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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 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 EMPLOYEES' MASTER RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0922019-01-01
0922018-01-01
0922017-01-01DARRELL MIDDLETON CAROLYNN WALTON2018-10-10
0922016-01-01DARRELL MIDDLETON CAROLYNN WALTON2017-10-10
0922015-01-01DARRELL MIDDLETON CAROLYNN WALTON2016-10-11
0922014-01-01DARRELL MIDDLETON CAROLYNN WALTON2015-10-12
0922013-01-01DARRELL MIDDLETON CAROLYNN WALTON2014-10-13
0922012-01-01DARRELL MIDDLETON CAROLYNN WALTON2013-10-08
0922011-01-01DARRELL MIDDLETON CAROLYNN WALTON2012-10-09
0922009-01-012010-10-05

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

Measure Date Value
2019 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 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 to this plan2019-12-31$20,000,000
Total transfer of assets to this plan2019-12-31$20,000,000
Total transfer of assets from this plan2019-12-31$106,813,547
Total transfer of assets from this plan2019-12-31$106,813,547
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,754,751
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,754,751
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,409,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,409,150
Total income from all sources (including contributions)2019-12-31$251,766,300
Total income from all sources (including contributions)2019-12-31$251,766,300
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$0
Total of all expenses incurred2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Value of total assets at end of year2019-12-31$1,464,868,874
Value of total assets at end of year2019-12-31$1,464,868,874
Value of total assets at beginning of year2019-12-31$1,295,570,520
Value of total assets at beginning of year2019-12-31$1,295,570,520
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$26,542,075
Total interest from all sources2019-12-31$26,542,075
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$700,958
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$700,958
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$74,994
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$74,994
Were there any nonexempt tranactions with any party-in-interest2019-12-31Yes
Amount of non-exempt transactions with any party-in-interest2019-12-31$50,861
Assets. Other investments not covered elsewhere at end of year2019-12-31$37,641,637
Assets. Other investments not covered elsewhere at end of year2019-12-31$37,641,637
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$25,141,056
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$25,141,056
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$7,973,823
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$7,973,823
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$11,804,469
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$11,804,469
Assets. Loans (other than to participants) at end of year2019-12-31$8,066,980
Assets. Loans (other than to participants) at end of year2019-12-31$8,066,980
Assets. Loans (other than to participants) at beginning of year2019-12-31$5,878,081
Assets. Loans (other than to participants) at beginning of year2019-12-31$5,878,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$5,754,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$5,754,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,409,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,409,150
Other income not declared elsewhere2019-12-31$4,342,969
Other income not declared elsewhere2019-12-31$4,342,969
Value of net income/loss2019-12-31$251,766,300
Value of net income/loss2019-12-31$251,766,300
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,459,114,123
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,294,161,370
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,294,161,370
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
Assets. partnership/joint venture interests at end of year2019-12-31$189,014,316
Assets. partnership/joint venture interests at end of year2019-12-31$189,014,316
Assets. partnership/joint venture interests at beginning of year2019-12-31$202,405,057
Assets. partnership/joint venture interests at beginning of year2019-12-31$202,405,057
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$385,153,409
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$385,153,409
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$325,880,799
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$325,880,799
Income. Interest from loans (other than to participants)2019-12-31$421,934
Income. Interest from loans (other than to participants)2019-12-31$421,934
Income. Interest from US Government securities2019-12-31$2,639,745
Income. Interest from US Government securities2019-12-31$2,639,745
Income. Interest from corporate debt instruments2019-12-31$22,915,363
Income. Interest from corporate debt instruments2019-12-31$22,915,363
Value of interest in common/collective trusts at end of year2019-12-31$90,083,491
Value of interest in common/collective trusts at end of year2019-12-31$90,083,491
Value of interest in common/collective trusts at beginning of year2019-12-31$87,085,358
Value of interest in common/collective trusts at beginning of year2019-12-31$87,085,358
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$18,470,644
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$18,470,644
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$29,051,626
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$29,051,626
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$29,051,626
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$29,051,626
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$565,033
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$565,033
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$11,586,808
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$12,828,374
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$12,828,374
Asset value of US Government securities at end of year2019-12-31$139,378,782
Asset value of US Government securities at end of year2019-12-31$139,378,782
Asset value of US Government securities at beginning of year2019-12-31$110,095,907
Asset value of US Government securities at beginning of year2019-12-31$110,095,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Income. Dividends from preferred stock2019-12-31$12,477
Income. Dividends from preferred stock2019-12-31$12,477
Income. Dividends from common stock2019-12-31$688,481
Income. Dividends from common stock2019-12-31$688,481
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$241,957,576
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$241,957,576
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$189,798,909
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$189,798,909
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$272,335,083
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$272,335,083
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$248,806,146
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$248,806,146
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$63,206,325
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$63,206,325
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$46,719,744
