Excellus Health Plan Inc — Form 5500 filings & benefit plans
Form 5500 plan sponsor summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, Excellus Health Plan Inc (EIN 15-0329043) is a plan sponsor located in Rochester, NY with 2 reported benefit plan(s) in the loaded dataset. The latest loaded Form 5500 filing year is 2023.
Company overview (based on loaded 2023 public filings)
- EIN
- 15-0329043
- Location
- Rochester, NY
- Loaded plans
- 5
- Total reported participants
- 21,382
- Total reported plan assets (EOY)
- $1,538,517,671
- Plans with financial data
- 2
- Plans with provider compensation
- 2
- Latest filing year
- 2023
Totals aggregate this sponsor's loaded Form 5500 filings only and reflect figures as reported; they are not an audited company total.
Largest loaded plans by reported assets
| Plan | Plan # | Participants | Reported assets (EOY) | Year |
|---|---|---|---|---|
| Excellus Retirement Plan | 001 | 4,632 | $787,242,311 | 2023 |
| Excellus 401(K) Plan | 002 | 5,487 | $751,275,360 | 2023 |
| Excellus Group Term Life Insurance Plan | 507 | 5,695 | not reported in the loaded dataset | 2023 |
| Excellus Health And Welfare Plan | 502 | 5,568 | not reported in the loaded dataset | 2023 |
| Healthcare Plan Tax Deferred Annuity | 005 | 0 | not reported in the loaded dataset | 2023 |
Latest loaded filings
| Year | Plan | Participants | Schedules | Filing |
|---|---|---|---|---|
| 2023 | Healthcare Plan Tax Deferred Annuity | 0 | — | 20240729140921NAL0019447761001 |
| 2023 | Excellus Group Term Life Insurance Plan | 5,695 | — | 20240729141101NAL0019451009001 |
| 2023 | Excellus Health And Welfare Plan | 5,568 | — | 20240729141158NAL0019453665001 |
| 2023 | Excellus Retirement Plan | 4,632 | H, C | 20241009164526NAL0010852531001 |
| 2023 | Excellus 401(K) Plan | 5,487 | H, C | 20241016132437NAL0053264016001 |