2023 Form 5500 filing — Spinoff Non-Contributory Retirement Program For Certain Employees Of Blue Cross And Blue Shield Of Arizona, Inc.
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 20241113104139NAL0026258320001) for Spinoff Non-Contributory Retirement Program For Certain Employees Of Blue Cross And Blue Shield Of Arizona, Inc., reported by Blue Cross And Blue Shield Of Arizona, Inc. under EIN 86-0004538 and plan number 003. It reports 517 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241113104139NAL0026258320001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blue Cross And Blue Shield Of Arizona, Inc.
- EIN
- 86-0004538
- Plan number
- 003
- Location
- Phoenix, AZ
- Participants
- 517
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,632,030
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,632,030
- Total income / additions
- $4,318,111
- Benefits paid
- $188,275,033
- Administrative expenses
- $146,614
- Total expenses
- $188,421,647
- Net increase / (decrease)
- -$184,103,536
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Northern Trust Company | NONE | $34,942 | $0 |