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$46,719,744
Did the plan have assets held for investment2019-12-31Yes
2018 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$121,500,000
Total transfer of assets from this plan2018-12-31$195,278,393
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,409,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,396,785
Total income from all sources (including contributions)2018-12-31$30,926,870
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$1,295,570,520
Value of total assets at beginning of year2018-12-31$1,338,409,678
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$25,280,146
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$612,551
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$74,994
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$5,406
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Assets. Other investments not covered elsewhere at end of year2018-12-31$25,141,056
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$30,297,978
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$11,804,469
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$7,477,103
Assets. Loans (other than to participants) at end of year2018-12-31$5,878,081
Assets. Loans (other than to participants) at beginning of year2018-12-31$4,418,044
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,409,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,396,785
Other income not declared elsewhere2018-12-31$5,034,173
Value of net income/loss2018-12-31$30,926,870
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,294,161,370
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,337,012,893
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
Assets. partnership/joint venture interests at end of year2018-12-31$202,405,057
Assets. partnership/joint venture interests at beginning of year2018-12-31$204,583,095
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$325,880,799
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$346,370,512
Income. Interest from loans (other than to participants)2018-12-31$311,338
Income. Interest from US Government securities2018-12-31$2,185,628
Income. Interest from corporate debt instruments2018-12-31$22,198,567
Value of interest in common/collective trusts at end of year2018-12-31$87,085,358
Value of interest in common/collective trusts at beginning of year2018-12-31$79,277,084
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$29,051,626
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$46,506,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$46,506,235
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$584,613
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$12,828,374
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$14,114,593
Asset value of US Government securities at end of year2018-12-31$110,095,907
Asset value of US Government securities at beginning of year2018-12-31$92,660,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Income. Dividends from preferred stock2018-12-31$1,247
Income. Dividends from common stock2018-12-31$611,304
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$189,798,909
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$181,540,176
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$248,806,146
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$269,377,390
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$46,719,744
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$61,781,175
Did the plan have assets held for investment2018-12-31Yes
2017 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$126,615,966
Total unrealized appreciation/depreciation of assets2017-12-31$126,615,966
Total transfer of assets to this plan2017-12-31$88,000,000
Total transfer of assets from this plan2017-12-31$87,516,721
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,396,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,272,523
Total income from all sources (including contributions)2017-12-31$175,714,884
Total loss/gain on sale of assets2017-12-31$4,965,860
Total of all expenses incurred2017-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$1,338,409,678
Value of total assets at beginning of year2017-12-31$1,163,087,253
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$29,463,985
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$554,480
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$5,406
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$120,781
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Assets. Other investments not covered elsewhere at end of year2017-12-31$62,869,234
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$39,478,555
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$7,477,103
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$7,163,258
Assets. Loans (other than to participants) at end of year2017-12-31$4,418,044
Assets. Loans (other than to participants) at beginning of year2017-12-31$137,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,396,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,272,523
Other income not declared elsewhere2017-12-31$7,017,022
Value of net income/loss2017-12-31$175,714,884
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,337,012,893
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,160,814,730
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
Assets. partnership/joint venture interests at end of year2017-12-31$204,583,095
Assets. partnership/joint venture interests at beginning of year2017-12-31$128,429,322
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$346,370,512
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$387,200,055
Income. Interest from loans (other than to participants)2017-12-31$130,772
Interest earned on other investments2017-12-31$5,633,380
Income. Interest from US Government securities2017-12-31$2,324,635
Income. Interest from corporate debt instruments2017-12-31$21,124,309
Value of interest in common/collective trusts at end of year2017-12-31$46,506,235
Value of interest in common/collective trusts at beginning of year2017-12-31$35,699,837
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$46,506,235
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$250,889
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$14,114,593
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$14,560,728
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$199,593
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$236,808
Asset value of US Government securities at end of year2017-12-31$92,660,887
Asset value of US Government securities at beginning of year2017-12-31$98,666,862
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$7,097,571
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Income. Dividends from preferred stock2017-12-31$5,043
Income. Dividends from common stock2017-12-31$549,437
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$181,540,176
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$171,832,315
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$269,377,390
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$229,399,599
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$61,781,175
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$50,161,280
