Blue Cross Blue Shield Of Michigan Represented Employees' Savings Plan — Form 5500 plan (Blue Cross Blue Shield Of Michigan)

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, Blue Cross Blue Shield Of Michigan Represented Employees' Savings Plan is a benefit plan reported by Blue Cross Blue Shield Of Michigan under EIN 38-2069753 and plan number 004. The latest loaded filing year is 2023. The filing reports 1,830 participants and $110,547,573 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$110.5MPlan net assets, end of year$110,547,573
Participants1.8KCovered participants reported1,830
Assets / participant$60.4KComputed: assets ÷ participants$60,409 (computed)
Provider compensationNone reported
Plan sponsor
Blue Cross Blue Shield Of Michigan
EIN
38-2069753
Plan number
004
Plan type
2
Location
Detroit, MI
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20231,830H20241015110054NAL0029334961002
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$110.5M total assets
Net assets$110.5MLiabilities
Money in vs. money out
Total income / additions$23.3M
Total expenses$13.4M
Benefits paid / distributions$13.4M
Contributions
Employer$1.7M
Participant$4.4M
Full reported line items

Net assets

Total assets (EOY)
$110,547,573
Net assets (EOY)
$110,547,573
Net assets (BOY)
$102,770,302

Income & contributions

Employer contributions
$1,690,333
Participant contributions
$4,420,319
Total contributions
$6,422,343
Total income / additions
$23,327,595

Expenses & distributions

Benefits paid
$13,351,669
Administrative expenses
$62,018
Total expenses
$13,413,687
Net increase / (decrease)
$9,913,908
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 28%Participant 72%
Total expenses ÷ net assets12%Computed ratio
Benefits paid ÷ total income57%Computed ratio

Service provider compensation (Schedule C)

No Schedule C service provider compensation is loaded for this plan yet.

Related Form 5500 pages