2023 Form 5500 filing — Employees' Retirement Plan Of Blue Cross Of California
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 20241015202035NAL0015368243001) for Employees' Retirement Plan Of Blue Cross Of California, reported by Anthem Holding Corp. under EIN 61-1459939 and plan number 001. It reports 980 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015202035NAL0015368243001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Anthem Holding Corp.
- EIN
- 61-1459939
- Plan number
- 001
- Location
- Indianapolis, IN
- Participants
- 980
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $42,467,637
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $42,467,637
- Total income / additions
- $5,723,388
- Benefits paid
- $2,127,831
- Administrative expenses
- $476,658
- Total expenses
- $2,604,489
- Net increase / (decrease)
- $3,118,899
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Elevance Health, Inc. | PLAN ADMINISTRATOR | $38,329 | not reported in the loaded dataset |
| Buck Global, LLC | ACTUARY/RECORDKEEPING | $31,437 | not reported in the loaded dataset |
| Pension Benefit Information LLC | ACCOUNT MAINTENANCE | $14,365 | not reported in the loaded dataset |
| Jpmorgan Chase Bank N.A. | TRUSTEE | $10,003 | $0 |