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ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN 401k Plan overview

Plan NameANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN
Plan identification number 002

ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Health (other than dental or vision)

401k Sponsoring company profile

MEDAC, INC. has sponsored the creation of one or more 401k plans.

Company Name:MEDAC, INC.
Employer identification number (EIN):581981965
NAIC Classification:339110

Additional information about MEDAC, INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1971-10-22
Company Identification Number: C0637391
Legal Registered Office Address: P. O. Box 222

Livermore
United States of America (USA)
94550

More information about MEDAC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022014-03-01JANET SEIGLER

Plan Statistics for ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN

401k plan membership statisitcs for ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN

Measure Date Value
2014: ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01384
Total number of active participants reported on line 7a of the Form 55002014-03-01350
Number of retired or separated participants receiving benefits2014-03-018
Total of all active and inactive participants2014-03-01358
Total participants2014-03-01358

Financial Data on ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN

Measure Date Value
2014 : ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$0
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$0
Value of total assets at beginning of year2014-12-31$0
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 bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$0
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
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
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
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2014-12-31CHERRY, BEKHEART, AND HOLLAND
Accountancy firm EIN2014-12-31560574444

Form 5500 Responses for ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN

2014: ANTHEM BLUE CROSS BLUE SHIELD HEALTH PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes

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