Capital Blue Cross — Form 5500 filings & benefit plans
Form 5500 plan sponsor 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, Capital Blue Cross (EIN 23-0455154) is a plan sponsor located in Harrisburg, PA with 6 reported benefit plan(s) in the loaded dataset. The latest loaded Form 5500 filing year is 2023.
Company overview (based on loaded 2023 public filings)
- EIN
- 23-0455154
- Location
- Harrisburg, PA
- Loaded plans
- 6
- Total reported participants
- 10,230
- Total reported plan assets (EOY)
- $537,024,293
- Plans with financial data
- 2
- Plans with provider compensation
- 5
- Latest filing year
- 2023
Totals aggregate this sponsor's loaded Form 5500 filings only and reflect figures as reported; they are not an audited company total.
Largest loaded plans by reported assets
| Plan | Plan # | Participants | Reported assets (EOY) | Year |
|---|---|---|---|---|
| Capital Blue Cross Employee Savings Plan | 002 | 2,857 | $454,048,452 | 2023 |
| Capital Blue Cross Retirement Plan | 001 | 1,659 | $82,975,841 | 2023 |
| Capital Blue Cross Severance Pay Plan | 507 | 2,286 | not reported in the loaded dataset | 2023 |
| Capital Blue Cross Welfare Benefit Plan | 510 | 2,277 | not reported in the loaded dataset | 2023 |
| Capital Blue Cross Retiree Medical Plan | 512 | 1,124 | not reported in the loaded dataset | 2023 |
| Capital Blue Cross Medical And Life Insurance Plan For Disabled Former Employees | 511 | 27 | not reported in the loaded dataset | 2023 |
Latest loaded filings
| Year | Plan | Participants | Schedules | Filing |
|---|---|---|---|---|
| 2023 | Capital Blue Cross Welfare Benefit Plan | 2,277 | C | 20241008083229NAL0028162464001 |
| 2023 | Capital Blue Cross Severance Pay Plan | 2,286 | — | 20241008083353NAL0028165008001 |
| 2023 | Capital Blue Cross Medical And Life Insurance Plan For Disabled Former Employees | 27 | C | 20241008083522NAL0028168400001 |
| 2023 | Capital Blue Cross Retiree Medical Plan | 1,124 | C | 20241008083632NAL0028170736001 |
| 2023 | Capital Blue Cross Employee Savings Plan | 2,857 | H, C | 20241010135557NAL0040955506001 |
| 2023 | Capital Blue Cross Retirement Plan | 1,659 | H, C | 20241011072612NAL0010696003001 |