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BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN
Plan identification number 004

BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.

401k Sponsoring company profile

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

Company Name:BLUE CROSS BLUE SHIELD MICHIGAN
Employer identification number (EIN):382069753
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042022-01-01
0042021-01-01
0042020-01-01
0042019-01-01
0042018-01-01
0042017-01-01DARRELL MIDDLETON CAROLYNN WALTON2018-10-10
0042016-01-01DARRELL MIDDLETON CAROLYNN WALTON2017-10-10
0042015-01-01DARRELL MIDDLETON CAROLYNN WALTON2016-10-12
0042014-01-01DARRELL MIDDLETON CAROLYNN WALTON2015-10-12
0042013-01-01DARRELL MIDDLETON CAROLYNN WALTON2014-10-13
0042012-01-01DARRELL MIDDLETON CAROLYNN WALTON2013-10-08
0042011-01-01DARRELL MIDDLETON CAROLYNN WALTON2012-10-15
0042009-01-01DARRELL E. MIDDLETON CAROLYNN WALTON2010-10-11
0042009-01-01CAROLYNN WALTON
0042009-01-01DARRELL MIDDLETON CAROLYNN WALTON2010-10-05

Plan Statistics for BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN

Measure Date Value
2022: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,994
Total number of active participants reported on line 7a of the Form 55002022-01-011,352
Number of retired or separated participants receiving benefits2022-01-0126
Number of other retired or separated participants entitled to future benefits2022-01-01438
Total of all active and inactive participants2022-01-011,816
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0114
Total participants2022-01-011,830
Number of participants with account balances2022-01-011,709
2021: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,117
Total number of active participants reported on line 7a of the Form 55002021-01-011,490
Number of retired or separated participants receiving benefits2021-01-0128
Number of other retired or separated participants entitled to future benefits2021-01-01464
Total of all active and inactive participants2021-01-011,982
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0112
Total participants2021-01-011,994
Number of participants with account balances2021-01-011,835
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,200
Total number of active participants reported on line 7a of the Form 55002020-01-011,674
Number of retired or separated participants receiving benefits2020-01-0114
Number of other retired or separated participants entitled to future benefits2020-01-01417
Total of all active and inactive participants2020-01-012,105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0112
Total participants2020-01-012,117
Number of participants with account balances2020-01-012,040
2019: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,316
Total number of active participants reported on line 7a of the Form 55002019-01-011,795
Number of retired or separated participants receiving benefits2019-01-0129
Number of other retired or separated participants entitled to future benefits2019-01-01385
Total of all active and inactive participants2019-01-012,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0111
Total participants2019-01-012,220
Number of participants with account balances2019-01-011,983
2018: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,586
Total number of active participants reported on line 7a of the Form 55002018-01-011,850
Number of retired or separated participants receiving benefits2018-01-0124
Number of other retired or separated participants entitled to future benefits2018-01-01431
Total of all active and inactive participants2018-01-012,305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0111
Total participants2018-01-012,316
Number of participants with account balances2018-01-012,228
2017: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,689
Total number of active participants reported on line 7a of the Form 55002017-01-012,138
Number of retired or separated participants receiving benefits2017-01-0121
Number of other retired or separated participants entitled to future benefits2017-01-01417
Total of all active and inactive participants2017-01-012,576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0110
Total participants2017-01-012,586
Number of participants with account balances2017-01-012,437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,821
Total number of active participants reported on line 7a of the Form 55002016-01-012,257
Number of retired or separated participants receiving benefits2016-01-0117
Number of other retired or separated participants entitled to future benefits2016-01-01405
Total of all active and inactive participants2016-01-012,679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0110
Total participants2016-01-012,689
Number of participants with account balances2016-01-012,479
2015: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,881
Total number of active participants reported on line 7a of the Form 55002015-01-012,675
Number of retired or separated participants receiving benefits2015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-01404
Total of all active and inactive participants2015-01-013,092
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-018
Total participants2015-01-013,100
Number of participants with account balances2015-01-012,821
2014: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,068
Total number of active participants reported on line 7a of the Form 55002014-01-012,699
Number of retired or separated participants receiving benefits2014-01-0112
Number of other retired or separated participants entitled to future benefits2014-01-01390
Total of all active and inactive participants2014-01-013,101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-018
Total participants2014-01-013,109
Number of participants with account balances2014-01-012,881
2013: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,986
Total number of active participants reported on line 7a of the Form 55002013-01-012,668
Number of retired or separated participants receiving benefits2013-01-0113
Number of other retired or separated participants entitled to future benefits2013-01-01377
Total of all active and inactive participants2013-01-013,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-0110
Total participants2013-01-013,068
Number of participants with account balances2013-01-012,809
2012: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,681
Total number of active participants reported on line 7a of the Form 55002012-01-012,612
Number of retired or separated participants receiving benefits2012-01-0123
Number of other retired or separated participants entitled to future benefits2012-01-01343
Total of all active and inactive participants2012-01-012,978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-018
Total participants2012-01-012,986
Number of participants with account balances2012-01-012,757
2011: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,053
Total number of active participants reported on line 7a of the Form 55002011-01-012,631
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-0149
Total of all active and inactive participants2011-01-012,681
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-012,681
Number of participants with account balances2011-01-012,330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,827
Total number of active participants reported on line 7a of the Form 55002009-01-012,745
Number of retired or separated participants receiving benefits2009-01-0122
Number of other retired or separated participants entitled to future benefits2009-01-01498
Total of all active and inactive participants2009-01-013,265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-017
Total participants2009-01-013,272
Number of participants with account balances2009-01-013,163

