401k Plan data: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY plan

NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 401k Plan overview

Plan Name	NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY
Plan identification number	001

NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: BLUE CROSS BLUE SHIELD OF NORTH DAKOTA

Employer identification number (EIN): 450173185

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 TERRENCE COONEY 2020-03-25 DAVID BREUER 2020-03-26
001 2018-01-01
001 2017-01-01 TERRENCE COONEY DAVID BREUER 2018-10-15
001 2016-01-01 TERRENCE COONEY DAVID BREUER 2017-10-12
001 2015-01-01 TERRENCE COONEY DAVID BREUER 2016-10-09
001 2014-01-01 TERRENCE COONEY SHARON FLETCHER 2015-10-15
001 2013-01-01 TERRENCE COONEY SHARON FLETCHER 2014-10-15
001 2012-01-01 TERRENCE COONEY MICHELLE KOMMER 2013-10-15
001 2011-01-01 DAVID MANUSZAK MICHELLE KOMMER 2012-10-12
001 2010-01-01 DAVID MANUSZAK RANDY JOHNSON 2011-10-13
001 2009-01-01 DAVID MANUSZAK RANDY JOHNSON 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	TERRENCE COONEY	2020-03-25	DAVID BREUER	2020-03-26
001	2018-01-01
001	2017-01-01	TERRENCE COONEY		DAVID BREUER	2018-10-15
001	2016-01-01	TERRENCE COONEY		DAVID BREUER	2017-10-12
001	2015-01-01	TERRENCE COONEY		DAVID BREUER	2016-10-09
001	2014-01-01	TERRENCE COONEY		SHARON FLETCHER	2015-10-15
001	2013-01-01	TERRENCE COONEY		SHARON FLETCHER	2014-10-15
001	2012-01-01	TERRENCE COONEY		MICHELLE KOMMER	2013-10-15
001	2011-01-01	DAVID MANUSZAK		MICHELLE KOMMER	2012-10-12
001	2010-01-01	DAVID MANUSZAK		RANDY JOHNSON	2011-10-13
001	2009-01-01	DAVID MANUSZAK		RANDY JOHNSON	2010-10-13

Plan Statistics for NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY

401k plan membership statisitcs for NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY

Measure Date Value
2018: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,320
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2017 401k membership
Market value of plan assets 2017-12-31 144,704,341
Acturial value of plan assets 2017-12-31 142,125,618
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 8,018,118
Number of terminated vested participants 2017-12-31 476
Fundng target for terminated vested participants 2017-12-31 21,466,106
Active participant vested funding target 2017-12-31 84,729,911
Number of active participants 2017-12-31 810
Total funding liabilities for active participants 2017-12-31 84,729,911
Total participant count 2017-12-31 1,393
Total funding target for all participants 2017-12-31 114,214,135
Balance at beginning of prior year after applicable adjustments 2017-12-31 16,452,595
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 16,452,595
Amount remaining of prefunding balance 2017-12-31 0
Present value of excess contributions 2017-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 0
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 0
Balance of carryovers at beginning of current year 2017-12-31 18,375,903
Balance of prefunding at beginning of current year 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 0
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 114,459
Net shortfall amortization installment of oustanding balance 2017-12-31 0
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 0
Carryover balance elected to use to offset funding requirement 2017-12-31 0
Prefunding balance elected to use to offset funding requirement 2017-12-31 0
Additional cash requirement 2017-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
Total participants, beginning-of-year 2017-01-01 1,393
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 755
Number of retired or separated participants receiving benefits 2017-01-01 92
Number of other retired or separated participants entitled to future benefits 2017-01-01 457
Total of all active and inactive participants 2017-01-01 1,304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 16
Total participants 2017-01-01 1,320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2016 401k membership
Market value of plan assets 2016-12-31 138,395,128
Acturial value of plan assets 2016-12-31 143,822,762
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 8,337,827
Number of terminated vested participants 2016-12-31 521
Fundng target for terminated vested participants 2016-12-31 22,721,677
Active participant vested funding target 2016-12-31 76,886,329
Number of active participants 2016-12-31 851
Total funding liabilities for active participants 2016-12-31 76,886,329
Total participant count 2016-12-31 1,479
Total funding target for all participants 2016-12-31 107,945,833
Balance at beginning of prior year after applicable adjustments 2016-12-31 16,351,217
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 16,351,217
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 16,452,595
Balance of prefunding at beginning of current year 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 4,906,179
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 0
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 1,479
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 810
Number of retired or separated participants receiving benefits 2016-01-01 91
Number of other retired or separated participants entitled to future benefits 2016-01-01 476
Total of all active and inactive participants 2016-01-01 1,377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 16
Total participants 2016-01-01 1,393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,625
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 851
Number of retired or separated participants receiving benefits 2015-01-01 91
Number of other retired or separated participants entitled to future benefits 2015-01-01 521
Total of all active and inactive participants 2015-01-01 1,463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 16
Total participants 2015-01-01 1,479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,703
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 933
Number of retired or separated participants receiving benefits 2014-01-01 85
Number of other retired or separated participants entitled to future benefits 2014-01-01 590
Total of all active and inactive participants 2014-01-01 1,608
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 17
Total participants 2014-01-01 1,625
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,805
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,017
Number of retired or separated participants receiving benefits 2013-01-01 79
Number of other retired or separated participants entitled to future benefits 2013-01-01 591
Total of all active and inactive participants 2013-01-01 1,687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 16
Total participants 2013-01-01 1,703
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,909
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,095
Number of retired or separated participants receiving benefits 2012-01-01 92
Number of other retired or separated participants entitled to future benefits 2012-01-01 600
Total of all active and inactive participants 2012-01-01 1,787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 18
Total participants 2012-01-01 1,805
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,067
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,233
Number of retired or separated participants receiving benefits 2011-01-01 89
Number of other retired or separated participants entitled to future benefits 2011-01-01 569
Total of all active and inactive participants 2011-01-01 1,891
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 18
Total participants 2011-01-01 1,909
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 23
2010: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,103
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,415
Number of retired or separated participants receiving benefits 2010-01-01 86
Number of other retired or separated participants entitled to future benefits 2010-01-01 521
Total of all active and inactive participants 2010-01-01 2,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 19
Total participants 2010-01-01 2,041
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 16
2009: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,135
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,463
Number of retired or separated participants receiving benefits 2009-01-01 88
Number of other retired or separated participants entitled to future benefits 2009-01-01 513
Total of all active and inactive participants 2009-01-01 2,064
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 20
Total participants 2009-01-01 2,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 18

