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BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN
Plan identification number 527

BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

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 MICHIGAN LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5272022-01-01
5272021-01-01
5272020-01-01
5272019-01-01
5272018-01-01
5272017-01-01THOMAS VLASIC
5272016-07-01DARRELL MIDDLETON CAROLYNN WALTON2017-10-12

Plan Statistics for BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN

Measure Date Value
2022: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01344
Total number of active participants reported on line 7a of the Form 55002022-01-01327
Total of all active and inactive participants2022-01-01327
2021: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01397
Total number of active participants reported on line 7a of the Form 55002021-01-01344
Total of all active and inactive participants2021-01-01344
Total participants2021-01-01344
2020: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01309
Total number of active participants reported on line 7a of the Form 55002020-01-01296
Total of all active and inactive participants2020-01-01296
Total participants2020-01-01296
2019: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01397
Total number of active participants reported on line 7a of the Form 55002019-01-01309
Total of all active and inactive participants2019-01-01309
Total participants2019-01-01309
2018: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01434
Total number of active participants reported on line 7a of the Form 55002018-01-01397
Total of all active and inactive participants2018-01-01397
Total participants2018-01-01397
Number of employers contributing to the scheme2018-01-01397
2017: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01322
Total number of active participants reported on line 7a of the Form 55002017-01-01434
Total of all active and inactive participants2017-01-01434
Total participants2017-01-01434
2016: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01322
Total number of active participants reported on line 7a of the Form 55002016-07-01322
Total of all active and inactive participants2016-07-01322

Financial Data on BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN

Measure Date Value
2022 : BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$1,623
Total unrealized appreciation/depreciation of assets2022-12-31$1,623
Total income from all sources (including contributions)2022-12-31$-2,114,048
Total of all expenses incurred2022-12-31$3,153,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,899,211
Value of total assets at end of year2022-12-31$10,381,636
Value of total assets at beginning of year2022-12-31$15,649,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$254,643
Total interest from all sources2022-12-31$-201
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$267,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$267,626
Administrative expenses professional fees incurred2022-12-31$22,300
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Administrative expenses (other) incurred2022-12-31$232,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,267,902
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,381,636
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$15,649,538
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$10,309,006
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$15,584,473
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$72,630
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$65,065
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$65,065
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$-201
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,383,096
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,899,211
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 MICHIGAN LONG TERM DISABILITY PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
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$782,836
Total loss/gain on sale of assets2021-12-31$158,973
Total of all expenses incurred2021-12-31$2,884,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,635,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$15,649,538
Value of total assets at beginning of year2021-12-31$17,750,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$248,716
Total interest from all sources2021-12-31$297,700
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$248,716
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-2,101,243
Value of net assets at end of year (total assets less liabilities)2021-12-31$15,649,538
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$17,750,781
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$15,584,473
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$17,700,375
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$65,065
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$50,406
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$50,406
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$297,700
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$326,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,635,363
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
Aggregate proceeds on sale of assets2021-12-31$3,037,872
Aggregate carrying amount (costs) on sale of assets2021-12-31$2,878,899
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 MICHIGAN LONG TERM DISABILITY PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$320,236
Total unrealized appreciation/depreciation of assets2020-12-31$320,236
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$16,881,935
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,706,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,402,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$16,500,000
Value of total assets at end of year2020-12-31$17,750,781
Value of total assets at beginning of year2020-12-31$4,575,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$304,365
Total interest from all sources2020-12-31$61,699
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$304,365
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$13,175,024
Value of net assets at end of year (total assets less liabilities)2020-12-31$17,750,781
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,575,757
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$17,700,375
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,370,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$50,406
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$204,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$204,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$61,699
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$16,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,402,546
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 MICHIGAN LONG TERM DISABILITY PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$328,396
Unrealized appreciation/depreciation of real estate assets2019-12-31$328,396
Total unrealized appreciation/depreciation of assets2019-12-31$328,396
Total unrealized appreciation/depreciation of assets2019-12-31$328,396
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$3,923,713
Total income from all sources (including contributions)2019-12-31$3,923,713
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$3,953,531
Total of all expenses incurred2019-12-31$3,953,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,581,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,581,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,500,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,500,000
Value of total assets at end of year2019-12-31$4,575,757
Value of total assets at end of year2019-12-31$4,575,757
Value of total assets at beginning of year2019-12-31$4,605,575
Value of total assets at beginning of year2019-12-31$4,605,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$371,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$371,817
Total interest from all sources2019-12-31$95,317
Total interest from all sources2019-12-31$95,317
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
Administrative expenses professional fees incurred2019-12-31$371,817
Administrative expenses professional fees incurred2019-12-31$371,817
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$25,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-29,818
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,575,757
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,575,757
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,605,575
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,605,575
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,370,765
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,370,765
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$420,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$420,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$204,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$204,992
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,185,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,185,324
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,185,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,185,324
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$95,317
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$95,317
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Contributions received in cash from employer2019-12-31$3,500,000
Contributions received in cash from employer2019-12-31$3,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,581,714
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
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 MICHIGAN LONG TERM DISABILITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
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$622,261
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$4,309,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,862,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$689,229
Value of total assets at end of year2018-12-31$4,605,575
Value of total assets at beginning of year2018-12-31$8,292,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$446,249
Total interest from all sources2018-12-31$165,985
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
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$25,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Administrative expenses (other) incurred2018-12-31$186,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,686,829
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,605,575
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,292,406
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,185,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$8,166,081
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$420,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$126,325
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$126,325
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$165,985
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-232,953
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$689,229
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,862,841
Contract administrator fees2018-12-31$259,382
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 MICHIGAN LONG TERM DISABILITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
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$955,495
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,620,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,302,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$269,693
Value of total assets at end of year2017-12-31$8,292,406
Value of total assets at beginning of year2017-12-31$11,957,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$317,448
Total interest from all sources2017-12-31$260,224
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
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$25,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Administrative expenses (other) incurred2017-12-31$37,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-3,664,652
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,292,406
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,957,058
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$8,166,081
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$11,942,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$126,325
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$14,455
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$14,455
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$260,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$425,578
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$269,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$4,302,699
Contract administrator fees2017-12-31$279,497
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 & COMPANY
Accountancy firm EIN2017-12-31382029668
2016 : BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
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$13,899,731
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,942,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,882,377
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$14,113,039
Value of total assets at end of year2016-12-31$11,957,058
Value of total assets at beginning of year2016-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$60,296
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$108,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$108,645
Administrative expenses professional fees incurred2016-12-31$56,921
Was this plan covered by a fidelity bond2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Administrative expenses (other) incurred2016-12-31$3,375
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$11,957,058
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,957,058
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$0
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$11,942,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$14,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-321,953
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$14,113,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,882,377
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

Form 5500 Responses for BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN

2022: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY 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 planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY 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 planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY 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 planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY 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 planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY 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 planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes

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