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BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN
Plan identification number 510

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
Employer identification number (EIN):450173185
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102024-01-01CYNTHIA THORMODSON
5102023-01-01
5102023-01-01CYNTHIA THORMODSON
5102022-01-01
5102022-01-01CYNTHIA THORMODSON
5102021-01-01CYNTHIA THORMODSON2022-10-14
5102020-01-01DAVE BREUER2021-10-14
5102019-01-01DAVE BREUER2020-10-14
5102018-01-01DAVE BREUER2019-10-15
5102017-01-01
5102016-01-01
5102015-01-01
5102014-01-01
5102013-01-01
5102012-01-01DAVE BREUER
5102011-01-01DAVID BREUER
5102010-01-01DAVE BREUER
5102009-01-01DAVID BREUER
5102009-01-01KRISTEN KUTZER

Financial Data on BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN

Measure Date Value
2023 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$991,958
Total unrealized appreciation/depreciation of assets2023-12-31$991,958
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$700,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$370,000
Total income from all sources (including contributions)2023-12-31$12,490,789
Total loss/gain on sale of assets2023-12-31$-377,853
Total of all expenses incurred2023-12-31$13,764,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$13,336,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$10,193,475
Value of total assets at end of year2023-12-31$15,649,210
Value of total assets at beginning of year2023-12-31$16,592,684
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$428,207
Total interest from all sources2023-12-31$263,658
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$131,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$84,457
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$10,044,167
Assets. Other investments not covered elsewhere at end of year2023-12-31$1,120,544
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$1,226,564
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$1,104,308
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$1,148,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$700,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$370,000
Administrative expenses (other) incurred2023-12-31$380,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-1,273,474
Value of net assets at end of year (total assets less liabilities)2023-12-31$14,949,210
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$16,222,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$5,375,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$3,758,844
Interest earned on other investments2023-12-31$58,298
Income. Interest from US Government securities2023-12-31$104,768
Income. Interest from corporate debt instruments2023-12-31$60,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$447,817
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$3,593,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$3,593,056
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$40,543
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$391,421
Asset value of US Government securities at end of year2023-12-31$2,582,090
Asset value of US Government securities at beginning of year2023-12-31$2,115,269
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,288,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$149,308
Employer contributions (assets) at end of year2023-12-31$149,308
Employer contributions (assets) at beginning of year2023-12-31$147,955
Income. Dividends from common stock2023-12-31$46,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$12,944,635
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$834,044
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$1,571,278
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$4,035,687
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$3,031,331
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$1,873,278
Aggregate carrying amount (costs) on sale of assets2023-12-31$2,251,131
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31EIDE BAILLY, LLP
Accountancy firm EIN2023-12-31450250958
Unrealized appreciation/depreciation of other (non real estate) assets2023-01-01$991,958
Total unrealized appreciation/depreciation of assets2023-01-01$991,958
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$700,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$370,000
Total income from all sources (including contributions)2023-01-01$12,490,789
Total loss/gain on sale of assets2023-01-01$-377,853
Total of all expenses incurred2023-01-01$13,764,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$13,336,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$10,193,475
Value of total assets at end of year2023-01-01$15,649,210
Value of total assets at beginning of year2023-01-01$16,592,684
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$428,207
Total interest from all sources2023-01-01$263,658
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$131,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$84,457
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$10,044,167
Assets. Other investments not covered elsewhere at end of year2023-01-01$1,120,544
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$1,226,564
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$1,104,308
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$1,148,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$700,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$370,000
Administrative expenses (other) incurred2023-01-01$380,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$-1,273,474
Value of net assets at end of year (total assets less liabilities)2023-01-01$14,949,210
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$16,222,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$5,375,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$3,758,844
Interest earned on other investments2023-01-01$58,298
Income. Interest from US Government securities2023-01-01$104,768
Income. Interest from corporate debt instruments2023-01-01$60,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$447,817
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$40,543
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$391,421
Asset value of US Government securities at end of year2023-01-01$2,582,090
Asset value of US Government securities at beginning of year2023-01-01$2,115,269
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$1,288,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01Yes
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$149,308
Employer contributions (assets) at end of year2023-01-01$149,308
Employer contributions (assets) at beginning of year2023-01-01$147,955
Income. Dividends from common stock2023-01-01$46,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$12,944,635
Asset. Corporate debt instrument debt (other) at end of year2023-01-01$834,044
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-01$1,571,278
Assets. Corporate common stocks other than exployer securities at end of year2023-01-01$4,035,687
Assets. Corporate common stocks other than exployer securities at beginning of year2023-01-01$3,031,331
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Aggregate proceeds on sale of assets2023-01-01$1,873,278
Aggregate carrying amount (costs) on sale of assets2023-01-01$2,251,131
