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BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 401k Plan overview

Plan NameBLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN
Plan identification number 525

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN Benefits

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

401k Sponsoring company profile

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. has sponsored the creation of one or more 401k plans.

Company Name:BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
Employer identification number (EIN):592015694
NAIC Classification:524140

Additional information about BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1980-07-01
Company Identification Number: 753198
Legal Registered Office Address: P O BOX 6200 (32314-6200)

TALLAHASSEE

32399

More information about BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5252022-01-01
5252021-01-01
5252020-01-01AMY RUTH2021-10-07
5252019-01-01AMY RUTH2020-10-05
5252018-01-01AMY RUTH2019-10-07
5252017-01-01
5252016-01-01
5252015-01-01
5252014-01-01SIGNED WITH AUTHORIZED SIGNATURE
5252013-01-01SIGNED WITH AUTHORIZED SIGNATURE
5252012-01-01ROBERT E WALL
5252011-01-01MARY CANDRA
5252010-01-01ROBERT WALL
5252009-01-01ROBERT E. WALL
5252009-01-01 ROBERT E. WALL2010-10-18
5252009-01-012010-10-15
5252009-01-012010-10-15

Plan Statistics for BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN

401k plan membership statisitcs for BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN

Measure Date Value
2022: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,016
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-012,016
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,016
2021: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,051
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-012,040
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,040
2020: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,120
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-012,074
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,074
2019: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,189
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-012,163
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,163
2018: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,236
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-012,192
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,192
2017: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,291
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-012,528
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-012,528
2016: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,396
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-012,360
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,360
2015: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,429
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-012,407
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-012,407
2014: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,332
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-012,430
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-012,430
2013: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,163
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-012,230
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,230
2012: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,126
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-012,198
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,198
2011: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,062
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-012,117
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,117
2010: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,943
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-012,032
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-012,032
2009: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,720
Total number of active participants reported on line 7a of the Form 55002009-01-0187
Number of retired or separated participants receiving benefits2009-01-011,905
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,992

