2023 Form 5500 filing — Hospital, Surgical & Medical, Major Medical, Dental, Life & Accident, Vision, Carechoice
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 20241007102106NAL0008783459001) for Hospital, Surgical & Medical, Major Medical, Dental, Life & Accident, Vision, Carechoice, reported by Bluecross Blueshield Of Tennessee under EIN 62-0427913 and plan number 503. It reports 6,830 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials).
- EFAST2 acknowledgement
- 20241007102106NAL0008783459001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Bluecross Blueshield Of Tennessee
- EIN
- 62-0427913
- Plan number
- 503
- Location
- Chattanooga, TN
- Participants
- 6,830
- Schedules available
- Schedule H
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $102,463,212
- Total liabilities (EOY)
- $11,156,210
- Net assets (EOY)
- $91,307,002
- Employer contributions
- $95,665,162
- Participant contributions
- $14,416,664
- Total income / additions
- $120,910,192
- Benefits paid
- $113,768,763
- Administrative expenses
- $0
- Total expenses
- $113,768,763
- Net increase / (decrease)
- $7,141,429
- Schedule source
- Schedule H