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01EIDE BAILLY, LLP
Accountancy firm EIN2023-01-01450250958
2022 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-14,077,035
Total unrealized appreciation/depreciation of assets2022-12-31$-14,077,035
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$370,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,672,897
Total income from all sources (including contributions)2022-12-31$3,687,317
Total loss/gain on sale of assets2022-12-31$4,451,506
Total of all expenses incurred2022-12-31$28,189,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$29,891,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$9,763,797
Value of total assets at end of year2022-12-31$16,592,684
Value of total assets at beginning of year2022-12-31$45,397,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$-1,702,196
Total interest from all sources2022-12-31$629,970
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$109,371
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$26,095
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$9,615,842
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,226,564
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,148,387
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$196,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$370,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$4,672,897
Administrative expenses (other) incurred2022-12-31$-1,785,813
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$-24,502,157
Value of net assets at end of year (total assets less liabilities)2022-12-31$16,222,684
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$40,724,841
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$3,758,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,218,273
Interest earned on other investments2022-12-31$318,408
Income. Interest from US Government securities2022-12-31$120,833
Income. Interest from corporate debt instruments2022-12-31$161,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$3,593,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$633,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$633,189
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$29,725
Asset value of US Government securities at end of year2022-12-31$2,115,269
Asset value of US Government securities at beginning of year2022-12-31$13,606,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$2,809,708
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
Contributions received in cash from employer2022-12-31$147,955
Employer contributions (assets) at end of year2022-12-31$147,955
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from common stock2022-12-31$83,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$29,891,670
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,571,278
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$5,993,734
Contract administrator fees2022-12-31$83,617
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$3,031,331
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$12,749,684
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
Aggregate proceeds on sale of assets2022-12-31$20,408,973
Aggregate carrying amount (costs) on sale of assets2022-12-31$15,957,467
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EIDE BAILLY, LLP
Accountancy firm EIN2022-12-31450250958
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-01$-14,077,035
Total unrealized appreciation/depreciation of assets2022-01-01$-14,077,035
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$370,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$4,672,897
Total income from all sources (including contributions)2022-01-01$3,687,317
Total loss/gain on sale of assets2022-01-01$4,451,506
Total of all expenses incurred2022-01-01$28,189,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$29,891,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$9,763,797
Value of total assets at end of year2022-01-01$16,592,684
Value of total assets at beginning of year2022-01-01$45,397,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$-1,702,196
Total interest from all sources2022-01-01$629,970
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$109,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$26,095
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$9,615,842
Assets. Other investments not covered elsewhere at end of year2022-01-01$1,226,564
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$1,148,387
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$196,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$370,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$4,672,897
Administrative expenses (other) incurred2022-01-01$-1,785,813
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-24,502,157
Value of net assets at end of year (total assets less liabilities)2022-01-01$16,222,684
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$40,724,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$3,758,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$12,218,273
Interest earned on other investments2022-01-01$318,408
Income. Interest from US Government securities2022-01-01$120,833
Income. Interest from corporate debt instruments2022-01-01$161,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$3,593,056
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$29,725
Asset value of US Government securities at end of year2022-01-01$2,115,269
Asset value of US Government securities at beginning of year2022-01-01$13,606,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$2,809,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01Yes
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$147,955
Employer contributions (assets) at end of year2022-01-01$147,955
Employer contributions (assets) at beginning of year2022-01-01$0
Income. Dividends from common stock2022-01-01$83,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$29,891,670
Asset. Corporate debt instrument debt (other) at end of year2022-01-01$1,571,278
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-01$5,993,734
Contract administrator fees2022-01-01$83,617
Assets. Corporate common stocks other than exployer securities at end of year2022-01-01$3,031,331
Assets. Corporate common stocks other than exployer securities at beginning of year2022-01-01$12,749,684
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Aggregate proceeds on sale of assets2022-01-01$20,408,973
Aggregate carrying amount (costs) on sale of assets2022-01-01$15,957,467
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01EIDE BAILLY, LLP
Accountancy firm EIN2022-01-01450250958
2021 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-6,549,309
Total unrealized appreciation/depreciation of assets2021-12-31$-6,549,309
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,672,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,169,636
Total income from all sources (including contributions)2021-12-31$14,395,686
Total loss/gain on sale of assets2021-12-31$6,278,454
Total of all expenses incurred2021-12-31$29,157,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$27,911,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$9,075,227
Value of total assets at end of year2021-12-31$45,397,738
Value of total assets at beginning of year2021-12-31$60,656,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,246,366
