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| Plan Name | BLUE ORIGIN LLC WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BLUE, INC. |
| Employer identification number (EIN): | 911990284 |
| NAIC Classification: | 336410 |
Additional information about BLUE, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2000-09-08 |
| Company Identification Number: | 602064321 |
| Legal Registered Office Address: |
711 CAPITOL WAY S STE 204 OLYMPIA United States of America (USA) 985011267 |
More information about BLUE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 | PAUL DAUBER | 2022-10-06 |
| Measure | Date | Value |
|---|---|---|
| 2021: BLUE ORIGIN LLC WELFARE BENEFIT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 3,457 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 4,134 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 82 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 479 |
| Total of all active and inactive participants | 2021-01-01 | 4,695 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2021: BLUE ORIGIN LLC WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 224276-0001 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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