Did the plan have assets held for investment2017-12-31Yes
Aggregate proceeds on sale of assets2017-12-31$704,922,225
Aggregate carrying amount (costs) on sale of assets2017-12-31$699,956,365
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 & COMPANY
Accountancy firm EIN2017-12-31382029668
2016 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$36,419,671
Total unrealized appreciation/depreciation of assets2016-12-31$36,419,671
Total transfer of assets to this plan2016-12-31$5,000,000
Total transfer of assets from this plan2016-12-31$84,147,210
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,272,523
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,352,536
Total income from all sources (including contributions)2016-12-31$95,421,691
Total loss/gain on sale of assets2016-12-31$16,656,147
Total of all expenses incurred2016-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$1,163,087,253
Value of total assets at beginning of year2016-12-31$1,146,892,785
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$28,563,268
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,534,263
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$120,781
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Assets. Other investments not covered elsewhere at end of year2016-12-31$39,478,555
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$12,254,573
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$7,163,258
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$7,646,602
Assets. Loans (other than to participants) at end of year2016-12-31$137,853
Assets. Loans (other than to participants) at beginning of year2016-12-31$461,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,272,523
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,352,536
Other income not declared elsewhere2016-12-31$377,855
Value of net income/loss2016-12-31$95,421,691
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,160,814,730
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,144,540,249
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
Assets. partnership/joint venture interests at end of year2016-12-31$128,429,322
Assets. partnership/joint venture interests at beginning of year2016-12-31$131,878,167
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$387,200,055
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$318,157,726
Income. Interest from loans (other than to participants)2016-12-31$40,999
Interest earned on other investments2016-12-31$6,742,729
Income. Interest from US Government securities2016-12-31$1,564,938
Income. Interest from corporate debt instruments2016-12-31$20,099,565
Value of interest in common/collective trusts at end of year2016-12-31$35,699,837
Value of interest in common/collective trusts at beginning of year2016-12-31$55,393,899
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$115,037
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$14,560,728
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$10,236,172
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$236,808
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$280,101
Asset value of US Government securities at end of year2016-12-31$98,666,862
Asset value of US Government securities at beginning of year2016-12-31$101,570,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$11,870,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Income. Dividends from preferred stock2016-12-31$3,724
Income. Dividends from common stock2016-12-31$1,530,539
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$171,832,315
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$151,095,654
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$229,399,599
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$198,597,296
Contract administrator fees2016-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$50,161,280
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$159,320,522
Did the plan have assets held for investment2016-12-31Yes
Aggregate proceeds on sale of assets2016-12-31$933,902,308
Aggregate carrying amount (costs) on sale of assets2016-12-31$917,246,161
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2016-12-31382029668
2015 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-24,266,203
Total unrealized appreciation/depreciation of assets2015-12-31$-24,266,203
Total transfer of assets to this plan2015-12-31$10,100,000
Total transfer of assets from this plan2015-12-31$76,918,102
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,352,536
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,589,043
Total income from all sources (including contributions)2015-12-31$-13,338,733
Total loss/gain on sale of assets2015-12-31$-13,203,723
Total of all expenses incurred2015-12-31$3,397,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$1,146,892,785
Value of total assets at beginning of year2015-12-31$1,229,683,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,397,447
Total interest from all sources2015-12-31$27,414,965
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,594,759
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$12,254,573
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$25,835,374
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$7,646,602
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$11,581,411
Assets. Loans (other than to participants) at end of year2015-12-31$461,598
Assets. Loans (other than to participants) at beginning of year2015-12-31$2,344,914
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$2,352,536
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,589,043
Value of net income/loss2015-12-31$-16,736,180
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,144,540,249
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,228,094,531
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
Assets. partnership/joint venture interests at end of year2015-12-31$131,878,167
Assets. partnership/joint venture interests at beginning of year2015-12-31$61,977,270
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$318,157,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$167,249,945
Income. Interest from loans (other than to participants)2015-12-31$59,265
Interest earned on other investments2015-12-31$7,087,648
Income. Interest from US Government securities2015-12-31$788,111
Income. Interest from corporate debt instruments2015-12-31$19,458,610
Value of interest in common/collective trusts at end of year2015-12-31$55,393,899
Value of interest in common/collective trusts at beginning of year2015-12-31$233,150,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$21,331
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$10,236,172
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$14,650,771
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$280,101
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$327,264
Asset value of US Government securities at end of year2015-12-31$101,570,475
Asset value of US Government securities at beginning of year2015-12-31$90,300,745
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-4,878,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Income. Dividends from common stock2015-12-31$1,594,759
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$151,095,654
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$175,721,942