Total interest from all sources2021-12-31$756,546
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$419,229
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$84,829
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$8,945,181
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$27,849,174
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$196,784
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$226,114
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$4,672,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$5,169,636
Administrative expenses (other) incurred2021-12-31$1,083,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-14,762,196
Value of net assets at end of year (total assets less liabilities)2021-12-31$40,724,841
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$55,487,037
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$12,218,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$25,111,459
Interest earned on other investments2021-12-31$348,708
Income. Interest from US Government securities2021-12-31$133,060
Income. Interest from corporate debt instruments2021-12-31$274,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$633,189
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$227,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$227,882
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$158
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$62,342
Asset value of US Government securities at end of year2021-12-31$13,606,074
Asset value of US Government securities at beginning of year2021-12-31$15,318,623
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$4,415,539
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$130,046
Income. Dividends from common stock2021-12-31$334,400
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$5,993,734
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$6,310,980
Contract administrator fees2021-12-31$162,688
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$12,749,684
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$13,461,615
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$53,362,583
Aggregate carrying amount (costs) on sale of assets2021-12-31$47,084,129
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-897,169
Total unrealized appreciation/depreciation of assets2020-12-31$-897,169
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,169,636
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,439,667
Total income from all sources (including contributions)2020-12-31$7,007,210
Total loss/gain on sale of assets2020-12-31$-45,319
Total of all expenses incurred2020-12-31$2,629,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$311,490
Value of total assets at end of year2020-12-31$60,656,673
Value of total assets at beginning of year2020-12-31$54,549,466
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,318,482
Total interest from all sources2020-12-31$965,637
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$246,425
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$80,036
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$226,114
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$220,735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$5,169,636
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$3,439,667
Administrative expenses (other) incurred2020-12-31$2,159,017
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$4,377,238
Value of net assets at end of year (total assets less liabilities)2020-12-31$55,487,037
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$51,109,799
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$25,111,459
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$21,836,148
Interest earned on other investments2020-12-31$499,516
Income. Interest from US Government securities2020-12-31$188,030
Income. Interest from corporate debt instruments2020-12-31$278,069
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$227,882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$456,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$456,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$22
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$311,490
Asset value of US Government securities at end of year2020-12-31$15,318,623
Asset value of US Government securities at beginning of year2020-12-31$16,439,917
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$6,737,636
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
Income. Dividends from common stock2020-12-31$166,389
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$6,310,980
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$6,664,395
Contract administrator fees2020-12-31$159,465
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$13,461,615
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$8,931,918
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
Aggregate proceeds on sale of assets2020-12-31$26,301,112
Aggregate carrying amount (costs) on sale of assets2020-12-31$26,346,431
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EIDE BAILLY, LLP
Accountancy firm EIN2020-12-31450250958
2019 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$2,371,245
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$2,371,245
Total unrealized appreciation/depreciation of assets2019-12-31$2,371,245
Total unrealized appreciation/depreciation of assets2019-12-31$2,371,245
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,439,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,439,667
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,527,168
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,527,168
Total income from all sources (including contributions)2019-12-31$8,189,491
Total income from all sources (including contributions)2019-12-31$8,189,491
Total loss/gain on sale of assets2019-12-31$794,835
Total loss/gain on sale of assets2019-12-31$794,835
Total of all expenses incurred2019-12-31$2,685,184
Total of all expenses incurred2019-12-31$2,685,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$530,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$530,102
Value of total assets at end of year2019-12-31$54,549,466
Value of total assets at end of year2019-12-31$54,549,466
Value of total assets at beginning of year2019-12-31$48,132,660
Value of total assets at beginning of year2019-12-31$48,132,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,155,082
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,155,082
Total interest from all sources2019-12-31$995,301
Total interest from all sources2019-12-31$995,301
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$377,982
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$377,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$239,453
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$239,453
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$5,000,000
Value of fidelity bond cover2019-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$220,735
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$621,685
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$621,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,439,667
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,527,168
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,527,168
Administrative expenses (other) incurred2019-12-31$2,005,191
Administrative expenses (other) incurred2019-12-31$2,005,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,504,307
