Blue Cross Blue Shield Of Massachusetts, Inc. Omnibus Welfare Plan — Form 5500 plan (Blue Cross Blue Shield Of Massachusetts, Inc.)
Plain-English plan 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, Blue Cross Blue Shield Of Massachusetts, Inc. Omnibus Welfare Plan is a benefit plan reported by Blue Cross Blue Shield Of Massachusetts, Inc. under EIN 04-1045815 and plan number 512. The latest loaded filing year is 2023. The filing reports 3,527 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)Not reported
Participants3.5KCovered participants reported3,527
Assets / participantNot reported
Provider compensation$2.8M1 Schedule C provider row(s)$2,808,672
- Plan sponsor
- Blue Cross Blue Shield Of Massachusetts, Inc.
- EIN
- 04-1045815
- Plan number
- 512
- Plan type
- 2
- Location
- Boston, MA
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 3,527 | C | 20241011085808NAL0022452769001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Blue Cross Blue Shield Of Ma, Inc. | SELF INSURED | $2,808,672 | not reported in the loaded dataset | 2023 |