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HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 401k Plan overview

Plan NameHOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE
Plan identification number 503

HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:BLUE CROSS BLUE SHIELD OF TENNESSEE
Employer identification number (EIN):620427913
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01DANIEL GREGORY
5032023-01-01
5032023-01-01DANIEL GREGORY
5032022-01-01
5032022-01-01DANIEL GREGORY
5032021-01-01
5032021-01-01DANIEL GREGORY
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01TREY WHITE
5032016-01-01TREY WHITE
5032015-01-01TREY WHITE
5032014-01-01TREY WHITE
5032014-01-01CHRISTIE CARLISLE
5032013-01-01TREY WHITE TREY WHITE2014-10-02
5032012-01-01RALPH WOODARD
5032011-01-01RALPH WOODARD
5032009-01-01RALPH WOODARD

Financial Data on HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE

Measure Date Value
2023 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$11,156,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$11,414,291
Total income from all sources (including contributions)2023-12-31$120,910,192
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$113,768,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$113,768,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$110,081,826
Value of total assets at end of year2023-12-31$102,463,212
Value of total assets at beginning of year2023-12-31$95,579,864
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$0
Total interest from all sources2023-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$14,416,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$3,815,186
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$4,022,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$7,141,429
Value of net assets at end of year (total assets less liabilities)2023-12-31$91,307,002
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$84,165,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2023-12-31$102,463,212
Assets. Value of investments in 103.12 investment entities at beginning of year2023-12-31$95,579,864
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$2,776,090
Net gain/loss from 103.12 investment entities2023-12-31$10,828,366
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$95,665,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$110,992,673
Liabilities. Value of benefit claims payable at end of year2023-12-31$7,341,024
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$7,391,994
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31ERNST & YOUNG LLP
Accountancy firm EIN2023-12-31346565596
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$11,156,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$11,414,291
Total income from all sources (including contributions)2023-01-01$120,910,192
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$113,768,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$113,768,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$110,081,826
Value of total assets at end of year2023-01-01$102,463,212
Value of total assets at beginning of year2023-01-01$95,579,864
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$0
Total interest from all sources2023-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$14,416,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$3,815,186
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$4,022,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$7,141,429
Value of net assets at end of year (total assets less liabilities)2023-01-01$91,307,002
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$84,165,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Assets. Value of investments in 103.12 investment entities at end of year2023-01-01$102,463,212
Assets. Value of investments in 103.12 investment entities at beginning of year2023-01-01$95,579,864
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$2,776,090
Net gain/loss from 103.12 investment entities2023-01-01$10,828,366
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$95,665,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$110,992,673
Liabilities. Value of benefit claims payable at end of year2023-01-01$7,341,024
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$7,391,994
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01ERNST & YOUNG LLP
Accountancy firm EIN2023-01-01346565596
2022 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,414,291
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,890,882
Total income from all sources (including contributions)2022-12-31$84,749,414
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$103,781,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$103,781,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$98,691,286
Value of total assets at end of year2022-12-31$95,579,864
Value of total assets at beginning of year2022-12-31$114,088,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$0
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$13,258,123
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$4,022,297
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$4,652,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-19,032,179
Value of net assets at end of year (total assets less liabilities)2022-12-31$84,165,573
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$103,197,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$95,579,864
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$114,088,634
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,702,567
Net gain/loss from 103.12 investment entities2022-12-31$-13,941,872
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$85,433,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$101,079,026
Liabilities. Value of benefit claims payable at end of year2022-12-31$7,391,994
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$6,238,718
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ERNST & YOUNG LLP
Accountancy firm EIN2022-12-31346565596
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$11,414,291
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$10,890,882
Total income from all sources (including contributions)2022-01-01$84,749,414
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$103,781,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$103,781,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$98,691,286
Value of total assets at end of year2022-01-01$95,579,864
Value of total assets at beginning of year2022-01-01$114,088,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$0
Total interest from all sources2022-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$13,258,123
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$4,022,297
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$4,652,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-19,032,179
Value of net assets at end of year (total assets less liabilities)2022-01-01$84,165,573
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$103,197,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Assets. Value of investments in 103.12 investment entities at end of year2022-01-01$95,579,864
Assets. Value of investments in 103.12 investment entities at beginning of year2022-01-01$114,088,634
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$2,702,567
Net gain/loss from 103.12 investment entities2022-01-01$-13,941,872
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$85,433,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$101,079,026
Liabilities. Value of benefit claims payable at end of year2022-01-01$7,391,994
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$6,238,718
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01ERNST & YOUNG LLP
Accountancy firm EIN2022-01-01346565596
2021 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$10,890,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$10,739,534
Total income from all sources (including contributions)2021-12-31$116,752,745
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$108,807,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$108,807,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$104,758,316
Value of total assets at end of year2021-12-31$114,088,634
Value of total assets at beginning of year2021-12-31$105,992,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$0
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$13,424,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$4,652,164
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$3,921,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$7,944,746
Value of net assets at end of year (total assets less liabilities)2021-12-31$103,197,752
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$95,253,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$114,088,634
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$105,992,540
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,563,206
Net gain/loss from 103.12 investment entities2021-12-31$11,994,429
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$91,333,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$106,244,793
Liabilities. Value of benefit claims payable at end of year2021-12-31$6,238,718
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$6,817,868
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ERNST & YOUNG LLP
Accountancy firm EIN2021-12-31346565596
2020 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$10,739,534
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$11,262,000
Total income from all sources (including contributions)2020-12-31$96,493,521
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$93,665,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$93,665,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$89,132,721
Value of total assets at end of year2020-12-31$105,992,540
Value of total assets at beginning of year2020-12-31$103,687,224
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$0
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$13,227,422
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$320,130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$3,921,666
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$4,819,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,827,782
Value of net assets at end of year (total assets less liabilities)2020-12-31$95,253,006
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$92,425,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$105,992,540
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$103,367,094
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,473,573
Net gain/loss from 103.12 investment entities2020-12-31$7,360,800
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$75,905,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$91,192,166
Liabilities. Value of benefit claims payable at end of year2020-12-31$6,817,868
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$6,442,216
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ERNST & YOUNG LLP
Accountancy firm EIN2020-12-31346565596
2019 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,262,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$10,641,210
Total income from all sources (including contributions)2019-12-31$95,895,770
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$86,920,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$86,920,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$81,556,750
Value of total assets at end of year2019-12-31$103,687,224
Value of total assets at beginning of year2019-12-31$94,091,297
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$12,685,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$320,130
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,819,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,819,417
Other income not declared elsewhere2019-12-31$320,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$8,975,137
Value of net assets at end of year (total assets less liabilities)2019-12-31$92,425,224
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$83,450,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$103,367,094
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$94,091,297
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,372,756
Net gain/loss from 103.12 investment entities2019-12-31$14,018,890
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$68,871,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$84,547,877
Liabilities. Value of benefit claims payable at end of year2019-12-31$6,442,216
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$5,821,793
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ERNST & YOUNG LLP
Accountancy firm EIN2019-12-31346565596
2018 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,641,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$12,590,841
Total income from all sources (including contributions)2018-12-31$66,517,594
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$76,914,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$76,914,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$71,463,232
Value of total assets at end of year2018-12-31$94,091,297
Value of total assets at beginning of year2018-12-31$106,437,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$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 year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$12,271,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$4,819,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$7,613,316
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-10,396,835
Value of net assets at end of year (total assets less liabilities)2018-12-31$83,450,087
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$93,846,922
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$94,091,297
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$106,437,763
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,243,735
Net gain/loss from 103.12 investment entities2018-12-31$-4,945,638
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$59,191,809
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$74,670,694
Liabilities. Value of benefit claims payable at end of year2018-12-31$5,821,793
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$4,977,525
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ERNST & YOUNG LLP
Accountancy firm EIN2018-12-31346565596
2017 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$12,590,841
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,979,876
Total income from all sources (including contributions)2017-12-31$77,096,990
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$75,596,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$75,596,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$68,027,545
Value of total assets at end of year2017-12-31$106,437,763
Value of total assets at beginning of year2017-12-31$103,326,568
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$12,112,437
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,540,613
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$7,613,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$5,958,251
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$133,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,500,230
Value of net assets at end of year (total assets less liabilities)2017-12-31$93,846,922
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$92,346,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$106,437,763
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$101,785,955
Net gain/loss from 103.12 investment entities2017-12-31$9,069,445
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$55,915,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$75,596,760
Liabilities. Value of benefit claims payable at end of year2017-12-31$4,977,525
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$4,888,143
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ERNST & YOUNG LLP
Accountancy firm EIN2017-12-31346565596
2016 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$10,979,876
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$9,940,716
Total income from all sources (including contributions)2016-12-31$76,672,481
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$77,349,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$77,349,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$71,020,524
Value of total assets at end of year2016-12-31$103,326,568
Value of total assets at beginning of year2016-12-31$102,964,454
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$11,556,701
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,540,613
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$5,958,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$5,423,326
Liabilities. Value of operating payables at end of year2016-12-31$133,482
Liabilities. Value of operating payables at beginning of year2016-12-31$84,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-677,046
Value of net assets at end of year (total assets less liabilities)2016-12-31$92,346,692
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$93,023,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$101,785,955
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$102,964,454
Net gain/loss from 103.12 investment entities2016-12-31$5,651,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$59,463,823
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$77,349,527
Liabilities. Value of benefit claims payable at end of year2016-12-31$4,888,143
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$4,432,707
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ERNST & YOUNG LLP
Accountancy firm EIN2016-12-31346565596
2015 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,940,716
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,996,678
Total income from all sources (including contributions)2015-12-31$64,895,204
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$66,991,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$66,991,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$66,103,687
Value of total assets at end of year2015-12-31$102,964,454
Value of total assets at beginning of year2015-12-31$105,116,834
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$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$10,608,661
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$5,423,326
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$5,028,580
