Plan5500

Blue Cross And Blue Shield Of North Carolina Retiree Medical Benefits Plan — Form 5500 plan (Blue Cross And Blue Shield Of North Carolina)

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 And Blue Shield Of North Carolina Retiree Medical Benefits Plan is a benefit plan reported by Blue Cross And Blue Shield Of North Carolina under EIN 56-0894904 and plan number 501. The latest loaded filing year is 2023. The filing reports 6,146 participants and $73,939,015 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$71.4MPlan net assets, end of year$71,398,401
Participants6.1KCovered participants reported6,146
Assets / participant$12KComputed: assets ÷ participants$12,030 (computed)
Provider compensationNone reported
Plan sponsor
Blue Cross And Blue Shield Of North Carolina
EIN
56-0894904
Plan number
501
Plan type
2
Location
Durham, NC
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20236,146H20241015135137NAL0056467618001
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$73.9M total assets
Net assets$71.4MLiabilities$2.5M
Money in vs. money out
Total income / additions$8.9M
Total expenses$3.3M
Benefits paid / distributions$3.3M
Contributions
Employer$26K
Participant$1.1M
Full reported line items

Net assets

Total assets (EOY)
$73,939,015
Total liabilities (EOY)
$2,540,614
Net assets (EOY)
$71,398,401
Net assets (BOY)
$65,784,423

Income & contributions

Employer contributions
$25,959
Participant contributions
$1,068,917
Total contributions
$1,094,876
Total income / additions
$8,901,310

Expenses & distributions

Benefits paid
$3,287,332
Administrative expenses
$0
Total expenses
$3,287,332
Net increase / (decrease)
$5,613,978
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 2%Participant 98%
Total expenses ÷ net assets5%Computed ratio
Benefits paid ÷ total income37%Computed ratio

Service provider compensation (Schedule C)

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

Related Form 5500 pages