2023 Form 5500 filing — Blue Cross Blue Shield Of Wyoming Tax-Favored Savings Program
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 20241010080328NAL0035221600001) for Blue Cross Blue Shield Of Wyoming Tax-Favored Savings Program, reported by Blue Cross & Blue Shield Of Wyoming under EIN 83-0231011 and plan number 002. It reports 351 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010080328NAL0035221600001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blue Cross & Blue Shield Of Wyoming
- EIN
- 83-0231011
- Plan number
- 002
- Location
- Cheyenne, WY
- Participants
- 351
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $36,494,027
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $36,494,027
- Employer contributions
- $990,616
- Participant contributions
- $1,808,600
- Total income / additions
- $8,709,843
- Benefits paid
- $3,765,600
- Administrative expenses
- $14,546
- Total expenses
- $3,780,146
- Net increase / (decrease)
- $4,929,697
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Fidelity Investments Institutional | RECORDKEEPER | $15,094 | $0 |
| Wealth Management Systems Inc | NONE | $0 | $0 |