2023 Form 5500 filing — Blue Cross & Blue Shield Of Rhode Island Employee Savings 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 20241011133309NAL0038863408001) for Blue Cross & Blue Shield Of Rhode Island Employee Savings Plan, reported by Blue Cross & Blue Shield Of Rhode Island under EIN 05-0158952 and plan number 002. It reports 1,536 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241011133309NAL0038863408001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blue Cross & Blue Shield Of Rhode Island
- EIN
- 05-0158952
- Plan number
- 002
- Location
- Providence, RI
- Participants
- 1,536
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $251,050,526
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $251,050,526
- Employer contributions
- $5,129,740
- Participant contributions
- $8,738,432
- Total income / additions
- $46,945,231
- Benefits paid
- $28,774,420
- Administrative expenses
- $323,721
- Total expenses
- $29,161,583
- Net increase / (decrease)
- $17,783,648
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Insurance Company O | NONE | $239,216 | $0 |
| Mercer (Us) Inc | NONE | $56,277 | not reported in the loaded dataset |
| Citrin Cooperman & Company Llp | NONE | $24,100 | not reported in the loaded dataset |
| Qdro Consultants | NONE | $500 | not reported in the loaded dataset |