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Company:
Blue Cross Blue Shield of Michigan

Plan:
Blue Cross Blue Shield of Michigan Employees' Savings Plan
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Plan Information
Plan Year 01/01/2010 — 12/31/2010
Effective Date of Plan 07/01/1983
Net Assets as of 12/31/2010 $525,375,866
Plan Number 3
Plan Type Single Employer
Is the plan collectively bargained? No
Did the plan file for an extension of time or the DFVC Program? Yes
Plan Funding Arrangement Trust
Plan Benefit Arrangement Trust

Participant Information as of 12/31/2010
Active (Eligible) Participants 5,266
Retired or separated participants receiving benefits 44
Other retired or separated participants entitled to future benefits 829
Subtotal 6,139
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 8
Total 6,147
Total number of participants as of 01/01/2010 5,618
Number of participants with account balances 5,686
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Plan Sponsor Information
Address 600 Lafayette East
Mail Code 1801
Detroit, MI 48226 -2998
Telephone (313) 225-9000
EIN 38-2069753
Industry Code 524140
Named Administrator Darrell Middleton
Named Plan Sponsor Carolynn Walton

Plan Administrator Information
Administrator Name Blue Cross Blue Shield of Michigan
Address 600 Lafayette East
Mail Code 1801
Detroit, MI 48226 -2998
Telephone (313) 225-9000
Administrator EIN 38-2069753

Audit Information
Audit Status Audited
Auditor George Johnson and Company
Auditor EIN 38-2029668
Audit Opinion Unqualified
Audit Type Full Audit

Benefits Provided Under the Plan
Code Benefit Description
2G 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.
2J 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.

  Question Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No  
3. Were any leases to which the plan was a party in default or classified during the year as uncollectible? No  
4. Were there any nonexempt transactions with any party-in-interest? No  
5. Was this plan covered by a fidelity bond? Yes $25,000,000
6. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
7. Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
8. Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
9. Did the plan have assets held for investment? Yes  
10. Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No  
11. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
12. Has the plan failed to provide any benefit when due under the plan? No  
13. If this is an individual account plan, was there a blackout period? No  
14. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No