2023 Form 5500 filing — Non-Contributory Retirement Program For Certain Empl Of Bcbs Wyoming
Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241004101901NAL0006596003001) for Non-Contributory Retirement Program For Certain Empl Of Bcbs Wyoming, reported by Blue Cross And Blue Shield Of Wyoming under EIN 83-0231011 and plan number 001. It reports 410 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241004101901NAL0006596003001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blue Cross And Blue Shield Of Wyoming
- EIN
- 83-0231011
- Plan number
- 001
- Location
- Cheyenne, WY
- Participants
- 410
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $36,188,865
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $36,188,865
- Total income / additions
- $3,175,045
- Benefits paid
- $2,495,676
- Administrative expenses
- $185,990
- Total expenses
- $2,681,666
- Net increase / (decrease)
- $493,379
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Association | PLAN ADMIN | $67,700 | not reported in the loaded dataset |
| Aon Consulting, Inc. | ACTUARIAL | $47,655 | not reported in the loaded dataset |
| Mercer Investment Management | INV MGMT | $23,535 | not reported in the loaded dataset |
| L & S Ventures LLC | CONSULTING | $17,762 | not reported in the loaded dataset |
| Northern Trust Company | TRUSTEE | $12,914 | not reported in the loaded dataset |