Measure	Date	Value
2018: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,320
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2017 401k membership
Market value of plan assets	2017-12-31	144,704,341
Acturial value of plan assets	2017-12-31	142,125,618
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	8,018,118
Number of terminated vested participants	2017-12-31	476
Fundng target for terminated vested participants	2017-12-31	21,466,106
Active participant vested funding target	2017-12-31	84,729,911
Number of active participants	2017-12-31	810
Total funding liabilities for active participants	2017-12-31	84,729,911
Total participant count	2017-12-31	1,393
Total funding target for all participants	2017-12-31	114,214,135
Balance at beginning of prior year after applicable adjustments	2017-12-31	16,452,595
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	16,452,595
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	0
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	18,375,903
Balance of prefunding at beginning of current year	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	0
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	114,459
Net shortfall amortization installment of oustanding balance	2017-12-31	0
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	0
Carryover balance elected to use to offset funding requirement	2017-12-31	0
Prefunding balance elected to use to offset funding requirement	2017-12-31	0
Additional cash requirement	2017-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
Total participants, beginning-of-year	2017-01-01	1,393
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	755
Number of retired or separated participants receiving benefits	2017-01-01	92
Number of other retired or separated participants entitled to future benefits	2017-01-01	457
Total of all active and inactive participants	2017-01-01	1,304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	16
Total participants	2017-01-01	1,320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2016 401k membership
Market value of plan assets	2016-12-31	138,395,128
Acturial value of plan assets	2016-12-31	143,822,762
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	8,337,827
Number of terminated vested participants	2016-12-31	521
Fundng target for terminated vested participants	2016-12-31	22,721,677
Active participant vested funding target	2016-12-31	76,886,329
Number of active participants	2016-12-31	851
Total funding liabilities for active participants	2016-12-31	76,886,329
Total participant count	2016-12-31	1,479
Total funding target for all participants	2016-12-31	107,945,833
Balance at beginning of prior year after applicable adjustments	2016-12-31	16,351,217
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	16,351,217
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	16,452,595
Balance of prefunding at beginning of current year	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	4,906,179
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	0
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	1,479
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	810
Number of retired or separated participants receiving benefits	2016-01-01	91
Number of other retired or separated participants entitled to future benefits	2016-01-01	476
Total of all active and inactive participants	2016-01-01	1,377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	16
Total participants	2016-01-01	1,393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,625
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	851
Number of retired or separated participants receiving benefits	2015-01-01	91
Number of other retired or separated participants entitled to future benefits	2015-01-01	521
Total of all active and inactive participants	2015-01-01	1,463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	16
Total participants	2015-01-01	1,479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,703
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	933
Number of retired or separated participants receiving benefits	2014-01-01	85
Number of other retired or separated participants entitled to future benefits	2014-01-01	590
Total of all active and inactive participants	2014-01-01	1,608
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	17
Total participants	2014-01-01	1,625
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,805
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,017
Number of retired or separated participants receiving benefits	2013-01-01	79
Number of other retired or separated participants entitled to future benefits	2013-01-01	591
Total of all active and inactive participants	2013-01-01	1,687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	16
Total participants	2013-01-01	1,703
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,909
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,095
Number of retired or separated participants receiving benefits	2012-01-01	92
Number of other retired or separated participants entitled to future benefits	2012-01-01	600
Total of all active and inactive participants	2012-01-01	1,787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	18
Total participants	2012-01-01	1,805
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,067
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,233
Number of retired or separated participants receiving benefits	2011-01-01	89
Number of other retired or separated participants entitled to future benefits	2011-01-01	569
Total of all active and inactive participants	2011-01-01	1,891
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	18
Total participants	2011-01-01	1,909
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	23
2010: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,103
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,415
Number of retired or separated participants receiving benefits	2010-01-01	86
Number of other retired or separated participants entitled to future benefits	2010-01-01	521
Total of all active and inactive participants	2010-01-01	2,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	19
Total participants	2010-01-01	2,041
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	16
2009: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,135
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,463
Number of retired or separated participants receiving benefits	2009-01-01	88
Number of other retired or separated participants entitled to future benefits	2009-01-01	513
Total of all active and inactive participants	2009-01-01	2,064
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	20
Total participants	2009-01-01	2,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	18