Value of net income/loss2019-12-31$5,504,307
Value of net assets at end of year (total assets less liabilities)2019-12-31$51,109,799
Value of net assets at end of year (total assets less liabilities)2019-12-31$51,109,799
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$45,605,492
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$45,605,492
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$21,836,148
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$21,836,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$18,076,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$18,076,937
Interest earned on other investments2019-12-31$482,542
Interest earned on other investments2019-12-31$482,542
Income. Interest from US Government securities2019-12-31$213,801
Income. Interest from US Government securities2019-12-31$213,801
Income. Interest from corporate debt instruments2019-12-31$291,983
Income. Interest from corporate debt instruments2019-12-31$291,983
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$456,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$456,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$204,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$204,405
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$204,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$204,405
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$6,975
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$6,975
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$530,102
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$530,102
Asset value of US Government securities at end of year2019-12-31$16,439,917
Asset value of US Government securities at end of year2019-12-31$16,439,917
Asset value of US Government securities at beginning of year2019-12-31$16,895,308
Asset value of US Government securities at beginning of year2019-12-31$16,895,308
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,650,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,650,128
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Income. Dividends from common stock2019-12-31$138,529
Income. Dividends from common stock2019-12-31$138,529
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$6,664,395
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$6,664,395
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$4,808,367
Contract administrator fees2019-12-31$149,891
Contract administrator fees2019-12-31$149,891
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$8,931,918
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$8,931,918
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$7,525,958
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$7,525,958
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$14,059,130
Aggregate carrying amount (costs) on sale of assets2019-12-31$13,264,295
Aggregate carrying amount (costs) on sale of assets2019-12-31$13,264,295
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY, LLP
Accountancy firm name2019-12-31EIDE BAILLY, LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-4,466,836
Total unrealized appreciation/depreciation of assets2018-12-31$-4,466,836
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,527,168
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,200,000
Total income from all sources (including contributions)2018-12-31$-1,031,863
Total loss/gain on sale of assets2018-12-31$98,201
Total of all expenses incurred2018-12-31$767,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$627,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,928
Value of total assets at end of year2018-12-31$48,132,660
Value of total assets at beginning of year2018-12-31$50,604,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$140,031
Total interest from all sources2018-12-31$956,260
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$324,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$176,588
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$621,685
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$240,338
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,527,168
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$3,200,000
Other income not declared elsewhere2018-12-31$902,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,799,062
Value of net assets at end of year (total assets less liabilities)2018-12-31$45,605,492
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$47,404,554
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$18,076,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$15,815,557
Interest earned on other investments2018-12-31$458,842
Income. Interest from US Government securities2018-12-31$262,837
Income. Interest from corporate debt instruments2018-12-31$229,561
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$204,405
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$295,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$295,441
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$5,020
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$627,168
Asset value of US Government securities at end of year2018-12-31$16,895,308
Asset value of US Government securities at beginning of year2018-12-31$18,034,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$1,142,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$10,928
Employer contributions (assets) at beginning of year2018-12-31$2,705,862
Income. Dividends from common stock2018-12-31$147,453
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$4,808,367
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$3,165,649
Contract administrator fees2018-12-31$140,031
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$7,525,958
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$10,347,616
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
Aggregate proceeds on sale of assets2018-12-31$21,216,300
Aggregate carrying amount (costs) on sale of assets2018-12-31$21,118,099
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 name2018-12-31EIDE BAILLY, LLP
Accountancy firm EIN2018-12-31450250958
2017 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,156,781
Total unrealized appreciation/depreciation of assets2017-12-31$1,156,781
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,200,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,960,000
Total income from all sources (including contributions)2017-12-31$8,262,991
Total loss/gain on sale of assets2017-12-31$999,365
Total of all expenses incurred2017-12-31$3,098,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$919,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,351,804
Value of total assets at end of year2017-12-31$50,604,554
Value of total assets at beginning of year2017-12-31$44,199,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,178,830
Total interest from all sources2017-12-31$739,575
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$416,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$161,768
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$240,338
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$302,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$3,200,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,960,000
Administrative expenses (other) incurred2017-12-31$2,042,019
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$5,164,558
