Puerto Rico Health Plan, Inc. Group Life Ins Plan — Form 5500 plan (Independence Blue Cross)

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, Puerto Rico Health Plan, Inc. Group Life Ins Plan is a benefit plan reported by Independence Blue Cross under EIN 46-3867722 and plan number 503. The latest loaded filing year is 2023. The filing reports 170 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
Participants170Covered participants reported
Assets / participantNot reported
Provider compensationNone reported
Plan sponsor
Independence Blue Cross
EIN
46-3867722
Plan number
503
Plan type
2
Location
Philadelphia, PA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202317020241008164001NAL0035417794001

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)

No Schedule C service provider compensation is loaded for this plan yet.

Related Form 5500 pages