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BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST
Plan identification number 092

BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST Benefits

No plan benefit data available

401k Sponsoring company profile

BLUE CROSS BLUE SHIELD OF MICHIGAN has sponsored the creation of one or more 401k plans.

Company Name:BLUE CROSS BLUE SHIELD OF MICHIGAN
Employer identification number (EIN):301140600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0922022-01-01
0922021-01-01
0922020-01-01

Financial Data on BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST

Measure Date Value
2022 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-303,239,910
Total unrealized appreciation/depreciation of assets2022-12-31$-303,239,910
Total transfer of assets from this plan2022-12-31$118,146,110
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,926,859
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,636,741
Total income from all sources (including contributions)2022-12-31$-284,148,514
Value of total assets at end of year2022-12-31$1,326,168,824
Value of total assets at beginning of year2022-12-31$1,728,173,330
Total interest from all sources2022-12-31$17,468,981
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$715,372
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$297,009
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$33,146,608
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$28,389,025
Assets. Loans (other than to participants) at beginning of year2022-12-31$6,666,746
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,926,859
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,636,741
Value of net income/loss2022-12-31$-284,148,514
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,324,241,965
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,726,536,589
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$250,860,569
Assets. partnership/joint venture interests at beginning of year2022-12-31$212,073,852
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$103,189,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$140,437,882
Income. Interest from loans (other than to participants)2022-12-31$13,756
Income. Interest from US Government securities2022-12-31$539,729
Income. Interest from corporate debt instruments2022-12-31$16,942,052
Value of interest in common/collective trusts at end of year2022-12-31$540,189,585
Value of interest in common/collective trusts at beginning of year2022-12-31$465,696,828
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$222,093
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$92,144,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$92,144,372
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$-26,556
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$5,918,085
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$61,933
Asset value of US Government securities at end of year2022-12-31$17,585,706
Asset value of US Government securities at beginning of year2022-12-31$105,816,234
Net investment gain or loss from common/collective trusts2022-12-31$907,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Income. Dividends from preferred stock2022-12-31$4,203
Income. Dividends from common stock2022-12-31$711,169
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$167,880,811
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$272,246,255
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$158,720,479
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$311,398,278
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$54,014,676
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$87,385,773
Did the plan have assets held for investment2022-12-31Yes
2021 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$172,891,795
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,636,741
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,077,603
Total income from all sources (including contributions)2021-12-31$100,060,023
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$1,728,173,330
Value of total assets at beginning of year2021-12-31$1,801,445,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$0
Total interest from all sources2021-12-31$22,505,734
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$755,212
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$28,389,025
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$50,092,336
Assets. Loans (other than to participants) at end of year2021-12-31$6,666,746
Assets. Loans (other than to participants) at beginning of year2021-12-31$9,864,152
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,636,741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,077,603
Other income not declared elsewhere2021-12-31$6,589,893
Value of net income/loss2021-12-31$100,060,023
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,726,536,589
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,799,368,361
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$212,073,852
Assets. partnership/joint venture interests at beginning of year2021-12-31$227,396,795
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$140,437,882
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$343,559,948
Income. Interest from loans (other than to participants)2021-12-31$278,020
Income. Interest from US Government securities2021-12-31$1,746,783
Income. Interest from corporate debt instruments2021-12-31$20,516,899
Value of interest in common/collective trusts at end of year2021-12-31$465,696,828
Value of interest in common/collective trusts at beginning of year2021-12-31$313,456,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$92,144,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$108,679,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$108,679,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$-35,968
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$5,918,085
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$0
Asset value of US Government securities at end of year2021-12-31$105,816,234
Asset value of US Government securities at beginning of year2021-12-31$97,181,881
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,445,661
Net investment gain/loss from pooled separate accounts2021-12-31$8,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Income. Dividends from common stock2021-12-31$755,212
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$272,246,255
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$274,290,122
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$311,398,278
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$288,619,508
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$87,385,773
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$88,304,501
Did the plan have assets held for investment2021-12-31Yes
2020 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$268,200,000
Total transfer of assets from this plan2020-12-31$80,079,006
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,077,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,754,751
Total income from all sources (including contributions)2020-12-31$152,133,244
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$0
Value of total assets at end of year2020-12-31$1,801,445,964
Value of total assets at beginning of year2020-12-31$1,464,868,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$0
Total interest from all sources2020-12-31$24,120,981
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$720,934
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31Yes
Amount of non-exempt transactions with any party-in-interest2020-12-31$50,861
Assets. Other investments not covered elsewhere at end of year2020-12-31$50,092,336
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$37,641,637
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$7,973,823
Assets. Loans (other than to participants) at end of year2020-12-31$9,864,152
Assets. Loans (other than to participants) at beginning of year2020-12-31$8,066,980
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,077,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$5,754,751
Other income not declared elsewhere2020-12-31$6,933,884
Value of net income/loss2020-12-31$152,133,244
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,799,368,361
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,459,114,123
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$227,396,795
Assets. partnership/joint venture interests at beginning of year2020-12-31$189,014,316
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$343,559,948
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$385,153,409
Income. Interest from loans (other than to participants)2020-12-31$364,792
Income. Interest from US Government securities2020-12-31$1,808,950
Income. Interest from corporate debt instruments2020-12-31$21,736,446
Value of interest in common/collective trusts at end of year2020-12-31$313,456,945
Value of interest in common/collective trusts at beginning of year2020-12-31$90,083,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$108,679,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$18,470,644
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$18,470,644
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$210,793
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$11,586,808
Asset value of US Government securities at end of year2020-12-31$97,181,881
Asset value of US Government securities at beginning of year2020-12-31$139,378,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Income. Dividends from common stock2020-12-31$720,934
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$274,290,122
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$241,957,576
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$288,619,508
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$272,335,083
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$88,304,501
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$63,206,325
Did the plan have assets held for investment2020-12-31Yes

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST

2022: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2022 form 5500 responses
2022-01-01Type of plan entityDFE (Diect Filing Entity)
2021: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2021 form 5500 responses
2021-01-01Type of plan entityDFE (Diect Filing Entity)
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2020: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2020 form 5500 responses
2020-01-01Type of plan entityDFE (Diect Filing Entity)
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number1605
Policy instance 1
Insurance contract or identification number1605
Number of Individuals Covered18
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number1605
Policy instance 1
Insurance contract or identification number1605
Number of Individuals Covered24
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number1605
Policy instance 1
Insurance contract or identification number1605
Number of Individuals Covered24
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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