Financial Data on BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN

Measure Date Value
2022 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2022 401k financial data
Total transfer of assets from this plan2022-12-31$5,189,798
Total income from all sources (including contributions)2022-12-31$-13,496,464
Total of all expenses incurred2022-12-31$15,268,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$15,216,707
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$6,487,504
Value of total assets at end of year2022-12-31$102,770,302
Value of total assets at beginning of year2022-12-31$136,725,452
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$52,181
Total interest from all sources2022-12-31$250,187
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$52,181
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$40,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$4,534,322
Participant contributions at end of year2022-12-31$5,566,442
Participant contributions at beginning of year2022-12-31$6,099,734
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$117,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-28,765,352
Value of net assets at end of year (total assets less liabilities)2022-12-31$102,770,302
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$136,725,452
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
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
Interest on participant loans2022-12-31$250,187
Value of interest in master investment trust accounts at end of year2022-12-31$97,203,860
Value of interest in master investment trust accounts at beginning of year2022-12-31$130,625,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,836,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$15,216,707
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GJC CPA'S & ADVISORS
Accountancy firm EIN2022-12-31382029668
2021 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$3,088,633
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$23,748,651
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$20,873,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$20,789,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,755,338
Value of total assets at end of year2021-12-31$136,725,452
Value of total assets at beginning of year2021-12-31$136,939,176
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$84,068
Total interest from all sources2021-12-31$332,278
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$84,068
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$40,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$5,176,453
Participant contributions at end of year2021-12-31$6,099,734
Participant contributions at beginning of year2021-12-31$7,384,102
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$422,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,874,909
Value of net assets at end of year (total assets less liabilities)2021-12-31$136,725,452
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$136,939,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
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
Interest on participant loans2021-12-31$332,278
Value of interest in master investment trust accounts at end of year2021-12-31$130,625,718
Value of interest in master investment trust accounts at beginning of year2021-12-31$129,555,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2,156,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$20,789,674
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2021-12-31382029668
2020 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets from this plan2020-12-31$2,088,016
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$26,679,790
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$9,478,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$9,386,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$8,551,179
Value of total assets at end of year2020-12-31$136,939,176
Value of total assets at beginning of year2020-12-31$121,826,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$92,211
Total interest from all sources2020-12-31$415,339
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$92,211
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$40,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$5,968,627
Participant contributions at end of year2020-12-31$7,384,102
Participant contributions at beginning of year2020-12-31$8,140,495
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$125,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$17,200,993
Value of net assets at end of year (total assets less liabilities)2020-12-31$136,939,176
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$121,826,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
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
Interest on participant loans2020-12-31$415,339
Value of interest in master investment trust accounts at end of year2020-12-31$129,555,074
Value of interest in master investment trust accounts at beginning of year2020-12-31$113,685,704
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,456,995
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$9,386,586
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2020-12-31382029668
2019 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets from this plan2019-12-31$1,853,901
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$27,770,996
Total income from all sources (including contributions)2019-12-31$27,770,996
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$15,282,921
Total of all expenses incurred2019-12-31$15,282,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,168,387
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,168,387
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,948,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,948,032
Value of total assets at end of year2019-12-31$121,826,199
Value of total assets at end of year2019-12-31$121,826,199
Value of total assets at beginning of year2019-12-31$111,192,025
Value of total assets at beginning of year2019-12-31$111,192,025
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$114,534
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$114,534
Total interest from all sources2019-12-31$440,490
Total interest from all sources2019-12-31$440,490
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$114,534
Administrative expenses professional fees incurred2019-12-31$114,534
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$40,000,000
Value of fidelity bond cover2019-12-31$40,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$5,483,753
Contributions received from participants2019-12-31$5,483,753
Participant contributions at end of year2019-12-31$8,140,495
Participant contributions at end of year2019-12-31$8,140,495
Participant contributions at beginning of year2019-12-31$8,833,734
Participant contributions at beginning of year2019-12-31$8,833,734
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$123,707
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$123,707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$12,488,075
Value of net income/loss2019-12-31$12,488,075
Value of net assets at end of year (total assets less liabilities)2019-12-31$121,826,199
Value of net assets at end of year (total assets less liabilities)2019-12-31$121,826,199
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$111,192,025
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$111,192,025
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest on participant loans2019-12-31$440,490
Interest on participant loans2019-12-31$440,490
Value of interest in master investment trust accounts at end of year2019-12-31$113,685,704
Value of interest in master investment trust accounts at end of year2019-12-31$113,685,704
Value of interest in master investment trust accounts at beginning of year2019-12-31$102,358,291