Value of net assets at end of year (total assets less liabilities)2017-12-31$47,404,554
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$42,239,996
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$15,815,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$11,289,925
Income. Interest from US Government securities2017-12-31$739,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$295,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,520,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,520,346
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$919,603
Asset value of US Government securities at end of year2017-12-31$18,034,091
Asset value of US Government securities at beginning of year2017-12-31$17,566,998
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$2,598,934
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$2,351,804
Employer contributions (assets) at end of year2017-12-31$2,705,862
Income. Dividends from common stock2017-12-31$254,764
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$3,165,649
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$1,815,278
Contract administrator fees2017-12-31$136,811
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$10,347,616
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$8,705,133
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
Aggregate proceeds on sale of assets2017-12-31$24,554,294
Aggregate carrying amount (costs) on sale of assets2017-12-31$23,554,929
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 name2017-12-31EIDE BAILLY, LLP
Accountancy firm EIN2017-12-31450250958
2016 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$254,655
Total unrealized appreciation/depreciation of assets2016-12-31$254,655
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,960,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,900,000
Total income from all sources (including contributions)2016-12-31$2,289,538
Total loss/gain on sale of assets2016-12-31$1,010,881
Total of all expenses incurred2016-12-31$1,933,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,172,387
Value of total assets at end of year2016-12-31$44,199,996
Value of total assets at beginning of year2016-12-31$43,783,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$760,990
Total interest from all sources2016-12-31$593,686
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$430,316
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$186,340
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$302,316
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$481,641
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,960,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,900,000
Administrative expenses (other) incurred2016-12-31$632,300
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$356,161
Value of net assets at end of year (total assets less liabilities)2016-12-31$42,239,996
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$41,883,835
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$11,289,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$16,818,352
Income. Interest from corporate debt instruments2016-12-31$593,686
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,520,346
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$938,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$938,388
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,172,387
Asset value of US Government securities at end of year2016-12-31$17,566,998
Asset value of US Government securities at beginning of year2016-12-31$13,383,571
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
Income. Dividends from common stock2016-12-31$243,976
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$1,815,278
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$2,152,311
Contract administrator fees2016-12-31$128,690
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$8,705,133
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$10,009,572
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
Aggregate proceeds on sale of assets2016-12-31$31,978,079
Aggregate carrying amount (costs) on sale of assets2016-12-31$30,967,198
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31EIDE BAILLY, LLP
Accountancy firm EIN2016-12-31450250958
2015 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-2,052,485
Total unrealized appreciation/depreciation of assets2015-12-31$-2,052,485
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,900,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,700,000
Total income from all sources (including contributions)2015-12-31$-636,288
Total loss/gain on sale of assets2015-12-31$-69,857
Total of all expenses incurred2015-12-31$1,510,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,387,353
Value of total assets at end of year2015-12-31$43,783,835
Value of total assets at beginning of year2015-12-31$46,731,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$123,544
Total interest from all sources2015-12-31$419,360
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$630,239
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$193,039
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$481,641
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$825,628
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,900,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$2,700,000
Other income not declared elsewhere2015-12-31$436,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,147,185
Value of net assets at end of year (total assets less liabilities)2015-12-31$41,883,835
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$44,031,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$16,818,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$21,432,442
Income. Interest from corporate debt instruments2015-12-31$419,360
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$938,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$118,488
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$118,488
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,387,353
Asset value of US Government securities at end of year2015-12-31$13,383,571
Asset value of US Government securities at beginning of year2015-12-31$9,761,436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Income. Dividends from common stock2015-12-31$437,200
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$2,152,311
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$3,282,927
Contract administrator fees2015-12-31$123,544
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$10,009,572
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$11,310,099
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$29,727,392
Aggregate carrying amount (costs) on sale of assets2015-12-31$29,797,249
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31EIDE BAILLY, LLP
Accountancy firm EIN2015-12-31450250958
2014 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-603,178
Total unrealized appreciation/depreciation of assets2014-12-31$-603,178
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,700,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,600,000
Total income from all sources (including contributions)2014-12-31$2,500,712
Total loss/gain on sale of assets2014-12-31$1,029,338
Total of all expenses incurred2014-12-31$2,417,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,570,997
Value of total assets at end of year2014-12-31$46,731,020
