Blue Cross Blue Shield Of North Dakota Funded Group Benefit Plan — Form 5500 plan (Blue Cross Blue Shield Of North Dakota)
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 North Dakota Funded Group Benefit Plan is a benefit plan reported by Blue Cross Blue Shield Of North Dakota under EIN 45-0173185 and plan number 510. The latest loaded filing year is 2023. The filing reports 841 participants and $15,649,210 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Blue Cross Blue Shield Of North Dakota
- EIN
- 45-0173185
- Plan number
- 510
- Plan type
- 2
- Location
- Fargo, ND
- Latest filing year
- 2023
- Participants
- 841
- End-of-year plan assets
- $15,649,210
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 841 | H, C | 20241015111324NAL0047520640001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $15,649,210
- Total liabilities (EOY)
- $700,000
- Net assets (EOY)
- $14,949,210
- Net assets (BOY)
- $16,222,684
Income & contributions
- Employer contributions
- $149,308
- Participant contributions
- $10,044,167
- Total contributions
- $10,193,475
- Total income / additions
- $12,490,789
Expenses & distributions
- Benefits paid
- $13,336,056
- Administrative expenses
- $428,207
- Total expenses
- $13,764,263
- Net increase / (decrease)
- -$1,273,474
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Prime Therapeutics | NONE | $0 | $254,020 | 2023 |
| Bank Of The West | TRUSTEE | $31,120 | $0 | 2023 |
| Bell State Bank | TRUSTEE | $13,040 | not reported in the loaded dataset | 2023 |