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FORM 5500 DATA

AXIS Specialty U.S. Services, Inc. 401k Plan

Overview

Plan Information

  • Plan Year01/01/2011 — 12/31/2011
  • Date of Plan12/01/2002
  • Net Assets as of 12/31/2011 $81,795,500
  • Plan Number1
  • 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 12/31/2011

  • Active (Eligible) Participants690
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits111
  • Subtotal801
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits2
  • Total803
  • Total number of participants as of 01/01/2011772
  • Number of participants with account balances776
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested18

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address11680 Great Oaks Way Suite 600
  • CityAlpharetta
  • StateGA
  • Zip30022
  • Telephone(678) 746-9334
  • EIN41-2030082
  • Industry Code524150
  • Named AdministratorAmy Jackson
  • Named Plan SponsorBrian Goshen

Plan Administrator Information

  • Administrator NameAxis Specialty U.S. Services, Inc.
  • Address11680 Great Oaks Way Suite 600
  • CityAlpharetta
  • StateGA
  • Zip30022
  • Telephone(678) 746-9334
  • Administrator EIN41-2030082

Audit Information

  • Audit StatusAudited
  • AuditorDeloitte & Touche LLP
  • Auditor EIN13-3891517
  • Audit OpinionUnqualified
  • Audit Type Full Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
2K 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 contributions 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D Master plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
3F Leased Employees Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

Questions and Answers

Question Answer Amount
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
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
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $500,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
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
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
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
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

Financials

Income and Expense Statement

Income $14,567,973
Contributions $16,258,168
Cash Contributions $16,258,168
Cash from Employers $8,438,340
Cash from Participants $7,092,827
Others (including rollovers) $727,001
Noncash Contributions $0
Total Earnings on Investments $-1,690,195
Total Interest $54,750
Interest-Bearing Cash $1,070
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $53,680
Interest from Other Investments $0
Total Dividends $1,614,776
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-3,359,721
Other Income $0
Expenses $4,055,286
Total Benefit Payments $4,042,252
Directly to participants or beneficiaries, including direct rollovers $4,042,252
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $1,842
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $11,192
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $11,192
Net Income $10,512,687
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2011 12/31/2010 Change YOY
Total Assets $81,795,500 $71,282,813 14.75%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $8,317,914 $7,247,289 14.77%
Interest-bearing cash $8,317,914 $7,247,289 14.77%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $1,294,647 $1,160,679 11.54%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $72,182,939 $62,874,845 14.80%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $81,795,500 $71,282,813 14.75%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fid.Inv.Inst.Ops.Co.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Fidelity Investments Institutional Recordkeeping fees, Account maintenance fees, Participant loan processing, Sub-transfer agency fees Recordkeeper $7,994 $0 $7,994
Total $7,994 $0 $7,994

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Fidelity Investments Institutional Abf Lg Cap Val Inv - State Street B Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Am Cent Ls Inc Inv - American Centu Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2015 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2020 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2025 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2030 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2035 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2040 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2045 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Am Cent Ls 2050 Inv - American Cent Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Calv Sh Dur Income A - Boston Finan Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Gs Midcap Value Inst - Goldman, Sac Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Invs Divrs Divd Inst - Invesco Aim Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Loomis Sm Cap Val I - Boston Financ Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Loomis Sm Cap Val R - Boston Financ Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mutual Gbl Discvry A - Franklin Tem Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mutual Glb Discvry Z - Franklin Tem Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Nb Partners Inst - State Street Ban Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Nb Partners Trust - State Street Ba Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Tot Ret II Adm - Boston Finan Sub-transfer agency fees 0.26% $0
Fidelity Investments Institutional Pimco Tot Return 2 I - Boston Finan Sub-transfer agency fees 0.01% $0
Fidelity Investments Institutional Royce Value Plus Is - Boston Financ Sub-transfer agency fees 0.05% $0
Fidelity Investments Institutional Royce Value Plus Ser - Boston Finan Sub-transfer agency fees 0.45% $0
Fidelity Investments Institutional Victory Spl Value A - Citi Fund Ser Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Victory Spl Value I - Citi Fund Ser Sub-transfer agency fees 0.10% $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

No investments information available for this plan.

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.