Financial Data on BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN

Measure Date Value
2022 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$495,753
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,064,193
Total income from all sources (including contributions)2022-12-31$-8,894,847
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$6,857,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,552,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,916,146
Value of total assets at end of year2022-12-31$114,695,275
Value of total assets at beginning of year2022-12-31$131,016,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$304,844
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,633,364
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$2,633,364
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$6,657
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$7,955
Administrative expenses (other) incurred2022-12-31$304,844
Liabilities. Value of operating payables at end of year2022-12-31$304,844
Liabilities. Value of operating payables at beginning of year2022-12-31$912,007
Total non interest bearing cash at end of year2022-12-31$2,269,831
Total non interest bearing cash at beginning of year2022-12-31$2,418,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-15,752,594
Value of net assets at end of year (total assets less liabilities)2022-12-31$114,199,522
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$129,952,116
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$112,390,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$128,558,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$27,949
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$31,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$31,656
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$27,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-13,444,357
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$1,916,146
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$6,525,181
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
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$190,909
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$152,186
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,064,193
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$452,369
Total income from all sources (including contributions)2021-12-31$6,277,176
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$7,534,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,622,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$346,738
Value of total assets at end of year2021-12-31$131,016,309
Value of total assets at beginning of year2021-12-31$131,661,556
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$912,007
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,515,520
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$2,515,520
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$7,955
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$6,389
Administrative expenses (other) incurred2021-12-31$912,007
Liabilities. Value of operating payables at end of year2021-12-31$912,007
Liabilities. Value of operating payables at beginning of year2021-12-31$401,649
Total non interest bearing cash at end of year2021-12-31$2,418,595
Total non interest bearing cash at beginning of year2021-12-31$2,495,746
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,257,071
Value of net assets at end of year (total assets less liabilities)2021-12-31$129,952,116
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$131,209,187
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$128,558,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$129,148,810
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$31,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$10,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$10,611
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$16,589
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,414,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$346,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$6,605,651
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
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$152,186
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$50,720
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$452,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$690,663
Total income from all sources (including contributions)2020-12-31$10,746,289
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$7,188,040
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,821,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,031,756
Value of total assets at end of year2020-12-31$131,661,556
Value of total assets at beginning of year2020-12-31$128,341,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$366,503
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,933,180
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$2,933,180
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$20,000,000
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$6,389
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$8,052
Administrative expenses (other) incurred2020-12-31$366,503
Liabilities. Value of operating payables at end of year2020-12-31$401,649
Liabilities. Value of operating payables at beginning of year2020-12-31$489,184
Total non interest bearing cash at end of year2020-12-31$2,495,746
Total non interest bearing cash at beginning of year2020-12-31$2,439,564
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$3,558,249
Value of net assets at end of year (total assets less liabilities)2020-12-31$131,209,187
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$127,650,938
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$129,148,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$125,879,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$10,611
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$14,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$14,321
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$17,220
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$5,781,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,031,756
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,804,317
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
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$50,720
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$201,479
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2020-12-31560747981
2019 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$690,663
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$800,082
Total income from all sources (including contributions)2019-12-31$12,924,917
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$7,380,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,993,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,155,999
Value of total assets at end of year2019-12-31$128,341,601
Value of total assets at beginning of year2019-12-31$122,906,206
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$386,970
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,205,874
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$3,205,874
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$20,000,000
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$8,052
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$254,163
Administrative expenses (other) incurred2019-12-31$386,970
Liabilities. Value of operating payables at end of year2019-12-31$489,184
Liabilities. Value of operating payables at beginning of year2019-12-31$563,330
Total non interest bearing cash at end of year2019-12-31$2,439,564
Total non interest bearing cash at beginning of year2019-12-31$2,437,815
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$5,544,814
Value of net assets at end of year (total assets less liabilities)2019-12-31$127,650,938
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$122,106,124
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 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$125,879,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$119,214,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$14,321
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,000,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,000,000
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$18,799
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$7,563,044
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,155,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,974,334
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$201,479
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$236,752
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
Accountancy firm name2019-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2019-12-31560747981
2018 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$800,082
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$804,038
Total income from all sources (including contributions)2018-12-31$2,618,603
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$7,927,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,364,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,464,176
Value of total assets at end of year2018-12-31$122,906,206
Value of total assets at beginning of year2018-12-31$128,219,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$563,330
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$3,400,696
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$3,400,696
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$20,000,000
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$254,163
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$252,626
Administrative expenses (other) incurred2018-12-31$563,330
Liabilities. Value of operating payables at end of year2018-12-31$563,330
Liabilities. Value of operating payables at beginning of year2018-12-31$567,794
Total non interest bearing cash at end of year2018-12-31$2,437,815
Total non interest bearing cash at beginning of year2018-12-31$2,705,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-5,309,198
Value of net assets at end of year (total assets less liabilities)2018-12-31$122,106,124
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$127,415,322
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$119,214,228
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$125,259,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,000,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,373
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,373
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$23,332
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-3,246,269
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,464,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$7,341,139
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
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$236,752
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$236,244
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 name2018-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2018-12-31560747981
2017 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$804,038
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$677,194
Total income from all sources (including contributions)2017-12-31$9,874,789
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,982,544
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,414,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,530,046
Value of total assets at end of year2017-12-31$128,219,360
Value of total assets at beginning of year2017-12-31$126,200,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$567,794
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$3,271,301
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$3,271,301
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$20,000,000
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$252,626
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$256,271
Administrative expenses (other) incurred2017-12-31$567,794
Liabilities. Value of operating payables at end of year2017-12-31$567,794
Liabilities. Value of operating payables at beginning of year2017-12-31$483,342
Total non interest bearing cash at end of year2017-12-31$2,705,903
Total non interest bearing cash at beginning of year2017-12-31$2,773,949
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$1,892,245
Value of net assets at end of year (total assets less liabilities)2017-12-31$127,415,322
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$125,523,077
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$125,259,458
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$123,168,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,373
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,500
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$35,038
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$4,073,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,530,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,379,712
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
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$236,244
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$193,852
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 name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$677,194
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$708,423
Total income from all sources (including contributions)2016-12-31$5,356,026
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$7,315,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,832,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,376,986
Value of total assets at end of year2016-12-31$126,200,271
Value of total assets at beginning of year2016-12-31$128,190,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$483,139
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$3,591,279
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$3,591,279
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$20,000,000
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$256,271
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$31,011
Administrative expenses (other) incurred2016-12-31$483,139
Liabilities. Value of operating payables at end of year2016-12-31$483,342
Liabilities. Value of operating payables at beginning of year2016-12-31$475,995
Total non interest bearing cash at end of year2016-12-31$2,773,949
Total non interest bearing cash at beginning of year2016-12-31$2,204,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-1,959,238
Value of net assets at end of year (total assets less liabilities)2016-12-31$125,523,077
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$127,482,315
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$123,168,551
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$125,935,828
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,500
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$19,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$19,019
