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BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 401k Plan overview

Plan NameBLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST
Plan identification number 096

BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST Benefits

No plan benefit data available

401k Sponsoring company profile

BLUE CROSS BLUE SHIELD MICHIGAN has sponsored the creation of one or more 401k plans.

Company Name:BLUE CROSS BLUE SHIELD MICHIGAN
Employer identification number (EIN):382069753
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0962022-01-01
0962021-01-01
0962020-01-01
0962019-01-01
0962018-01-01
0962017-01-01DARRELL MIDDLETON CAROLYNN WALTON2018-10-10
0962016-01-01DARRELL MIDDLETON CAROLYNN WALTON2017-10-10
0962015-01-01DARRELL MIDDLETON CAROLYNN WALTON2016-10-12
0962014-01-01DARRELL MIDDLETON CAROLYNN WALTON2015-10-12
0962013-01-01DARRELL MIDDLETON CAROLYNN WALTON2014-10-13
0962012-01-01DARRELL MIDDLETON CAROLYNN WALTON2013-10-08
0962011-01-01DARRELL MIDDLETON CAROLYNN WALTON2012-10-15
0962010-01-01DARRELL MIDDLETON CAROLYNN WALTON2011-10-11
0962009-01-012010-10-05

Financial Data on BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST

Measure Date Value
2022 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-346,085,274
Total unrealized appreciation/depreciation of assets2022-12-31$-346,085,274
Total transfer of assets to this plan2022-12-31$153,156,109
Total transfer of assets from this plan2022-12-31$139,850,940
Total income from all sources (including contributions)2022-12-31$-344,468,309
Value of total assets at end of year2022-12-31$1,549,200,029
Value of total assets at beginning of year2022-12-31$1,880,363,169
Total interest from all sources2022-12-31$1,616,965
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$157,793,614
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$153,376,850
Value of net income/loss2022-12-31$-344,468,309
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,549,200,029
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,880,363,169
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$882,247,625
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,121,228,938
Value of interest in common/collective trusts at end of year2022-12-31$509,158,790
Value of interest in common/collective trusts at beginning of year2022-12-31$605,757,381
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,616,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Did the plan have assets held for investment2022-12-31Yes
2021 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$241,522,958
Total unrealized appreciation/depreciation of assets2021-12-31$241,522,958
Total transfer of assets to this plan2021-12-31$151,413,437
Total transfer of assets from this plan2021-12-31$220,825,427
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$243,143,266
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$1,880,363,169
Value of total assets at beginning of year2021-12-31$1,706,631,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$0
Total interest from all sources2021-12-31$1,620,308
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$153,376,850
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$183,755,048
Value of net income/loss2021-12-31$243,143,266
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,880,363,169
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,706,631,893
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$1,121,228,938
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$997,857,636
Value of interest in common/collective trusts at end of year2021-12-31$605,757,381
Value of interest in common/collective trusts at beginning of year2021-12-31$525,019,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,620,308
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Did the plan have assets held for investment2021-12-31Yes
2020 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$202,114,018
Total unrealized appreciation/depreciation of assets2020-12-31$202,114,018
Total transfer of assets to this plan2020-12-31$146,735,959
Total transfer of assets from this plan2020-12-31$101,558,531
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$250,036,321
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$0
Value of total assets at end of year2020-12-31$1,706,631,893
Value of total assets at beginning of year2020-12-31$1,411,418,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$0
Total interest from all sources2020-12-31$47,922,303
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Assets. Other investments not covered elsewhere at end of year2020-12-31$183,755,048
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$151,385,615
Value of net income/loss2020-12-31$250,036,321
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,706,631,893
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,411,418,144
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$997,857,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$834,959,730
Value of interest in common/collective trusts at end of year2020-12-31$525,019,209
Value of interest in common/collective trusts at beginning of year2020-12-31$425,072,799
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$47,922,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Did the plan have assets held for investment2020-12-31Yes
2019 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$219,632,351
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$219,632,351
Total unrealized appreciation/depreciation of assets2019-12-31$219,632,351
Total unrealized appreciation/depreciation of assets2019-12-31$219,632,351
Total transfer of assets to this plan2019-12-31$133,047,291
Total transfer of assets to this plan2019-12-31$133,047,291
Total transfer of assets from this plan2019-12-31$111,305,876
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$258,679,037
Total income from all sources (including contributions)2019-12-31$258,679,037
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$0
Total of all expenses incurred2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Value of total assets at end of year2019-12-31$1,411,418,144
Value of total assets at end of year2019-12-31$1,411,418,144
Value of total assets at beginning of year2019-12-31$1,130,997,692
Value of total assets at beginning of year2019-12-31$1,130,997,692
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$39,046,686
Total interest from all sources2019-12-31$39,046,686
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Assets. Other investments not covered elsewhere at end of year2019-12-31$151,385,615
Assets. Other investments not covered elsewhere at end of year2019-12-31$151,385,615
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$154,758,179
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$154,758,179
Value of net income/loss2019-12-31$258,679,037
Value of net income/loss2019-12-31$258,679,037
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,411,418,144
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,411,418,144
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,130,997,692
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,130,997,692
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$834,959,730
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$834,959,730
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$655,854,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$655,854,117
Value of interest in common/collective trusts at end of year2019-12-31$425,072,799
Value of interest in common/collective trusts at beginning of year2019-12-31$320,385,396
Value of interest in common/collective trusts at beginning of year2019-12-31$320,385,396
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$39,046,686
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$39,046,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
2018 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-113,055,859
Total unrealized appreciation/depreciation of assets2018-12-31$-113,055,859
Total transfer of assets to this plan2018-12-31$122,303,677
Total transfer of assets from this plan2018-12-31$104,856,085
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$-60,713,048
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$1,130,997,692
Value of total assets at beginning of year2018-12-31$1,174,263,148
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$52,342,811
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Assets. Other investments not covered elsewhere at end of year2018-12-31$154,758,179
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$153,894,065
Value of net income/loss2018-12-31$-60,713,048
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,130,997,692
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,174,263,148
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$655,854,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$698,551,263
Value of interest in common/collective trusts at end of year2018-12-31$320,385,396
Value of interest in common/collective trusts at beginning of year2018-12-31$321,817,820
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$52,342,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Did the plan have assets held for investment2018-12-31Yes
2017 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$121,580,272
Total transfer of assets from this plan2017-12-31$81,234,805
