401k Plan data: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 plan

BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 401k Plan overview

Plan Name	BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000
Plan identification number	503

BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

FINANCIAL ASSET MANAGEMENT SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: FINANCIAL ASSET MANAGEMENT SYSTEMS, INC.

Employer identification number (EIN): 582067428

NAIC Classification: 561440
NAIC Description: Collection Agencies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2012-01-01 BARBIE SNAYZZARL
503 2011-01-01 BARBIE SNAYZZARL
503 2009-01-01 BARBIE SNAYZZARL
503 2009-01-01 BARBIE SNAYZZARL

Plan id#	Filing Submission Date	Name of Administrator
503	2012-01-01	BARBIE SNAYZZARL
503	2011-01-01	BARBIE SNAYZZARL
503	2009-01-01	BARBIE SNAYZZARL
503	2009-01-01	BARBIE SNAYZZARL

Plan Statistics for BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000

401k plan membership statisitcs for BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000

Measure Date Value
2012: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2012 401k membership
Total participants, beginning-of-year 2012-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 397
Total of all active and inactive participants 2012-01-01 397
Total participants 2012-01-01 0
2011: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2011 401k membership
Total participants, beginning-of-year 2011-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 229
Total of all active and inactive participants 2011-01-01 229
Total participants 2011-01-01 229
2009: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2009 401k membership
Total participants, beginning-of-year 2009-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 249
Total of all active and inactive participants 2009-01-01 249
Total participants 2009-01-01 249

Measure	Date	Value
2012: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2012 401k membership
Total participants, beginning-of-year	2012-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	397
Total of all active and inactive participants	2012-01-01	397
Total participants	2012-01-01	0
2011: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2011 401k membership
Total participants, beginning-of-year	2011-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	229
Total of all active and inactive participants	2011-01-01	229
Total participants	2011-01-01	229
2009: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2009 401k membership
Total participants, beginning-of-year	2009-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	249
Total of all active and inactive participants	2009-01-01	249
Total participants	2009-01-01	249

Financial Data on BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000

Measure	Date	Value
2012 : BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2012 401k financial data
Value of total assets at end of year	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
2011 : BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
2010 : BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2010 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000

2012: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: BLUE CROSS BLUE SHIELD OF GEORGIA HEALTH PPO 1047626000 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	FINANCIAL ASSET MANAGEMENT SYSTEMS, INC.
Employer identification number (EIN):	582067428
NAIC Classification:	561440
NAIC Description:	Collection Agencies