Blue Cross Blue Shield Of Michigan Long Term Disability Program — 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 Long Term Disability Program is a benefit plan reported by Blue Cross Blue Shield Of Michigan under EIN 38-2069753 and plan number 527. The latest loaded filing year is 2023. The filing reports 327 participants and $7,923,738 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)$7.9MPlan net assets, end of year$7,923,738
Participants327Covered participants reported
Assets / participant$24.2KComputed: assets ÷ participants$24,232 (computed)
Provider compensation$241.9K3 Schedule C provider row(s)$241,883
- Plan sponsor
- Blue Cross Blue Shield Of Michigan
- EIN
- 38-2069753
- Plan number
- 527
- Plan type
- 2
- Location
- Detroit, MI
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 327 | H, C | 20241015110055NAL0048947184005 |
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)$7.9M total assets
Net assets$7.9MLiabilities—
Full reported line items
Net assets
- Total assets (EOY)
- $7,923,738
- Net assets (EOY)
- $7,923,738
- Net assets (BOY)
- $10,381,636
Income & contributions
- Total income / additions
- $947,416
Expenses & distributions
- Benefits paid
- $3,163,363
- Administrative expenses
- $241,951
- Total expenses
- $3,405,314
- Net increase / (decrease)
- -$2,457,898
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.
Total expenses ÷ net assets43%Computed ratio
Benefits paid ÷ total income334%Computed ratio
Provider comp. ÷ net assets3%Computed ratio
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Broadspire Services | PLAN ADMINISTRATOR | $194,463 | not reported in the loaded dataset | 2023 |
| Gjc Cpa'S & Advisors | AUDITOR | $24,500 | not reported in the loaded dataset | 2023 |
| The Northern Trust Company | CUSTODIAN | $22,920 | not reported in the loaded dataset | 2023 |