2023 Form 5500 filing — Bluedge Group Health Plan
Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240730111949NAL0011759827001) for Bluedge Group Health Plan, reported by Bluedge under EIN 13-5582590 and plan number 501. It reports 112 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20240730111949NAL0011759827001
- Plan sponsor
- Bluedge
- EIN
- 13-5582590
- Plan number
- 501
- Location
- New York, NY
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Mertain Health | MEDICAL FEES | $32,931 | not reported in the loaded dataset |
| Cigna | PPO ADMIN | $13,146 | not reported in the loaded dataset |
| Empirx Health | RX VENDOR | $12,490 | not reported in the loaded dataset |
| Delta Dental Of New York | DENTAL ADMIN | $4,166 | not reported in the loaded dataset |