Financial Data on NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY

Measure	Date	Value
2018 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$14,850,896
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	$-6,229,073
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$148,341,655
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$148,174,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$0
Value of total assets at end of year	2018-12-31	$14,850,896
Value of total assets at beginning of year	2018-12-31	$154,570,728
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$167,021
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Administrative expenses professional fees incurred	2018-12-31	$141,368
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$14,844,841
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$1,991,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$14,844,841
Administrative expenses (other) incurred	2018-12-31	$285
Liabilities. Value of operating payables at end of year	2018-12-31	$6,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-154,570,728
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$154,570,728
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-12-31	$12,859,165
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-12-31	$154,570,728
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$29,263,499
Net gain/loss from 103.12 investment entities	2018-12-31	$-6,229,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$104,066,294
Contract administrator fees	2018-12-31	$25,368
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2018-12-31	366055558
2017 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$21,098,627
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$11,165,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$10,677,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$0
Value of total assets at end of year	2017-12-31	$154,570,728
Value of total assets at beginning of year	2017-12-31	$144,637,889
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$487,992
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Administrative expenses professional fees incurred	2017-12-31	$279,466
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$9,932,839
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$154,570,728
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$144,637,889
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$130,874
Assets. Value of investments in 103.12 investment entities at end of year	2017-12-31	$154,570,728
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-12-31	$144,637,889
Net gain/loss from 103.12 investment entities	2017-12-31	$21,098,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$10,677,796
Contract administrator fees	2017-12-31	$77,652
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	GRANT THORNTON, LLP
Accountancy firm EIN	2017-12-31	366055558
2016 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$15,841,347
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$9,445,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$9,164,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$144,637,889
Value of total assets at beginning of year	2016-12-31	$138,241,987
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$280,470
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$180,688
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$6,395,902
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$144,637,889
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$138,241,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$59,313
Assets. Value of investments in 103.12 investment entities at end of year	2016-12-31	$144,637,889
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-12-31	$138,241,987
Net gain/loss from 103.12 investment entities	2016-12-31	$15,841,347
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$9,164,975
Contract administrator fees	2016-12-31	$40,469
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2016-12-31	366055558
2015 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$1,135,341
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$13,404,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$12,937,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$138,241,987
Value of total assets at beginning of year	2015-12-31	$150,511,020
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$466,739
Total interest from all sources	2015-12-31	$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 year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$194,597
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-12,269,033
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$138,241,987
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$150,511,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$233,996
Assets. Value of investments in 103.12 investment entities at end of year	2015-12-31	$138,241,987
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-12-31	$150,511,020
Net gain/loss from 103.12 investment entities	2015-12-31	$1,135,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$12,937,635
Contract administrator fees	2015-12-31	$38,146
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2015-12-31	366055558
2014 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
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	$19,414,636
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$11,095,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$10,722,274
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$8,000,000
Value of total assets at end of year	2014-12-31	$150,511,020
Value of total assets at beginning of year	2014-12-31	$142,191,893
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$373,235
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$50,692
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$8,319,127
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$150,511,020
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$142,191,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$296,192
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$150,511,020
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$142,191,893
Net gain/loss from 103.12 investment entities	2014-12-31	$11,414,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$8,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$10,722,274