Value of total assets at beginning of year2014-12-31$46,548,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$846,907
Total interest from all sources2014-12-31$423,270
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$636,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$306,229
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$825,628
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$616,287
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$2,700,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,600,000
Administrative expenses (other) incurred2014-12-31$720,473
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$82,808
Value of net assets at end of year (total assets less liabilities)2014-12-31$44,031,020
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$43,948,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$21,432,442
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$21,344,659
Income. Interest from corporate debt instruments2014-12-31$423,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$118,488
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$197,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$197,218
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,570,997
Asset value of US Government securities at end of year2014-12-31$9,761,436
Asset value of US Government securities at beginning of year2014-12-31$9,916,488
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,015,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Income. Dividends from common stock2014-12-31$329,781
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$3,282,927
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$3,323,250
Contract administrator fees2014-12-31$126,434
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$11,310,099
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$11,150,310
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$20,889,128
Aggregate carrying amount (costs) on sale of assets2014-12-31$19,859,790
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31EIDE BAILLY, LLP
Accountancy firm EIN2014-12-31450250958
2013 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$1,025,976
Total unrealized appreciation/depreciation of assets2013-12-31$1,025,976
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,600,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,872,242
Total income from all sources (including contributions)2013-12-31$5,477,866
Total loss/gain on sale of assets2013-12-31$1,564,137
Total of all expenses incurred2013-12-31$3,152,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,345,614
Value of total assets at end of year2013-12-31$46,548,212
Value of total assets at beginning of year2013-12-31$43,495,010
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,806,808
Total interest from all sources2013-12-31$505,565
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$573,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$616,287
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$105,021
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,600,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,872,242
Administrative expenses (other) incurred2013-12-31$1,684,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,325,444
Value of net assets at end of year (total assets less liabilities)2013-12-31$43,948,212
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$41,622,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$21,344,659
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$18,339,595
Interest earned on other investments2013-12-31$45,247
Income. Interest from corporate debt instruments2013-12-31$460,318
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$197,218
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$723,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$723,413
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,345,614
Asset value of US Government securities at end of year2013-12-31$9,916,488
Asset value of US Government securities at beginning of year2013-12-31$12,004,747
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,808,551
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Income. Dividends from common stock2013-12-31$573,637
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$3,323,250
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$3,856,445
Contract administrator fees2013-12-31$122,201
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$11,150,310
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$8,465,789
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$18,085,582
Aggregate carrying amount (costs) on sale of assets2013-12-31$16,521,445
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31EIDE BAILLY, LLP
Accountancy firm EIN2013-12-31450250958
2012 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$1,901,834
Total unrealized appreciation/depreciation of assets2012-12-31$1,901,834
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,872,242
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$665,000
Total income from all sources (including contributions)2012-12-31$4,633,949
Total loss/gain on sale of assets2012-12-31$1,551,265
Total of all expenses incurred2012-12-31$3,466,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,617,958
Value of total assets at end of year2012-12-31$43,495,010
Value of total assets at beginning of year2012-12-31$41,120,329
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,848,552
Total interest from all sources2012-12-31$613,703
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$567,147
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$105,021
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$727,733
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,872,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$665,000
Administrative expenses (other) incurred2012-12-31$1,732,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,167,439
Value of net assets at end of year (total assets less liabilities)2012-12-31$41,622,768
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$40,455,329
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$116,334
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$18,339,595
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$16,083,675
Interest earned on other investments2012-12-31$28,247
Income. Interest from corporate debt instruments2012-12-31$585,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$723,413
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$281,935
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$281,935
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,617,958
Asset value of US Government securities at end of year2012-12-31$12,004,747
Asset value of US Government securities at beginning of year2012-12-31$11,608,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Income. Dividends from common stock2012-12-31$567,147
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$3,856,445
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$4,897,133
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$8,465,789
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$7,521,266
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$22,403,173
Aggregate carrying amount (costs) on sale of assets2012-12-31$20,851,908
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31EIDE BAILLY, LLP
Accountancy firm EIN2012-12-31450250958
