Kohl'S Group Health Plan — Form 5500 plan (Kohl'S, 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, Kohl'S Group Health Plan is a benefit plan reported by Kohl'S, Inc. under EIN 13-3357362 and plan number 501. The latest loaded filing year is 2023. The filing reports 111,393 participants and $15,335,444 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Kohl'S, Inc.
- EIN
- 13-3357362
- Plan number
- 501
- Plan type
- 2
- Location
- Menomonee Falls, WI
- Latest filing year
- 2023
- Participants
- 111,393
- End-of-year plan assets
- $15,335,444
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 111,393 | H, C | 20241015105930NAL0057111490001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $15,335,444
- Total liabilities (EOY)
- $19,465,294
- Net assets (EOY)
- -$4,129,850
- Net assets (BOY)
- -$2,129,140
Income & contributions
- Employer contributions
- $130,717,598
- Participant contributions
- $68,158,133
- Total contributions
- $198,875,731
- Total income / additions
- $199,273,802
Expenses & distributions
- Benefits paid
- $188,786,312
- Administrative expenses
- $12,488,200
- Total expenses
- $201,274,512
- Net increase / (decrease)
- -$2,000,710
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Cvs Health | PHARMACY MGMT | $38,539,448 | not reported in the loaded dataset | 2023 |
| Blue Cross Blue Shield Of Wisconsin | CONTRACT ADMIN. | $6,114,799 | not reported in the loaded dataset | 2023 |
| United Healthcare Services, Inc. | CLAIMS PROCESSING | $5,637,980 | not reported in the loaded dataset | 2023 |
| Delta Dental Of Wisconsin | DENTAL ADMIN. | $512,908 | not reported in the loaded dataset | 2023 |
| Prudentrx | NONE | $382,516 | not reported in the loaded dataset | 2023 |
| Centivo | NONE | $206,198 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Kohl'S, Inc.
- 2023 Form 5500 filing
- Form 5500 filings in WI
- 401(k) and benefit plan filings in Menomonee Falls, WI
- Cvs Health — Schedule C compensation
- Blue Cross Blue Shield Of Wisconsin — Schedule C compensation
- United Healthcare Services, Inc. — Schedule C compensation
- Delta Dental Of Wisconsin — Schedule C compensation
- Prudentrx — Schedule C compensation
- Centivo — Schedule C compensation