Contract administrator fees	2014-12-31	$26,351
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	BDO USA LLP
Accountancy firm EIN	2014-12-31	135381590
2013 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
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	$15,587,919
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$15,786,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$15,452,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$142,191,893
Value of total assets at beginning of year	2013-12-31	$142,390,205
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$333,746
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$43,002
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-198,312
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$142,191,893
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$142,390,205
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$266,233
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$142,191,893
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$130,390,205
Net gain/loss from 103.12 investment entities	2013-12-31	$15,587,919
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Employer contributions (assets) at beginning of year	2013-12-31	$12,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$15,452,485
Contract administrator fees	2013-12-31	$24,511
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	BDO USA, LLP
Accountancy firm EIN	2013-12-31	135381590
2012 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$28,816,574
Total of all expenses incurred	2012-12-31	$9,236,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$8,878,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$12,000,000
Value of total assets at end of year	2012-12-31	$142,390,205
Value of total assets at beginning of year	2012-12-31	$122,810,327
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$358,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$80,323
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Administrative expenses (other) incurred	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$19,579,878
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$142,390,205
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$122,810,327
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$253,011
Assets. Value of investments in 103.12 investment entities at end of year	2012-12-31	$130,390,205
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-12-31	$107,610,327
Net gain/loss from 103.12 investment entities	2012-12-31	$16,816,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$12,000,000
Employer contributions (assets) at end of year	2012-12-31	$12,000,000
Employer contributions (assets) at beginning of year	2012-12-31	$15,200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$8,878,345
Contract administrator fees	2012-12-31	$25,017
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	BDO USA, LLP
Accountancy firm EIN	2012-12-31	135381590
2011 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$16,999,574
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$14,781,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$14,478,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$15,200,000
Value of total assets at end of year	2011-12-31	$122,810,327
Value of total assets at beginning of year	2011-12-31	$120,592,085
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$302,595
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$61,799
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$2,218,242
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$122,810,327
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$120,592,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$211,488
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$107,610,327
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$108,592,085
Net gain/loss from 103.12 investment entities	2011-12-31	$1,799,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$15,200,000
Employer contributions (assets) at end of year	2011-12-31	$15,200,000
Employer contributions (assets) at beginning of year	2011-12-31	$12,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$14,478,737
Contract administrator fees	2011-12-31	$29,308
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	BDO USA, LLP
Accountancy firm EIN	2011-12-31	135381590
2010 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$26,201,706
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$13,857,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$13,517,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$12,000,000
Value of total assets at end of year	2010-12-31	$120,592,085
Value of total assets at beginning of year	2010-12-31	$108,247,690
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$340,222
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$77,124
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$12,344,395
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$120,592,085
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$108,247,690
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$236,252
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$108,592,085
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$96,247,690
Net gain/loss from 103.12 investment entities	2010-12-31	$14,201,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$12,000,000
Employer contributions (assets) at end of year	2010-12-31	$12,000,000
Employer contributions (assets) at beginning of year	2010-12-31	$12,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$13,517,089
Contract administrator fees	2010-12-31	$26,846
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	BDO USA, LLP
Accountancy firm EIN	2010-12-31	135381590
2009 : NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY

2018: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPLOYEES OF NORIDIAN MUTUAL INSURANCE COMPANY 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

GA 2-21602

Policy instance

Insurance contract or identification number	GA 2-21602
Number of Individuals Covered	384
Insurance policy start date	2018-10-15
Insurance policy end date	2018-10-15
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	Yes
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	TERMINAL FUNDING ANNUITY PURCHASE (GROUP ANNUITY POLICY)

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