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Plan Name | PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PREMERA BLUE CROSS |
Employer identification number (EIN): | 910499247 |
NAIC Classification: | 524140 |
Additional information about PREMERA BLUE CROSS
Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
Incorporation Date: | 1945-05-09 |
Company Identification Number: | 178099826 |
Legal Registered Office Address: |
711 CAPITOL WAY S STE 204 OLYMPIA United States of America (USA) 985011267 |
More information about PREMERA BLUE CROSS
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
503 | 2012-07-01 | LAURA PIERRON | |||
503 | 2011-07-01 | LAURA PIERRON | |||
503 | 2010-07-01 | LAURA PIERRON | |||
503 | 2009-07-01 | LAURA PIERRON | LAURA PIERRON | 2011-04-14 |
Measure | Date | Value |
---|---|---|
2012: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2012 401k membership | ||
Total participants, beginning-of-year | 2012-07-01 | 3,043 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 0 |
Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
Total of all active and inactive participants | 2012-07-01 | 0 |
2011: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2011 401k membership | ||
Total participants, beginning-of-year | 2011-07-01 | 2,970 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 3,043 |
Number of retired or separated participants receiving benefits | 2011-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
Total of all active and inactive participants | 2011-07-01 | 3,043 |
2010: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2010 401k membership | ||
Total participants, beginning-of-year | 2010-07-01 | 2,932 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 2,981 |
Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 0 |
Total of all active and inactive participants | 2010-07-01 | 2,981 |
2009: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2009 401k membership | ||
Total participants, beginning-of-year | 2009-07-01 | 3,020 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 2,944 |
Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 0 |
Total of all active and inactive participants | 2009-07-01 | 2,944 |
2012: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2012 form 5500 responses | ||
---|---|---|
2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Submission has been amended | Yes |
2012-07-01 | This submission is the final filing | Yes |
2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-07-01 | Plan is a collectively bargained plan | No |
2012-07-01 | Plan funding arrangement – Insurance | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2011: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2011 form 5500 responses | ||
2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Submission has been amended | No |
2011-07-01 | This submission is the final filing | No |
2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-07-01 | Plan is a collectively bargained plan | No |
2011-07-01 | Plan funding arrangement – Insurance | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2010: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2010 form 5500 responses | ||
2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Submission has been amended | No |
2010-07-01 | This submission is the final filing | No |
2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-07-01 | Plan is a collectively bargained plan | No |
2010-07-01 | Plan funding arrangement – Insurance | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2009: PREMERA BLUE CROSS GROUP LIFE, SUPP. LIFE, DEP. LIFE, SHORT TERM DISABILITY, AND LONG TERM DISABILITY PLAN 2009 form 5500 responses | ||
2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Submission has been amended | No |
2009-07-01 | This submission is the final filing | No |
2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-07-01 | Plan is a collectively bargained plan | No |
2009-07-01 | Plan funding arrangement – Insurance | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |