401k Plan data: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN plan

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN
Plan identification number	002

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

ATLANTIC MEDICAL MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name: ATLANTIC MEDICAL MANAGEMENT LLC

Employer identification number (EIN): 560894904

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about ATLANTIC MEDICAL MANAGEMENT LLC

Jurisdiction of Incorporation: North Carolina Secretary of State

Incorporation Date:

Company Identification Number: 0166498

More information about ATLANTIC MEDICAL MANAGEMENT LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 MICHAEL O'CONNOR MICHAEL O'CONNOR 2014-10-13
002 2012-01-01 MICHAEL O'CONNOR MICHAEL O'CONNOR 2013-10-24
002 2011-01-01 MICHAEL O'CONNOR MICHAEL O'CONNOR 2012-10-14
002 2010-01-01 MICHAEL O'CONNOR MICHAEL O'CONNOR 2011-10-16
002 2009-01-01 MICHAEL O'CONNOR MICHAEL O'CONNOR 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	MICHAEL O'CONNOR	MICHAEL O'CONNOR	2014-10-13
002	2012-01-01	MICHAEL O'CONNOR	MICHAEL O'CONNOR	2013-10-24
002	2011-01-01	MICHAEL O'CONNOR	MICHAEL O'CONNOR	2012-10-14
002	2010-01-01	MICHAEL O'CONNOR	MICHAEL O'CONNOR	2011-10-16
002	2009-01-01	MICHAEL O'CONNOR	MICHAEL O'CONNOR	2010-10-13

Plan Statistics for BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN

Measure Date Value
2013: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,564
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,727
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,171
Number of retired or separated participants receiving benefits 2012-01-01 15
Number of other retired or separated participants entitled to future benefits 2012-01-01 374
Total of all active and inactive participants 2012-01-01 1,560
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 4
Total participants 2012-01-01 1,564
Number of participants with account balances 2012-01-01 1,535
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,835
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,273
Number of retired or separated participants receiving benefits 2011-01-01 14
Number of other retired or separated participants entitled to future benefits 2011-01-01 434
Total of all active and inactive participants 2011-01-01 1,721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 6
Total participants 2011-01-01 1,727
Number of participants with account balances 2011-01-01 1,704
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,013
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,395
Number of retired or separated participants receiving benefits 2010-01-01 13
Number of other retired or separated participants entitled to future benefits 2010-01-01 425
Total of all active and inactive participants 2010-01-01 1,833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 2
Total participants 2010-01-01 1,835
Number of participants with account balances 2010-01-01 1,802
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,136
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,602
Number of retired or separated participants receiving benefits 2009-01-01 15
Number of other retired or separated participants entitled to future benefits 2009-01-01 393
Total of all active and inactive participants 2009-01-01 2,010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 2,013
Number of participants with account balances 2009-01-01 1,967
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,564
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,727
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,171
Number of retired or separated participants receiving benefits	2012-01-01	15
Number of other retired or separated participants entitled to future benefits	2012-01-01	374
Total of all active and inactive participants	2012-01-01	1,560
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	4
Total participants	2012-01-01	1,564
Number of participants with account balances	2012-01-01	1,535
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,835
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,273
Number of retired or separated participants receiving benefits	2011-01-01	14
Number of other retired or separated participants entitled to future benefits	2011-01-01	434
Total of all active and inactive participants	2011-01-01	1,721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	6
Total participants	2011-01-01	1,727
Number of participants with account balances	2011-01-01	1,704
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,013
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,395
Number of retired or separated participants receiving benefits	2010-01-01	13
Number of other retired or separated participants entitled to future benefits	2010-01-01	425
Total of all active and inactive participants	2010-01-01	1,833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	2
Total participants	2010-01-01	1,835
Number of participants with account balances	2010-01-01	1,802
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,136
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,602
Number of retired or separated participants receiving benefits	2009-01-01	15
Number of other retired or separated participants entitled to future benefits	2009-01-01	393
Total of all active and inactive participants	2009-01-01	2,010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	2,013
Number of participants with account balances	2009-01-01	1,967
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN

