2023 Form 5500 filing — Severance And Retention Benefit 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 20241003122421NAL0004858307001) for Severance And Retention Benefit Plan, reported by Blue Cross And Blue Shield Of Kansas, Inc. under EIN 48-0952857 and plan number 506. It reports 1,388 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$0Reported net assets
Participants1.4K1,388
Provider compensationNone reported
Schedules filedSchedule HLoaded schedules
EFAST2 acknowledgement
20241003122421NAL0004858307001
Plan sponsor
Blue Cross And Blue Shield Of Kansas, Inc.
EIN
48-0952857
Plan number
506
Location
Topeka, KS
Received date
not reported in the loaded dataset
Schedule H · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Money in vs. money out
Total income / additions$27.5K
Total expenses$27.5K
Benefits paid / distributions$27.5K
Contributions
Employer$27.5K
ParticipantNot reported
Full reported line items
Total assets (EOY)
$0
Total liabilities (EOY)
$0
Net assets (EOY)
$0
Employer contributions
$27,500
Total income / additions
$27,500
Benefits paid
$27,500
Administrative expenses
$0
Total expenses
$27,500
Net increase / (decrease)
$0

Related Form 5500 pages