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$161,286,676
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$1,174,263,148
Value of total assets at beginning of year2017-12-31$972,631,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Assets. Other investments not covered elsewhere at end of year2017-12-31$153,894,065
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$159,438,187
Other income not declared elsewhere2017-12-31$161,286,676
Value of net income/loss2017-12-31$161,286,676
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,174,263,148
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$972,631,005
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$698,551,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$572,875,398
Value of interest in common/collective trusts at end of year2017-12-31$321,817,820
Value of interest in common/collective trusts at beginning of year2017-12-31$240,317,420
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Did the plan have assets held for investment2017-12-31Yes
2016 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$98,837,698
Total transfer of assets from this plan2016-12-31$82,207,358
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$59,608,705
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$972,631,005
Value of total assets at beginning of year2016-12-31$896,391,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of net income/loss2016-12-31$59,608,705
Value of net assets at end of year (total assets less liabilities)2016-12-31$972,631,005
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$896,391,960
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$572,875,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$740,193,377
Value of interest in common/collective trusts at end of year2016-12-31$240,317,420
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$159,438,187
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$156,198,583
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$59,608,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Did the plan have assets held for investment2016-12-31Yes
2015 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$85,185,975
Total transfer of assets from this plan2015-12-31$125,429,810
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$50,792,834
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$896,391,960
Value of total assets at beginning of year2015-12-31$885,842,961
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$0
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$40,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
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$50,792,834
Value of net assets at end of year (total assets less liabilities)2015-12-31$896,391,960
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$885,842,961
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$740,193,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$723,656,379
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$156,198,583
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$162,186,582
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$50,792,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
2014 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-364,997
Total unrealized appreciation/depreciation of assets2014-12-31$-364,997
Total transfer of assets to this plan2014-12-31$75,803,216
Total transfer of assets from this plan2014-12-31$77,645,718
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$48,509,548
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$885,842,961
Value of total assets at beginning of year2014-12-31$839,175,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$0
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of net income/loss2014-12-31$48,509,548
Value of net assets at end of year (total assets less liabilities)2014-12-31$885,842,961
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$839,175,915
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$723,656,379
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$671,890,157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$162,186,582
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$167,285,758
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$48,874,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Did the plan have assets held for investment2014-12-31Yes
2013 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-2,437,366
Total unrealized appreciation/depreciation of assets2013-12-31$-2,437,366
Total transfer of assets to this plan2013-12-31$72,981,240
Total transfer of assets from this plan2013-12-31$52,599,936
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$130,630,774
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$839,175,915
Value of total assets at beginning of year2013-12-31$688,163,837
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of net income/loss2013-12-31$130,630,774
Value of net assets at end of year (total assets less liabilities)2013-12-31$839,175,915
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$688,163,837
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$671,890,157
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$513,923,953
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$167,285,758
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$174,239,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$133,068,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Did the plan have assets held for investment2013-12-31Yes
2012 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$558,152
Total unrealized appreciation/depreciation of assets2012-12-31$558,152
Total transfer of assets to this plan2012-12-31$69,269,140
Total transfer of assets from this plan2012-12-31$42,225,265
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$66,605,045
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$688,163,837
Value of total assets at beginning of year2012-12-31$594,514,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of net income/loss2012-12-31$66,605,045
Value of net assets at end of year (total assets less liabilities)2012-12-31$688,163,837
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$594,514,917
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$513,923,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$424,313,706
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$174,239,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$170,201,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$66,046,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Contract administrator fees2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
2011 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$2,304,126
Total unrealized appreciation/depreciation of assets2011-12-31$2,304,126
Total transfer of assets to this plan2011-12-31$63,393,258
Total transfer of assets from this plan2011-12-31$79,072,767
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$14,066,159
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$296,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
Value of total assets at end of year2011-12-31$594,514,917
Value of total assets at beginning of year2011-12-31$596,424,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$296,727
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$296,727
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of net income/loss2011-12-31$13,769,432
Value of net assets at end of year (total assets less liabilities)2011-12-31$594,514,917
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$596,424,994
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$424,313,706
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$426,396,079
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$170,201,211
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$170,028,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$11,762,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Did the plan have assets held for investment2011-12-31Yes
2010 : BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$3,461,789
Total unrealized appreciation/depreciation of assets2010-12-31$3,461,789
Total transfer of assets to this plan2010-12-31$57,460,021
Total transfer of assets from this plan2010-12-31$57,826,551
Total income from all sources (including contributions)2010-12-31$56,595,543
Total of all expenses incurred2010-12-31$303,180
Value of total assets at end of year2010-12-31$596,424,994
Value of total assets at beginning of year2010-12-31$540,499,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$303,180
Administrative expenses professional fees incurred2010-12-31$303,180
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of net income/loss2010-12-31$56,292,363
Value of net assets at end of year (total assets less liabilities)2010-12-31$596,424,994
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$540,499,161
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$426,396,079
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$364,658,112
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$170,028,915
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$175,841,049
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$53,133,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Did the plan have assets held for investment2010-12-31Yes

