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CSAA IIB HEALTH PLAN 401k Plan overview

Plan NameCSAA IIB HEALTH PLAN
Plan identification number 504

CSAA IIB HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

CSAA INSURANCE EXCHANGE has sponsored the creation of one or more 401k plans.

Company Name:CSAA INSURANCE EXCHANGE
Employer identification number (EIN):940361650
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CSAA IIB HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042009-01-01THOMAS LUCAS THOMAS LUCAS2010-10-14

Plan Statistics for CSAA IIB HEALTH PLAN

401k plan membership statisitcs for CSAA IIB HEALTH PLAN

Measure Date Value
2009: CSAA IIB HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-016,868
Total number of active participants reported on line 7a of the Form 55002009-01-015,960
Number of retired or separated participants receiving benefits2009-01-011,800
Number of other retired or separated participants entitled to future benefits2009-01-01372
Total of all active and inactive participants2009-01-018,132

Financial Data on CSAA IIB HEALTH PLAN

Measure Date Value
2010 : CSAA IIB HEALTH PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-345,073
Total unrealized appreciation/depreciation of assets2010-12-31$-345,073
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,377,113
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,572,808
Total income from all sources (including contributions)2010-12-31$62,393,457
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$66,458,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$63,224,353
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$62,269,574
Value of total assets at end of year2010-12-31$12,733,822
Value of total assets at beginning of year2010-12-31$16,994,851
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,234,438
Total interest from all sources2010-12-31$468,956
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$526,908
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$15,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$24,620,799
Participant contributions at end of year2010-12-31$325,574
Participant contributions at beginning of year2010-12-31$787,043
Assets. Other investments not covered elsewhere at end of year2010-12-31$7,608,737
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$12,584,130
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$743,078
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$398,276
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-4,065,334
Value of net assets at end of year (total assets less liabilities)2010-12-31$8,356,709
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,422,043
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
Interest earned on other investments2010-12-31$468,956
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,056,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,225,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,225,402
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$18,358,507
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$37,648,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$44,865,846
Contract administrator fees2010-12-31$2,707,530
Liabilities. Value of benefit claims payable at end of year2010-12-31$4,377,113
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,572,808
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2010-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2010-12-31134008324

Form 5500 Responses for CSAA IIB HEALTH PLAN

2009: CSAA IIB HEALTH PLAN 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

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