2023 Form 5500 filing — Vision Service Plan Employees Benefit Plan
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 20241007103028NAL0015928545001) for Vision Service Plan Employees Benefit Plan, reported by Vision Service Plan under EIN 94-1632821 and plan number 501. It reports 5,000 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20241007103028NAL0015928545001
- Plan sponsor
- Vision Service Plan
- EIN
- 94-1632821
- Plan number
- 501
- Location
- Rancho Cordova, CA
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Michigan | CLAIMS ADMINISTRATION | $1,727,861 | $0 |
| Evernorth Behavioral Health, Inc. | EAP ADMINISTRATION | $296,887 | not reported in the loaded dataset |