Excellus Blue Shield — Form 5500 Schedule C service provider compensation

Reported service provider summary

According to public Form 5500 Schedule C data published through public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, Excellus Blue Shield is reported as a service provider on 1 loaded Form 5500 filing(s) across 1 plan sponsor(s) and 1 plan(s). The latest loaded filing year is 2023. Across the loaded Schedule C rows, reported direct compensation totals $414,171 and reported indirect compensation totals not reported in the loaded dataset.

Reported compensation summary

Reported direct compensation
$414,171
Reported indirect compensation
not reported in the loaded dataset
Total reported compensation
$414,171
Filings
1
Plan sponsors
1
Plans
1
Latest filing year
2023

Figures are reported Schedule C service provider compensation as disclosed by plan sponsors. They are presented objectively and are not a statement about whether any compensation is high, low, or reasonable.

Top plan sponsors by reported compensation

Plan sponsors reporting the most compensation to Excellus Blue Shield
SponsorStatePlansReported compensation
Cayuga Medical Associates, P.C.NY1$414,171

State footprint

Plans reporting Excellus Blue Shield are sponsored in NY (1).

Plans reporting this provider

Reported on these loaded Form 5500 filings
SponsorPlanYearDirect comp.Indirect comp.
Cayuga Medical Associates, P.C.Cayuga Medical Associates, P.C. Welfare Benefits Plan2023$414,171not reported in the loaded dataset

Related Form 5500 pages