2023 Form 5500 filing — Blue Cross Blue Shield Of Michigan Represented Employees' Savings 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 20241015110054NAL0029334961002) for Blue Cross Blue Shield Of Michigan Represented Employees' Savings Plan, reported by Blue Cross Blue Shield Of Michigan under EIN 38-2069753 and plan number 004. It reports 1,830 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$110.5MReported net assets$110,547,573
Participants1.8K1,830
Provider compensationNone reported
Schedules filedSchedule HLoaded schedules
- EFAST2 acknowledgement
- 20241015110054NAL0029334961002
- Plan sponsor
- Blue Cross Blue Shield Of Michigan
- EIN
- 38-2069753
- Plan number
- 004
- Location
- Detroit, MI
- Received date
- not reported in the loaded dataset
How to read this filing
- This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
- Schedule chips (Sch H / I / C) show which schedules this filing includes.
- Net assets = total assets minus total liabilities (Schedule H/I).
- Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
- For the plan's full history, open the plan profile.
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$110.5M total assets
Net assets$110.5MLiabilities—
Full reported line items
- Total assets (EOY)
- $110,547,573
- Net assets (EOY)
- $110,547,573
- Employer contributions
- $1,690,333
- Participant contributions
- $4,420,319
- Total income / additions
- $23,327,595
- Benefits paid
- $13,351,669
- Administrative expenses
- $62,018
- Total expenses
- $13,413,687
- Net increase / (decrease)
- $9,913,908
Frequently asked questions
- What does EFAST2 acknowledgement 20241015110054NAL0029334961002 cover?
- It is the 2023 Form 5500 filing for Blue Cross Blue Shield Of Michigan Represented Employees' Savings Plan, reported by Blue Cross Blue Shield Of Michigan (EIN 38-2069753).
- Which Form 5500 schedules are attached to this 2023 filing?
- Attached schedules in the loaded dataset include Schedule H (large plan financials).