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$59,310
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-612,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,376,986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$6,772,815
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
Liabilities. Value of acquisition indebtedness at end of year2016-12-31$193,852
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$232,428
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 name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$708,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$231,961
Total income from all sources (including contributions)2015-12-31$5,121,558
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$9,413,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$6,611,678
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,643,080
Value of total assets at end of year2015-12-31$128,190,738
Value of total assets at beginning of year2015-12-31$132,006,645
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,802,249
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$3,500,198
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$3,500,198
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$20,000,000
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$31,011
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$37,108
Administrative expenses (other) incurred2015-12-31$2,802,249
Liabilities. Value of operating payables at end of year2015-12-31$475,995
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$2,204,880
Total non interest bearing cash at beginning of year2015-12-31$1,699,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-4,292,369
Value of net assets at end of year (total assets less liabilities)2015-12-31$127,482,315
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$131,774,684
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$125,935,828
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$130,234,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$19,019
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$35,208
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$35,208
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$124,409
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,021,720
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
Contributions received in cash from employer2015-12-31$2,643,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$6,487,269
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
Liabilities. Value of acquisition indebtedness at end of year2015-12-31$232,428
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$231,961
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 name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$231,961
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$543,391
Total income from all sources (including contributions)2014-12-31$17,677,439
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$19,242,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$18,509,613
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,165,208
Value of total assets at end of year2014-12-31$132,006,645
Value of total assets at beginning of year2014-12-31$133,882,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$732,624
Total interest from all sources2014-12-31$7
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$3,862,476
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$3,862,476
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$20,000,000
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$37,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$358,007
Administrative expenses (other) incurred2014-12-31$732,624
Total non interest bearing cash at end of year2014-12-31$1,699,732
Total non interest bearing cash at beginning of year2014-12-31$895,483
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-1,564,798
Value of net assets at end of year (total assets less liabilities)2014-12-31$131,774,684
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$133,339,482
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$130,234,597
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$132,589,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$35,208
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$40,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$40,290
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$7
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$66,735
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$5,649,748
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
Contributions received in cash from employer2014-12-31$8,165,208
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$18,442,878
Liabilities. Value of benefit claims payable at end of year2014-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$218,722
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
Liabilities. Value of acquisition indebtedness at end of year2014-12-31$231,961
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$324,669
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 name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$543,391
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$421,156
Total income from all sources (including contributions)2013-12-31$14,206,105
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$10,817,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$8,780,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,470,657
Value of total assets at end of year2013-12-31$133,882,873
Value of total assets at beginning of year2013-12-31$130,371,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,036,912
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$4,957,332
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$4,957,332
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$20,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$3,100,210
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$358,007
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$269,999
Administrative expenses (other) incurred2013-12-31$2,036,912
Total non interest bearing cash at end of year2013-12-31$895,483
Total non interest bearing cash at beginning of year2013-12-31$325,439
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$3,388,750
Value of net assets at end of year (total assets less liabilities)2013-12-31$133,339,482
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$129,950,732
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$132,589,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$129,776,233
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$40,290
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$217
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$217
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$49,976
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,778,116
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
Contributions received in cash from employer2013-12-31$4,370,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$8,730,467
Liabilities. Value of benefit claims payable at end of year2013-12-31$218,722
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$201,978
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
Liabilities. Value of acquisition indebtedness at end of year2013-12-31$324,669
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$219,178
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 name2013-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2013-12-31134008324
2012 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$421,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$121,045
Total income from all sources (including contributions)2012-12-31$22,980,236
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$10,952,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$10,514,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,771,313
Value of total assets at end of year2012-12-31$130,046,451
Value of total assets at beginning of year2012-12-31$117,718,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$438,225
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$4,050,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$4,050,991
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$20,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,713,839
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$269,999
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$236,028
Other income not declared elsewhere2012-12-31$137,795
Administrative expenses (other) incurred2012-12-31$438,225
Total non interest bearing cash at end of year2012-12-31$2
Total non interest bearing cash at beginning of year2012-12-31$36
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$12,027,990
Value of net assets at end of year (total assets less liabilities)2012-12-31$129,625,295
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$117,597,305
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$129,776,233
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$117,481,641
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$217
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$645
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$46,719
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$12,157,932
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
Contributions received in cash from employer2012-12-31$3,057,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$10,467,302
Liabilities. Value of benefit claims payable at end of year2012-12-31$201,978
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$121,045
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
Liabilities. Value of acquisition indebtedness at end of year2012-12-31$219,178
Liabilities. Value of acquisition indebtedness at beginning of year2012-12-31$0
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 name2012-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2012-12-31134008324
2011 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$121,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$309,420
Total income from all sources (including contributions)2011-12-31$18,983,276
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$13,201,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$12,852,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$14,395,797
Value of total assets at end of year2011-12-31$117,718,350
Value of total assets at beginning of year2011-12-31$112,124,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$348,594
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$3,856,410
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$3,856,410
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$20,000,000
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
Contributions received from participants2011-12-31$3,904,968
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$236,028
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$238,838
Administrative expenses (other) incurred2011-12-31$348,594
Total non interest bearing cash at end of year2011-12-31$36
Total non interest bearing cash at beginning of year2011-12-31$694
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$5,782,066
Value of net assets at end of year (total assets less liabilities)2011-12-31$117,597,305
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$111,815,239
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$117,481,641
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$105,324,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$645
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$6,561,095
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$6,561,095
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$40,040
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$731,069
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
Contributions received in cash from employer2011-12-31$10,490,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$12,812,576
Liabilities. Value of benefit claims payable at end of year2011-12-31$121,045
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$110,404
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
Liabilities. Value of acquisition indebtedness at end of year2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$199,016
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 name2011-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2011-12-31134008324
2010 : BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$309,420
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$112,962
Total income from all sources (including contributions)2010-12-31$19,310,107
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$11,208,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,859,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$12,516,986
Value of total assets at end of year2010-12-31$112,124,659
Value of total assets at beginning of year2010-12-31$103,826,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$348,600
Total interest from all sources2010-12-31$178,817
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$2,986,248
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$2,986,248
Was this plan covered by a fidelity bond2010-12-31No
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
Contributions received from participants2010-12-31$3,304,713
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$238,838
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Administrative expenses (other) incurred2010-12-31$348,600
Total non interest bearing cash at end of year2010-12-31$694
Total non interest bearing cash at beginning of year2010-12-31$2,752
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$8,101,754
Value of net assets at end of year (total assets less liabilities)2010-12-31$111,815,239
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$103,713,485
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$105,324,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$78,473,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$6,561,095
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$25,350,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$25,350,176
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$178,817
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$94,157
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$3,628,056
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
Contributions received in cash from employer2010-12-31$9,212,273
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,765,596
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$110,404
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$112,962
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
Liabilities. Value of acquisition indebtedness at end of year2010-12-31$199,016
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$0
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 name2010-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2010-12-31134008324

