2023 Form 5500 filing — Blue Cross And Blue Shield Of North Carolina Retiree Medical Benefits 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 20241015135137NAL0056467618001) for Blue Cross And Blue Shield Of North Carolina Retiree Medical Benefits Plan, reported by Blue Cross And Blue Shield Of North Carolina under EIN 56-0894904 and plan number 501. It reports 6,146 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$71.4MReported net assets$71,398,401
Participants6.1K6,146
Provider compensationNone reported
Schedules filedSchedule HLoaded schedules
- EFAST2 acknowledgement
- 20241015135137NAL0056467618001
- Plan sponsor
- Blue Cross And Blue Shield Of North Carolina
- EIN
- 56-0894904
- Plan number
- 501
- Location
- Durham, NC
- 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.
Reported balance (end of year)$73.9M total assets
Net assets$71.4MLiabilities$2.5M
Full reported line items
- Total assets (EOY)
- $73,939,015
- Total liabilities (EOY)
- $2,540,614
- Net assets (EOY)
- $71,398,401
- Employer contributions
- $25,959
- Participant contributions
- $1,068,917
- Total income / additions
- $8,901,310
- Benefits paid
- $3,287,332
- Administrative expenses
- $0
- Total expenses
- $3,287,332
- Net increase / (decrease)
- $5,613,978