Value of interest in master investment trust accounts at beginning of year2019-12-31$102,358,291
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,340,572
Contributions received in cash from employer2019-12-31$2,340,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,168,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,168,387
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm name2019-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2019-12-31382029668
Accountancy firm EIN2019-12-31382029668
2018 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets from this plan2018-12-31$1,072,485
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$4,376,325
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$14,221,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,091,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$7,868,697
Value of total assets at end of year2018-12-31$111,192,025
Value of total assets at beginning of year2018-12-31$122,109,471
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$130,138
Total interest from all sources2018-12-31$429,924
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$130,138
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$40,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,498,323
Participant contributions at end of year2018-12-31$8,833,734
Participant contributions at beginning of year2018-12-31$8,922,263
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$61,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-9,844,961
Value of net assets at end of year (total assets less liabilities)2018-12-31$111,192,025
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$122,109,471
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest on participant loans2018-12-31$429,924
Value of interest in master investment trust accounts at end of year2018-12-31$102,358,291
Value of interest in master investment trust accounts at beginning of year2018-12-31$113,187,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,309,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$14,091,148
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2018-12-31382029668
2017 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets from this plan2017-12-31$919,908
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$23,674,524
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$11,092,397
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$10,971,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,389,706
Value of total assets at end of year2017-12-31$122,109,471
Value of total assets at beginning of year2017-12-31$110,447,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$120,450
Total interest from all sources2017-12-31$380,736
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$120,450
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$40,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$5,671,661
Participant contributions at end of year2017-12-31$8,922,263
Participant contributions at beginning of year2017-12-31$8,759,314
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$337,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$12,582,127
Value of net assets at end of year (total assets less liabilities)2017-12-31$122,109,471
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$110,447,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest on participant loans2017-12-31$380,736
Value of interest in master investment trust accounts at end of year2017-12-31$113,187,208
Value of interest in master investment trust accounts at beginning of year2017-12-31$101,687,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,380,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$10,971,947
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2017-12-31382029668
2016 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets from this plan2016-12-31$13,077,059
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$14,306,740
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$12,982,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$12,874,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,744,580
Value of total assets at end of year2016-12-31$110,447,252
Value of total assets at beginning of year2016-12-31$122,199,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$107,949
Total interest from all sources2016-12-31$367,671
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$107,949
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$40,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,107,264
Participant contributions at end of year2016-12-31$8,759,314
Participant contributions at beginning of year2016-12-31$9,971,716
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$63,325
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,324,679
Value of net assets at end of year (total assets less liabilities)2016-12-31$110,447,252
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$122,199,632
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest on participant loans2016-12-31$367,671
Value of interest in master investment trust accounts at end of year2016-12-31$101,687,938
Value of interest in master investment trust accounts at beginning of year2016-12-31$112,227,916
Net investment gain/loss from pooled separate accounts2016-12-31$5,194,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,573,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$12,874,112
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2016-12-31382029668
2015 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets from this plan2015-12-31$1,473,823
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$10,577,303
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$12,597,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$12,476,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,703,911
Value of total assets at end of year2015-12-31$122,199,632
Value of total assets at beginning of year2015-12-31$125,694,008
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$121,324
Total interest from all sources2015-12-31$397,512
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$121,324
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$40,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,765,220
Participant contributions at end of year2015-12-31$9,971,716
Participant contributions at beginning of year2015-12-31$10,133,768
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$121,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,020,553
Value of net assets at end of year (total assets less liabilities)2015-12-31$122,199,632
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$125,694,008
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Interest on participant loans2015-12-31$397,512
Value of interest in master investment trust accounts at end of year2015-12-31$112,227,916
Value of interest in master investment trust accounts at beginning of year2015-12-31$115,560,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,817,353
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$12,476,532
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2015-12-31382029668
2014 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets from this plan2014-12-31$1,421,286
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$15,775,935
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$10,220,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$10,220,172
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,724,215
Value of total assets at end of year2014-12-31$125,694,008
Value of total assets at beginning of year2014-12-31$121,559,531
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$0
Total interest from all sources2014-12-31$392,459
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$25,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$6,716,465
