FACTORY CONNECTION LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN
401k plan membership statisitcs for FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN
| Measure | Date | Value |
|---|
| 2022: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 285 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 287 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 287 |
| 2021: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 282 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 285 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 285 |
| 2020: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 300 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 282 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 282 |
| 2019: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 303 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 300 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 300 |
| 2018: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 305 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 303 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 303 |
| 2017: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 307 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 305 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 305 |
| 2016: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 317 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 307 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 307 |
| 2015: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 317 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 317 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 317 |
| 2014: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 295 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 317 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
| Total of all active and inactive participants | 2014-05-01 | 317 |
| 2013: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 272 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 295 |
| Total of all active and inactive participants | 2013-05-01 | 295 |
| 2012: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 249 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 272 |
| Total of all active and inactive participants | 2012-05-01 | 272 |
| 2011: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 249 |
| Total of all active and inactive participants | 2011-05-01 | 249 |
| 2009: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 204 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 218 |
| Total of all active and inactive participants | 2009-05-01 | 218 |
| Measure | Date | Value |
|---|
| 2023 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2023 401k financial data |
|---|
| Total income from all sources | 2023-04-30 | $0 |
| Total plan assets at end of year | 2023-04-30 | $0 |
| Total plan assets at beginning of year | 2023-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2023-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-04-30 | $0 |
| 2022 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-04-30 | $0 |
| Total plan assets at end of year | 2022-04-30 | $0 |
| Total plan assets at beginning of year | 2022-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2022-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-04-30 | $0 |
| 2021 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-04-30 | $0 |
| Total plan assets at end of year | 2021-04-30 | $0 |
| Total plan assets at beginning of year | 2021-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2021-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-04-30 | $0 |
| 2020 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-04-30 | $0 |
| Total plan assets at end of year | 2020-04-30 | $0 |
| Total plan assets at beginning of year | 2020-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2020-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-04-30 | $0 |
| 2018 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-04-30 | $0 |
| Total plan assets at end of year | 2018-04-30 | $0 |
| Total plan assets at beginning of year | 2018-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2018-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-04-30 | $0 |
| 2017 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-04-30 | $0 |
| Total plan assets at end of year | 2017-04-30 | $0 |
| Total plan assets at beginning of year | 2017-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2017-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-04-30 | $0 |
| 2016 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-04-30 | $0 |
| Total plan assets at end of year | 2016-04-30 | $0 |
| Total plan assets at beginning of year | 2016-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2016-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-04-30 | $0 |
| 2015 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-04-30 | $0 |
| Total plan assets at end of year | 2015-04-30 | $0 |
| Total plan assets at beginning of year | 2015-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-04-30 | $0 |
| 2014 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-04-30 | $0 |
| Total plan assets at end of year | 2014-04-30 | $0 |
| Total plan assets at beginning of year | 2014-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2014-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-04-30 | $0 |
| 2013 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-04-30 | $0 |
| Total plan assets at end of year | 2013-04-30 | $0 |
| Total plan assets at beginning of year | 2013-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2013-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-04-30 | $0 |
| 2012 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-04-30 | $0 |
| Total plan assets at end of year | 2012-04-30 | $0 |
| Total plan assets at beginning of year | 2012-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2012-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-04-30 | $0 |
| 2011 : FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2011 401k financial data |
|---|
| Total plan assets at end of year | 2011-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-04-30 | $0 |
| 2022: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2022 form 5500 responses |
|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: FACTORY CONNECTION LLC FLEXIBLE BENEFITS CAFETERIA PLAN 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |
| MDLIVE (National Association of Insurance Commissioners NAIC id number: 52421 ) |
| Policy contract number | 8821973 |
| Policy instance | 2 |
| Insurance contract or identification number | 8821973 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $1,979 | | Other welfare benefits provided | TELEMEDICINE | | Welfare Benefit Premiums Paid to Carrier | USD $13,046 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,979 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 300 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 303 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 305 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 317 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | DISEASE MANAGEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $30,151 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 317 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | DISEASE MANAGEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $28,977 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 295 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC SERVICES | | Welfare Benefit Premiums Paid to Carrier | USD $26,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 272 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 27215 |
| Policy instance | 1 |
| Insurance contract or identification number | 27215 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