Measure	Date	Value
2013 : BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$165,692,261
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	$35,443,516
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$10,545,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$10,528,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$8,378,654
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$140,793,880
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$16,752
Total interest from all sources	2013-12-31	$97,672
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$4,572,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$4,572,979
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$5,991,337
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$2,801,023
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$177,552
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$3,505,070
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$101,874
Other income not declared elsewhere	2013-12-31	$999,112
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	$24,898,381
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$140,793,880
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$103,040,394
Interest on participant loans	2013-12-31	$97,368
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$28,517,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,683,689
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,683,689
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$304
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$16,904,337
Net investment gain or loss from common/collective trusts	2013-12-31	$4,490,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
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
Contributions received in cash from employer	2013-12-31	$2,285,443
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$69,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$10,528,383
Contract administrator fees	2013-12-31	$16,752
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GRAY, CALLISON & CO., PA
Accountancy firm EIN	2013-12-31	561285792
2012 : BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$688,045
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$23,679,617
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$12,055,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$12,039,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$7,850,502
Value of total assets at end of year	2012-12-31	$140,793,880
Value of total assets at beginning of year	2012-12-31	$129,858,004
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$16,685
Total interest from all sources	2012-12-31	$103,224
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$3,713,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$3,713,902
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$5,829,256
Participant contributions at end of year	2012-12-31	$2,801,023
Participant contributions at beginning of year	2012-12-31	$2,967,209
Participant contributions at end of year	2012-12-31	$177,552
Participant contributions at beginning of year	2012-12-31	$185,190
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$3,505,070
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$3,012,615
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$99,216
Other income not declared elsewhere	2012-12-31	$460,701
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	$11,623,921
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$140,793,880
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$129,858,004
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$103,040,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$92,806,485
Interest on participant loans	2012-12-31	$102,915
Value of interest in common/collective trusts at end of year	2012-12-31	$28,517,151
Value of interest in common/collective trusts at beginning of year	2012-12-31	$28,195,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,683,689
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,616,849
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,616,849
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$309
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$9,404,171
Net investment gain or loss from common/collective trusts	2012-12-31	$2,147,117
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,922,030
Employer contributions (assets) at end of year	2012-12-31	$69,001
Employer contributions (assets) at beginning of year	2012-12-31	$73,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$12,039,011
Contract administrator fees	2012-12-31	$16,685
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	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	GRAY, CALLISON & CO., PA
Accountancy firm EIN	2012-12-31	561285792
2011 : BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$1,284,938
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	$8,250,504
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$10,265,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$10,246,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$8,807,897
Value of total assets at end of year	2011-12-31	$129,858,004
Value of total assets at beginning of year	2011-12-31	$133,158,219
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$18,939
Total interest from all sources	2011-12-31	$111,199
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$3,392,416
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$3,392,416
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$20,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$6,256,555
Participant contributions at end of year	2011-12-31	$2,967,209
Participant contributions at beginning of year	2011-12-31	$2,873,101
Participant contributions at end of year	2011-12-31	$185,190
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$3,012,615
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$77,573
Other income not declared elsewhere	2011-12-31	$-260,029
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	$-2,015,277
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$129,858,004
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$133,158,219
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$92,806,485
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$97,058,640
Interest on participant loans	2011-12-31	$110,649
Value of interest in common/collective trusts at end of year	2011-12-31	$28,195,960
Value of interest in common/collective trusts at beginning of year	2011-12-31	$29,780,970
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$2,616,849
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,445,508
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,445,508
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$550
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-4,391,020
Net investment gain or loss from common/collective trusts	2011-12-31	$590,041
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,473,769
Employer contributions (assets) at end of year	2011-12-31	$73,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$10,246,842
Contract administrator fees	2011-12-31	$18,939
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	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GRAY, CALLISON & CO., PA
Accountancy firm EIN	2011-12-31	561285792
2010 : BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$188,345
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	$24,772,742
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$15,100,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$15,080,083
Expenses. Certain deemed distributions of participant loans	2010-12-31	$179
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$9,209,609
Value of total assets at end of year	2010-12-31	$133,158,219
Value of total assets at beginning of year	2010-12-31	$123,674,293
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$20,209
Total interest from all sources	2010-12-31	$138,487
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,738,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$1,738,902
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$6,607,678
Participant contributions at end of year	2010-12-31	$2,873,101
Participant contributions at beginning of year	2010-12-31	$2,824,275
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$1,062
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	$9,672,271
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$133,158,219
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$123,674,293
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$97,058,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$85,094,796
Interest on participant loans	2010-12-31	$136,378
Value of interest in common/collective trusts at end of year	2010-12-31	$29,780,970
Value of interest in common/collective trusts at beginning of year	2010-12-31	$31,366,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,445,508
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,389,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,389,046
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$2,109
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$11,569,167
Net investment gain or loss from common/collective trusts	2010-12-31	$2,116,577
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$2,600,869
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$15,080,083
Contract administrator fees	2010-12-31	$20,209
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	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	GRAY, CALLISON & CO., PA
Accountancy firm EIN	2010-12-31	561285792

Form 5500 Responses for BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN

2013: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 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	Yes
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: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 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: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 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: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT SAVINGS PLAN 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

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Company Name:	ATLANTIC MEDICAL MANAGEMENT LLC
Employer identification number (EIN):	560894904
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	North Carolina Secretary of State
Incorporation Date:
Company Identification Number:	0166498