	167
Number of retired or separated participants receiving benefits	2001-01-01	4
Number of other retired or separated participants entitled to future benefits	2001-01-01	0
Total of all active and inactive participants	2001-01-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2001-01-01	0
Total participants	2001-01-01	171
2000: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2000 401k membership
Total participants, beginning-of-year	2000-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2000-01-01	142
Number of retired or separated participants receiving benefits	2000-01-01	4
Number of other retired or separated participants entitled to future benefits	2000-01-01	0
Total of all active and inactive participants	2000-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2000-01-01	0
Total participants	2000-01-01	146

Form 5500 Responses for BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN

2014: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2005: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2003: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2003 form 5500 responses
2003-01-01	Type of plan entity	Single employer plan
2003-01-01	Submission has been amended	No
2003-01-01	This submission is the final filing	No
2003-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-01-01	Plan is a collectively bargained plan	No
2003-01-01	Plan funding arrangement – Insurance	Yes
2003-01-01	Plan benefit arrangement – Insurance	Yes
2001: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2001 form 5500 responses
2001-01-01	Submission has been amended	No
2001-01-01	This submission is the final filing	No
2001-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2001-01-01	Plan is a collectively bargained plan	No
2001-01-01	Plan funding arrangement – Insurance	Yes
2001-01-01	Plan benefit arrangement – Insurance	Yes
2000: BLUEGRASS FAMILY HEALTH, INC. HEALTH PLAN 2000 form 5500 responses
2000-01-01	First time form 5500 has been submitted	Yes
2000-01-01	Submission has been amended	No
2000-01-01	This submission is the final filing	No
2000-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2000-01-01	Plan is a collectively bargained plan	No
2000-01-01	Plan funding arrangement – Insurance	Yes
2000-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E7443948
Policy instance	2
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	0690980
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 118719
Policy instance	4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035059
Policy instance	5
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	HJ242
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 204453
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 144914
Policy instance	3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number	0690980
Policy instance	8
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	IIJ242
Policy instance	7
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035059
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 144914
Policy instance	4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E7443948
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 204453
Policy instance	2
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 118719
Policy instance	5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035059
Policy instance	6
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 118719
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 144914
Policy instance	4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E7443948
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 204453
Policy instance	2
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 204453
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E7443948
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 144914
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 118719
Policy instance	5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035059
Policy instance	6
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E7443948
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 118719
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 144914
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 204453
Policy instance	2
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number	000051
Policy instance	1

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Company Name:	BLUEGRASS FAMILY HEALTH, INC.
Employer identification number (EIN):	611241101
NAIC Classification:	524140