2023 Form 5500 filing — Blue Cross Blue Shield Of Massachusetts, Inc. Omnibus Welfare 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 20241011085808NAL0022452769001) for Blue Cross Blue Shield Of Massachusetts, Inc. Omnibus Welfare Plan, reported by Blue Cross Blue Shield Of Massachusetts, Inc. under EIN 04-1045815 and plan number 512. It reports 3,527 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20241011085808NAL0022452769001
- Plan sponsor
- Blue Cross Blue Shield Of Massachusetts, Inc.
- EIN
- 04-1045815
- Plan number
- 512
- Location
- Boston, MA
- 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 Ma, Inc. | SELF INSURED | $2,808,672 | not reported in the loaded dataset |