401k Plan data: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN plan

MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan Name	MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN
Plan identification number	012

MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

COLUMBIAN MUTUAL LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIAN MUTUAL LIFE INSURANCE COMPANY

Employer identification number (EIN): 150274455

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
012 2011-01-01 LESLEY FREY LESLEY FREY 2012-10-15
012 2010-01-01 JEFFREY KNIGHT JEFFREY KNIGHT 2011-10-15
012 2009-01-01 JEFFREY KNIGHT JEFFREY KNIGHT 2010-10-13
012 2009-01-01 JEFFREY KNIGHT JEFFREY KNIGHT 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
012	2011-01-01	LESLEY FREY	LESLEY FREY	2012-10-15
012	2010-01-01	JEFFREY KNIGHT	JEFFREY KNIGHT	2011-10-15
012	2009-01-01	JEFFREY KNIGHT	JEFFREY KNIGHT	2010-10-13
012	2009-01-01	JEFFREY KNIGHT	JEFFREY KNIGHT	2010-10-13

Plan Statistics for MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN

Measure Date Value
2011: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 16
Number of retired or separated participants receiving benefits 2010-01-01 74
Number of other retired or separated participants entitled to future benefits 2010-01-01 76
Total of all active and inactive participants 2010-01-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 24
Total participants 2010-01-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 48
Number of retired or separated participants receiving benefits 2009-01-01 66
Number of other retired or separated participants entitled to future benefits 2009-01-01 54
Total of all active and inactive participants 2009-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 23
Total participants 2009-01-01 191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2011: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	16
Number of retired or separated participants receiving benefits	2010-01-01	74
Number of other retired or separated participants entitled to future benefits	2010-01-01	76
Total of all active and inactive participants	2010-01-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	24
Total participants	2010-01-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	48
Number of retired or separated participants receiving benefits	2009-01-01	66
Number of other retired or separated participants entitled to future benefits	2009-01-01	54
Total of all active and inactive participants	2009-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	23
Total participants	2009-01-01	191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN

Measure	Date	Value
2011 : MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$7,868,181
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,830
Total income from all sources (including contributions)	2011-12-31	$468,099
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$702,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$642,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$528,279
Value of total assets at end of year	2011-12-31	$0
Value of total assets at beginning of year	2011-12-31	$8,104,822
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$60,314
Total interest from all sources	2011-12-31	$110,857
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$63,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$63,335
Administrative expenses professional fees incurred	2011-12-31	$7,500
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$6,571
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$5
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$1,830
Administrative expenses (other) incurred	2011-12-31	$44,383
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-234,811
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,102,992
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,744,807
Interest earned on other investments	2011-12-31	$110,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$551,952
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$551,952
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$38
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,808,058
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-234,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$521,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$642,596
Contract administrator fees	2011-12-31	$8,431
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	Yes
Aggregate proceeds on sale of assets	2011-12-31	$963,435
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$963,435
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DERMODY, BURKE & BROWN, CPAS, LLC
Accountancy firm EIN	2011-12-31	010723685
2010 : MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,830
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,764
Total income from all sources (including contributions)	2010-12-31	$1,252,037
Total loss/gain on sale of assets	2010-12-31	$-5,241
Total of all expenses incurred	2010-12-31	$679,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$615,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$555,670
Value of total assets at end of year	2010-12-31	$8,104,822
Value of total assets at beginning of year	2010-12-31	$7,532,540
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$64,667
Total interest from all sources	2010-12-31	$133,307
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$20,635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$20,635
Administrative expenses professional fees incurred	2010-12-31	$8,250
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$7,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$555,670
Amount contributed by the employer to the plan for this plan year	2010-12-31	$555,670
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$5
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$33
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$1,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$1,764
Administrative expenses (other) incurred	2010-12-31	$47,656
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$572,216
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,102,992
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,530,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,744,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,096,454
Interest earned on other investments	2010-12-31	$133,116
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$551,952
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,421,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,421,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$191
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,808,058
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,014,668
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$547,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$555,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$615,154
Contract administrator fees	2010-12-31	$8,761
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$2,081,468
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$2,086,709
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DERMODY, BURKE & BROWN, CPAS, LLC
Accountancy firm EIN	2010-12-31	010723685
2009 : MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN

2011: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MUTUAL OF DETROIT INSURANCE COMPANY EMPLOYEES RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COLUMBIAN MUTUAL LIFE INSURANCE COMPANY
Employer identification number (EIN):	150274455
NAIC Classification:	524140