Excellus 401(K) Plan — Form 5500 plan (Excellus Health Plan Inc.)

Plain-English plan 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, Excellus 401(K) Plan is a benefit plan reported by Excellus Health Plan Inc. under EIN 15-0329043 and plan number 002. The latest loaded filing year is 2023. The filing reports 5,487 participants and $751,275,360 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Excellus Health Plan Inc.
EIN
15-0329043
Plan number
002
Plan type
2
Location
Rochester, NY
Latest filing year
2023
Participants
5,487
End-of-year plan assets
$751,275,360

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20235,487H, C20241016132437NAL0053264016001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$751,275,360
Total liabilities (EOY)
$0
Net assets (EOY)
$751,275,360
Net assets (BOY)
$618,705,870

Income & contributions

Employer contributions
$29,772,776
Participant contributions
$36,158,279
Total contributions
$71,084,972
Total income / additions
$192,559,141

Expenses & distributions

Benefits paid
$59,705,461
Administrative expenses
$246,395
Total expenses
$59,989,651
Net increase / (decrease)
$132,569,490

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Fidelity Investments InstitutionalRECORDKEEPER$244,349$02023
Wealth Management Systems IncNONE$0$02023

Related Form 5500 pages