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$198,597,296
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$202,992,326
Contract administrator fees2015-12-31$3,397,447
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$159,320,522
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$243,551,174
Did the plan have assets held for investment2015-12-31Yes
Aggregate proceeds on sale of assets2015-12-31$734,471,176
Aggregate carrying amount (costs) on sale of assets2015-12-31$747,674,899
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 AND COMPANY
Accountancy firm EIN2015-12-31382029668
2014 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$57,374,912
Total unrealized appreciation/depreciation of assets2014-12-31$57,374,912
Total transfer of assets to this plan2014-12-31$50,000,000
Total transfer of assets from this plan2014-12-31$114,670,060
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,589,043
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$20,642,314
Total income from all sources (including contributions)2014-12-31$113,672,920
Total loss/gain on sale of assets2014-12-31$10,896,891
Total of all expenses incurred2014-12-31$3,114,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$1,229,683,574
Value of total assets at beginning of year2014-12-31$1,202,848,357
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,114,372
Total interest from all sources2014-12-31$23,673,982
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$2,798,117
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$436,064
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$314,226
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$25,835,374
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$23,706,550
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$11,581,411
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$18,346,307
Assets. Loans (other than to participants) at end of year2014-12-31$2,344,914
Assets. Loans (other than to participants) at beginning of year2014-12-31$333,218
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,589,043
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$20,642,314
Value of net income/loss2014-12-31$110,558,548
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,228,094,531
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,182,206,043
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
Assets. partnership/joint venture interests at end of year2014-12-31$61,977,270
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$167,249,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$323,786,289
Income. Interest from loans (other than to participants)2014-12-31$94,464
Interest earned on other investments2014-12-31$3,679,891
Income. Interest from US Government securities2014-12-31$957,908
Income. Interest from corporate debt instruments2014-12-31$18,939,715
Value of interest in common/collective trusts at end of year2014-12-31$233,150,438
Value of interest in common/collective trusts at beginning of year2014-12-31$77,234,524
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$2,004
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$14,650,771
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$33,484,773
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$327,264
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$392,311
Asset value of US Government securities at end of year2014-12-31$90,300,745
Asset value of US Government securities at beginning of year2014-12-31$103,085,465
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$18,929,018
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Income. Dividends from preferred stock2014-12-31$23,158
Income. Dividends from common stock2014-12-31$2,338,895
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$175,721,942
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$147,829,895
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$202,992,326
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$157,763,109
Contract administrator fees2014-12-31$3,114,372
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$243,551,174
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$316,571,690
Did the plan have assets held for investment2014-12-31Yes
Aggregate proceeds on sale of assets2014-12-31$941,532,013
Aggregate carrying amount (costs) on sale of assets2014-12-31$930,635,122
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
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 EMPLOYEES' MASTER RETIREMENT TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$43,759,391
Total unrealized appreciation/depreciation of assets2013-12-31$43,759,391
Total transfer of assets to this plan2013-12-31$39,450,000
Total transfer of assets from this plan2013-12-31$61,525,871
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$20,642,314
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,760,028
Total income from all sources (including contributions)2013-12-31$167,624,551
Total loss/gain on sale of assets2013-12-31$42,723,389
Total of all expenses incurred2013-12-31$3,020,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$1,202,848,357
Value of total assets at beginning of year2013-12-31$1,042,437,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,020,029
Total interest from all sources2013-12-31$15,844,753
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$3,396,080
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,623
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$314,226
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$323,129
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$23,706,550
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$24,923,807
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$18,346,307
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$5,491,978
Assets. Loans (other than to participants) at end of year2013-12-31$333,218
Assets. Loans (other than to participants) at beginning of year2013-12-31$480,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$20,642,314
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$2,760,028
Value of net income/loss2013-12-31$164,604,522
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,182,206,043
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,039,677,392
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$323,786,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$352,063,445
Value of interest in pooled separate accounts at beginning of year2013-12-31$0
Income. Interest from loans (other than to participants)2013-12-31$87,505
Interest earned on other investments2013-12-31$1,686,285
Income. Interest from US Government securities2013-12-31$1,799,935
Income. Interest from corporate debt instruments2013-12-31$12,262,562
Value of interest in common/collective trusts at end of year2013-12-31$77,234,524
Value of interest in common/collective trusts at beginning of year2013-12-31$31,619,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$8,466
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$33,484,773
Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$17,881,552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$392,311
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$478,078
Asset value of US Government securities at end of year2013-12-31$103,085,465