Form 5500 Responses for BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. RETIREE GROUP BENEFIT PLAN

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

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50034926
Policy instance 1
Insurance contract or identification number50034926
Number of Individuals Covered2018
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $52
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $26,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50034926
Policy instance 1
Insurance contract or identification number50034926
Number of Individuals Covered2093
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $29
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $16,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50034926
Policy instance 1
Insurance contract or identification number50034926
Number of Individuals Covered2096
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $19
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $16,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19
Insurance broker organization code?3
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395*
Policy instance 1
Insurance contract or identification number70395*
Number of Individuals Covered9988
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $16,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395*
Policy instance 1
Insurance contract or identification number70395*
Number of Individuals Covered9860
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $33,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395*
Policy instance 1
Insurance contract or identification number70395*
Number of Individuals Covered2306
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $30,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number*70395
Policy instance 1
Insurance contract or identification number*70395
Number of Individuals Covered2466
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number*SEE BELOW
Policy instance 1
Insurance contract or identification number*SEE BELOW
Number of Individuals Covered6291
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $2,999,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number70395
Policy instance 2
Insurance contract or identification number70395
Number of Individuals Covered5
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395*
Policy instance 1
Insurance contract or identification number70395*
Number of Individuals Covered2234
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number70395
Policy instance 2
Insurance contract or identification number70395
Number of Individuals Covered24
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395*
Policy instance 1
Insurance contract or identification number70395*
Number of Individuals Covered2200
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number70395
Policy instance 2
Insurance contract or identification number70395
Number of Individuals Covered27
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395R01
Policy instance 1
Insurance contract or identification number70395R01
Number of Individuals Covered2200
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395
Policy instance 1
Insurance contract or identification number70395
Number of Individuals Covered2123
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )
Policy contract number70395
Policy instance 1
Insurance contract or identification number70395
Number of Individuals Covered2010
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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