Hospital, Surgical & Medical, Major Medical, Dental, Life & Accident, Vision, Carechoice — Form 5500 plan (Bluecross Blueshield Of Tennessee)
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, Hospital, Surgical & Medical, Major Medical, Dental, Life & Accident, Vision, Carechoice is a benefit plan reported by Bluecross Blueshield Of Tennessee under EIN 62-0427913 and plan number 503. The latest loaded filing year is 2023. The filing reports 6,830 participants and $102,463,212 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Bluecross Blueshield Of Tennessee
- EIN
- 62-0427913
- Plan number
- 503
- Plan type
- 2
- Location
- Chattanooga, TN
- Latest filing year
- 2023
- Participants
- 6,830
- End-of-year plan assets
- $102,463,212
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 6,830 | H | 20241007102106NAL0008783459001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $102,463,212
- Total liabilities (EOY)
- $11,156,210
- Net assets (EOY)
- $91,307,002
- Net assets (BOY)
- $84,165,573
Income & contributions
- Employer contributions
- $95,665,162
- Participant contributions
- $14,416,664
- Total contributions
- $110,081,826
- Total income / additions
- $120,910,192
Expenses & distributions
- Benefits paid
- $113,768,763
- Administrative expenses
- $0
- Total expenses
- $113,768,763
- Net increase / (decrease)
- $7,141,429
Service provider compensation (Schedule C)
No Schedule C service provider compensation is loaded for this plan yet.