Asset value of US Government securities at beginning of year2013-12-31$98,335,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$61,900,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Income. Dividends from preferred stock2013-12-31$3,370,427
Income. Dividends from common stock2013-12-31$23,030
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$147,829,895
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$94,938,197
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$157,763,109
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$127,242,890
Contract administrator fees2013-12-31$3,020,029
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$316,571,690
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$288,659,112
Did the plan have assets held for investment2013-12-31Yes
Aggregate proceeds on sale of assets2013-12-31$740,626,501
Aggregate carrying amount (costs) on sale of assets2013-12-31$697,903,112
2012 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$43,886,260
Total unrealized appreciation/depreciation of assets2012-12-31$43,886,260
Total transfer of assets to this plan2012-12-31$96,400,000
Total transfer of assets from this plan2012-12-31$54,487,837
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,760,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,503,495
Total income from all sources (including contributions)2012-12-31$133,875,237
Total loss/gain on sale of assets2012-12-31$18,501,707
Total of all expenses incurred2012-12-31$2,523,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$1,042,437,420
Value of total assets at beginning of year2012-12-31$867,916,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,523,284
Total interest from all sources2012-12-31$15,181,226
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$5,711,018
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$323,129
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$235,842
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$24,923,807
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$17,796,105
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$5,491,978
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$5,571,200
Assets. Loans (other than to participants) at end of year2012-12-31$480,367
Assets. Loans (other than to participants) at beginning of year2012-12-31$1,105,266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$2,760,028
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$1,503,495
Value of net income/loss2012-12-31$131,351,953
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,039,677,392
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$866,413,276
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$352,063,445
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$271,357,142
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Income. Interest from loans (other than to participants)2012-12-31$141,822
Interest earned on other investments2012-12-31$1,785,178
Income. Interest from US Government securities2012-12-31$1,947,068
Income. Interest from corporate debt instruments2012-12-31$11,265,345
Value of interest in common/collective trusts at end of year2012-12-31$31,619,819
Value of interest in common/collective trusts at beginning of year2012-12-31$83,667,510
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$41,813
Assets. Value of investments in 103.12 investment entities at end of year2012-12-31$17,881,552
Assets. Value of investments in 103.12 investment entities at beginning of year2012-12-31$8,943,753
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$478,078
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$580,865
Asset value of US Government securities at end of year2012-12-31$98,335,046
Asset value of US Government securities at beginning of year2012-12-31$99,065,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$50,595,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Income. Dividends from preferred stock2012-12-31$5,687,988
Income. Dividends from common stock2012-12-31$23,030
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$94,938,197
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$69,681,955
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$127,242,890
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$102,348,277
Contract administrator fees2012-12-31$2,523,284
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$288,659,112
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$207,563,594
Did the plan have assets held for investment2012-12-31Yes
Aggregate proceeds on sale of assets2012-12-31$674,111,834
Aggregate carrying amount (costs) on sale of assets2012-12-31$655,610,127
2011 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$23,306,303
Total unrealized appreciation/depreciation of assets2011-12-31$23,306,303
Total transfer of assets to this plan2011-12-31$85,000,000
Total transfer of assets from this plan2011-12-31$55,421,833
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,503,495
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$17,058,763
Total income from all sources (including contributions)2011-12-31$42,163,738
Total loss/gain on sale of assets2011-12-31$-310,294
Total of all expenses incurred2011-12-31$3,342,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
Value of total assets at end of year2011-12-31$867,916,771
Value of total assets at beginning of year2011-12-31$815,072,282
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,342,148
Total interest from all sources2011-12-31$14,155,605
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$3,480,091
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$575,505
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$235,842
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$477,056
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$17,796,105
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$7,828,822
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$5,571,200
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$16,109,182
Assets. Loans (other than to participants) at end of year2011-12-31$1,105,266
Assets. Loans (other than to participants) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,503,495
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$17,058,763
Total non interest bearing cash at beginning of year2011-12-31$0
Value of net income/loss2011-12-31$38,821,590
Value of net assets at end of year (total assets less liabilities)2011-12-31$866,413,276
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$798,013,519
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$271,357,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$167,335,628
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$78,051,990
Income. Interest from loans (other than to participants)2011-12-31$149,790
Interest earned on other investments2011-12-31$1,651,687
Income. Interest from US Government securities2011-12-31$2,724,389
Income. Interest from corporate debt instruments2011-12-31$9,606,916
Value of interest in common/collective trusts at end of year2011-12-31$83,667,510
Value of interest in common/collective trusts at beginning of year2011-12-31$56,212,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$22,823
Assets. Value of investments in 103.12 investment entities at end of year2011-12-31$8,943,753