Liabilities. Value of operating payables at end of year2015-12-31$84,683
Liabilities. Value of operating payables at beginning of year2015-12-31$142,045
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,096,418
Value of net assets at end of year (total assets less liabilities)2015-12-31$93,023,738
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$95,120,156
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
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$102,964,454
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$105,116,834
Net gain/loss from 103.12 investment entities2015-12-31$-1,208,483
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
Contributions received in cash from employer2015-12-31$55,495,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$66,991,622
Liabilities. Value of benefit claims payable at end of year2015-12-31$4,432,707
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$4,826,053
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ERNST & YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$9,996,678
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$7,810,877
Total income from all sources (including contributions)2014-12-31$61,317,872
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$61,580,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$61,580,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$55,367,732
Value of total assets at end of year2014-12-31$105,116,834
Value of total assets at beginning of year2014-12-31$103,194,103
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$10,425,414
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$5,028,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$4,169,454
Liabilities. Value of operating payables at end of year2014-12-31$142,045
Liabilities. Value of operating payables at beginning of year2014-12-31$74,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-263,070
Value of net assets at end of year (total assets less liabilities)2014-12-31$95,120,156
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$95,383,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$105,116,834
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$103,194,103
Net gain/loss from 103.12 investment entities2014-12-31$5,950,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$44,942,318
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$61,580,942
Liabilities. Value of benefit claims payable at end of year2014-12-31$4,826,053
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$3,566,814
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31346565596
2013 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,566,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,084,330
Total income from all sources (including contributions)2013-12-31$59,986,970
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$55,517,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$55,517,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$51,953,967
Value of total assets at end of year2013-12-31$98,950,040
Value of total assets at beginning of year2013-12-31$94,997,934
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$12,099,345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$4,469,622
Value of net assets at end of year (total assets less liabilities)2013-12-31$95,383,226
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$90,913,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in master investment trust accounts at end of year2013-12-31$98,950,040
Value of interest in master investment trust accounts at beginning of year2013-12-31$94,997,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$39,854,622
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$55,517,348
Liabilities. Value of benefit claims payable at end of year2013-12-31$3,566,814
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$4,084,330
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,084,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,138,417
Total income from all sources (including contributions)2012-12-31$60,660,650
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$54,691,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$54,691,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$51,404,397
Value of total assets at end of year2012-12-31$94,997,934
Value of total assets at beginning of year2012-12-31$89,082,617
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$11,577,534
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$5,969,404
Value of net assets at end of year (total assets less liabilities)2012-12-31$90,913,604
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$84,944,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in master investment trust accounts at end of year2012-12-31$94,997,934
Value of interest in master investment trust accounts at beginning of year2012-12-31$89,082,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$39,826,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$54,691,246
Liabilities. Value of benefit claims payable at end of year2012-12-31$4,084,330
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$4,138,417
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG LLP
Accountancy firm EIN2012-12-31346565596
2011 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,138,417
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,563,379
Total income from all sources (including contributions)2011-12-31$61,665,907
Total of all expenses incurred2011-12-31$53,916,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$53,916,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$59,223,575
Value of total assets at end of year2011-12-31$89,082,617
Value of total assets at beginning of year2011-12-31$81,757,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$12,165,470
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$7,749,814
Value of net assets at end of year (total assets less liabilities)2011-12-31$84,944,200
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$77,194,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in master investment trust accounts at end of year2011-12-31$89,082,617
Value of interest in master investment trust accounts at beginning of year2011-12-31$81,757,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$47,058,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$53,916,093
Liabilities. Value of benefit claims payable at end of year2011-12-31$4,138,417
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$4,563,379
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG LLP
Accountancy firm EIN2011-12-31346565596
2010 : HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,563,379
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,061,393
Total income from all sources (including contributions)2010-12-31$52,144,583
Total of all expenses incurred2010-12-31$50,859,569
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$50,859,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$46,974,471
Value of total assets at end of year2010-12-31$81,757,765
Value of total assets at beginning of year2010-12-31$80,970,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$11,368,606
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,285,014
Value of net assets at end of year (total assets less liabilities)2010-12-31$77,194,386
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$75,909,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in master investment trust accounts at end of year2010-12-31$81,757,765
Value of interest in master investment trust accounts at beginning of year2010-12-31$80,970,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$35,605,865
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$50,859,569
Liabilities. Value of benefit claims payable at end of year2010-12-31$4,563,379
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$5,061,393
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ERNST & YOUNG LLP
Accountancy firm EIN2010-12-31346565596

Form 5500 Responses for HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE

2023: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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 – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: HOSPITAL, SURGICAL & MEDICAL, MAJOR MEDICAL, DENTAL, LIFE & ACCIDENT, VISION, CARECHOICE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
Insurance contract or identification number129971
Number of Individuals Covered7
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $22,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1
Insurance contract or identification number129970
Number of Individuals Covered1002
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,753,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
Insurance contract or identification number129971
Number of Individuals Covered7
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $22,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1
Insurance contract or identification number129970
Number of Individuals Covered970
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,679,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129971
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number129970
Policy instance 1

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