Participant contributions at end of year2014-12-31$10,133,768
Participant contributions at beginning of year2014-12-31$10,071,211
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$202,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$5,555,763
Value of net assets at end of year (total assets less liabilities)2014-12-31$125,694,008
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$121,559,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Interest on participant loans2014-12-31$392,459
Value of interest in master investment trust accounts at end of year2014-12-31$115,560,240
Value of interest in master investment trust accounts at beginning of year2014-12-31$111,488,320
Net investment gain/loss from pooled separate accounts2014-12-31$5,659,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,805,354
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$10,220,172
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31GEORGE JOHNSON
Accountancy firm EIN2014-12-31382029668
2013 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$1,411,637
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$25,154,410
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$9,818,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,818,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$9,633,522
Value of total assets at end of year2013-12-31$121,559,531
Value of total assets at beginning of year2013-12-31$107,634,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$390,950
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$25,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$6,640,507
Participant contributions at end of year2013-12-31$10,071,211
Participant contributions at beginning of year2013-12-31$9,873,279
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$185,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$15,336,408
Value of net assets at end of year (total assets less liabilities)2013-12-31$121,559,531
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$107,634,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest on participant loans2013-12-31$390,950
Value of interest in master investment trust accounts at end of year2013-12-31$111,488,320
Value of interest in master investment trust accounts at beginning of year2013-12-31$97,761,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,807,392
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$9,818,002
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2013-12-31382029668
2012 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets from this plan2012-12-31$767,999
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$18,698,577
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$8,358,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,358,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$9,890,623
Value of total assets at end of year2012-12-31$107,634,760
Value of total assets at beginning of year2012-12-31$98,062,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$396,493
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$25,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$6,769,779
Participant contributions at end of year2012-12-31$9,873,279
Participant contributions at beginning of year2012-12-31$9,619,861
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$146,998
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$10,340,073
Value of net assets at end of year (total assets less liabilities)2012-12-31$107,634,760
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$98,062,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest on participant loans2012-12-31$396,493
Value of interest in master investment trust accounts at end of year2012-12-31$97,761,481
Value of interest in master investment trust accounts at beginning of year2012-12-31$88,442,825
Net investment gain/loss from pooled separate accounts2012-12-31$8,411,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,973,846
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$8,358,504
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2012-12-31382029668
2011 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets from this plan2011-12-31$1,116,798
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$0
Total income from all sources (including contributions)2011-12-31$8,962,033
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$8,276,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$8,276,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,935,817
Value of total assets at end of year2011-12-31$98,062,686
Value of total assets at beginning of year2011-12-31$98,494,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$420,215
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$25,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$6,867,278
Participant contributions at end of year2011-12-31$9,619,861
Participant contributions at beginning of year2011-12-31$9,301,259
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$78,519
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$685,237
Value of net assets at end of year (total assets less liabilities)2011-12-31$98,062,686
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$98,494,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest on participant loans2011-12-31$420,215
Value of interest in master investment trust accounts at end of year2011-12-31$88,442,825
Value of interest in master investment trust accounts at beginning of year2011-12-31$89,192,988
Net investment gain/loss from pooled separate accounts2011-12-31$-1,393,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,990,020
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$8,276,796
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2011-12-31382029668
2010 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets from this plan2010-12-31$1,065,289
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$17,245,221
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$11,458,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$11,458,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$9,280,452
Value of total assets at end of year2010-12-31$98,494,247
Value of total assets at beginning of year2010-12-31$93,772,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$431,266
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$25,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$6,399,417
Participant contributions at end of year2010-12-31$9,301,259
Participant contributions at beginning of year2010-12-31$8,929,623
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$38,717
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$54,087
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$5,787,146
Value of net assets at end of year (total assets less liabilities)2010-12-31$98,494,247
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$93,772,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Interest on participant loans2010-12-31$431,266
Value of interest in master investment trust accounts at end of year2010-12-31$89,192,988
Value of interest in master investment trust accounts at beginning of year2010-12-31$84,788,045
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,826,948
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$16,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$11,458,075
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31GEORGE JOHNSON AND COMPANY
Accountancy firm EIN2010-12-31382029668
2009 : BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN

2022: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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 planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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 planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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