Assets. Value of investments in 103.12 investment entities at beginning of year2011-12-31$2,830,685
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$580,865
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$685,573
Asset value of US Government securities at end of year2011-12-31$99,065,262
Asset value of US Government securities at beginning of year2011-12-31$39,826,319
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$1,532,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Income. Dividends from preferred stock2011-12-31$23,070
Income. Dividends from common stock2011-12-31$2,881,516
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$69,681,955
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$35,964,052
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$102,348,277
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$88,712,304
Contract administrator fees2011-12-31$3,342,148
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$207,563,594
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$321,037,756
Did the plan have assets held for investment2011-12-31Yes
Aggregate proceeds on sale of assets2011-12-31$841,819,477
Aggregate carrying amount (costs) on sale of assets2011-12-31$842,129,771
2010 : BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$59,291,918
Total unrealized appreciation/depreciation of assets2010-12-31$59,291,918
Total transfer of assets to this plan2010-12-31$7,900,000
Total transfer of assets from this plan2010-12-31$80,654,808
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$17,058,763
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$13,657,033
Total income from all sources (including contributions)2010-12-31$114,947,664
Total loss/gain on sale of assets2010-12-31$15,710,228
Total of all expenses incurred2010-12-31$3,440,272
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$815,072,282
Value of total assets at beginning of year2010-12-31$772,917,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,440,272
Total interest from all sources2010-12-31$12,029,351
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$3,069,000
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$477,056
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$3,225,351
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$7,828,822
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$5,736,075
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$16,109,182
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$14,308,713
Assets. Loans (other than to participants) at end of year2010-12-31$0
Assets. Loans (other than to participants) at beginning of year2010-12-31$6,692,060
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$17,058,763
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$13,657,033
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$0
Value of net income/loss2010-12-31$111,507,392
Value of net assets at end of year (total assets less liabilities)2010-12-31$798,013,519
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$759,260,935
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
Investment advisory and management fees2010-12-31$3,440,272
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$167,335,628
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$151,425,951
Value of interest in pooled separate accounts at end of year2010-12-31$78,051,990
Income. Interest from loans (other than to participants)2010-12-31$439,870
Interest earned on other investments2010-12-31$1,197,732
Income. Interest from US Government securities2010-12-31$1,573,469
Income. Interest from corporate debt instruments2010-12-31$8,780,725
Value of interest in common/collective trusts at end of year2010-12-31$56,212,915
Value of interest in common/collective trusts at beginning of year2010-12-31$69,222,238
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$37,555
Assets. Value of investments in 103.12 investment entities at end of year2010-12-31$2,830,685
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$685,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$788,647
Asset value of US Government securities at end of year2010-12-31$39,826,319
Asset value of US Government securities at beginning of year2010-12-31$48,341,290
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$24,847,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Income. Dividends from preferred stock2010-12-31$37,185
Income. Dividends from common stock2010-12-31$3,031,815
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$35,964,052
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$29,556,681
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$88,712,304
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$98,018,194
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$321,037,756
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$345,602,768
Did the plan have assets held for investment2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$757,906,800
Aggregate carrying amount (costs) on sale of assets2010-12-31$742,196,572

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

2019: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2018: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2017: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2016: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2015: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2015 form 5500 responses
2015-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2014: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2014 form 5500 responses
2014-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2013: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2013 form 5500 responses
2013-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2012: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2012 form 5500 responses
2012-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2011: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2011 form 5500 responses
2011-01-01Type of plan entityDFE (Diect Filing Entity)
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 planNo
2009: BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST 2009 form 5500 responses
2009-01-01Type of plan entityDFE (Diect Filing Entity)
2009-01-01Submission has been amendedNo
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 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 Covered25
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 Covered26
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 Covered27
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 Covered36
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?No
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 Covered36
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?No
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 Covered41
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?No
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 Covered46
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?No
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 Covered54
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?No
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 Covered54
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?No
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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