2011 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-1,318,332
Total unrealized appreciation/depreciation of assets2011-12-31$-1,318,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$665,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,404,521
Total income from all sources (including contributions)2011-12-31$148,857
Total loss/gain on sale of assets2011-12-31$281,555
Total of all expenses incurred2011-12-31$1,558,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,441,815
Value of total assets at end of year2011-12-31$41,120,329
Value of total assets at beginning of year2011-12-31$43,269,778
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$116,970
Total interest from all sources2011-12-31$835,600
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$306,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$727,733
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$208,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$665,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,404,521
Other income not declared elsewhere2011-12-31$43,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,409,928
Value of net assets at end of year (total assets less liabilities)2011-12-31$40,455,329
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$41,865,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$116,970
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$16,083,675
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$18,859,929
Interest earned on other investments2011-12-31$134,216
Income. Interest from US Government securities2011-12-31$7,968
Income. Interest from corporate debt instruments2011-12-31$693,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$281,935
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$153,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$153,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$84
Asset value of US Government securities at end of year2011-12-31$11,608,587
Asset value of US Government securities at beginning of year2011-12-31$11,788,297
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Income. Dividends from common stock2011-12-31$306,259
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,441,815
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$4,897,133
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$4,591,224
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$7,521,266
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$7,668,085
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$17,410,707
Aggregate carrying amount (costs) on sale of assets2011-12-31$17,129,152
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31EIDE BAILLY LLP
Accountancy firm EIN2011-12-31450250958
2010 : BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$2,360,341
Total unrealized appreciation/depreciation of assets2010-12-31$2,360,341
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,404,521
Total income from all sources (including contributions)2010-12-31$4,705,958
Total loss/gain on sale of assets2010-12-31$472,161
Total of all expenses incurred2010-12-31$3,038,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,099,690
Value of total assets at end of year2010-12-31$43,269,778
Value of total assets at beginning of year2010-12-31$40,197,918
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,938,929
Total interest from all sources2010-12-31$774,195
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$1,099,261
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$113,313
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$208,747
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$158,689
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,404,521
Administrative expenses (other) incurred2010-12-31$1,827,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,667,339
Value of net assets at end of year (total assets less liabilities)2010-12-31$41,865,257
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$40,197,918
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$111,256
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$18,859,929
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$17,541,203
Interest earned on other investments2010-12-31$70,612
Income. Interest from US Government securities2010-12-31$21,063
Income. Interest from corporate debt instruments2010-12-31$682,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$153,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$250,703
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$250,703
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$-12
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,099,690
Asset value of US Government securities at end of year2010-12-31$11,788,297
Asset value of US Government securities at beginning of year2010-12-31$11,647,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Income. Dividends from common stock2010-12-31$1,099,261
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$4,591,224
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$3,857,982
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$7,668,085
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$6,628,428
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$33,025,712
Aggregate carrying amount (costs) on sale of assets2010-12-31$32,553,551
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31EIDE BAILLY, LLP
Accountancy firm EIN2010-12-31450250958

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN

2023: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT 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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA FUNDED GROUP BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0612
Policy instance 3
Insurance contract or identification number0612
Number of Individuals Covered4365
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,024,377
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $1,871,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0611
Policy instance 2
Insurance contract or identification number0611
Number of Individuals Covered410
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $61,159
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $82,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0610
Policy instance 1
Insurance contract or identification number0610
Number of Individuals Covered2317
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $525,605
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $2,747,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0612
Policy instance 3
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0611
Policy instance 2
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0610
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0610
Policy instance 3
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0612
Policy instance 2
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0611
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number0611
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19712
Policy instance 1
LINCOLN MUTUAL LIFE & CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65641 )
Policy contract numberG 14802
Policy instance 1
LINCOLN MUTUAL LIFE & CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65641 )
Policy contract numberG 14802
Policy instance 1

Potentially related plans

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