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST

2022: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2022 form 5500 responses
2022-01-01Type of plan entityDFE (Diect Filing Entity)
2021: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2021 form 5500 responses
2021-01-01Type of plan entityDFE (Diect Filing Entity)
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
2020: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2020 form 5500 responses
2020-01-01Type of plan entityDFE (Diect Filing Entity)
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
2019: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2018: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2017: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2016: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2015 form 5500 responses
2015-01-01Type of plan entityDFE (Diect Filing Entity)
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2014 form 5500 responses
2014-01-01Type of plan entityDFE (Diect Filing Entity)
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2013 form 5500 responses
2013-01-01Type of plan entityDFE (Diect Filing Entity)
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2012 form 5500 responses
2012-01-01Type of plan entityDFE (Diect Filing Entity)
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2011 form 5500 responses
2011-01-01Type of plan entityDFE (Diect Filing Entity)
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2010 form 5500 responses
2010-01-01Type of plan entityDFE (Diect Filing Entity)
2010-01-01Submission has been amendedNo
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
2009: BLUE CROSS BLUE SHIELD OF MICHIGAN 401(K) MASTER TRUST 2009 form 5500 responses
2009-01-01Type of plan entityDFE (Diect Filing Entity)
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

STATE STREET BANK & TRUST COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number107008
Policy instance 1
Insurance contract or identification number107008
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AIG FINANCIAL PRODUCTS CORP. (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number931940
Policy instance 2
Insurance contract or identification number931940
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JPMORGAN CHASE BANK (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberABLUE-2-07
Policy instance 3
Insurance contract or identification numberABLUE-2-07
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00780TR-00
Policy instance 4
Insurance contract or identification numberMDA00780TR-00
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STATE STREET BANK & TRUST COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number107008
Policy instance 1
Insurance contract or identification number107008
Number of Individuals Covered4241
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00780TR-00
Policy instance 2
Insurance contract or identification numberMDA00780TR-00
Number of Individuals Covered4241
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JPMORGAN CHASE BANK (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberABLUE-2-07
Policy instance 3
Insurance contract or identification numberABLUE-2-07
Number of Individuals Covered4241
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AIG FINANCIAL PRODUCTS CORP. (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number931940
Policy instance 4
Insurance contract or identification number931940
Number of Individuals Covered4241
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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