Plan Snapshot
- Plan Sponsor: Blue Cross And Blue Shield Association
- Sponsor EIN: 135656874
- Sponsor Address: 200 EAST RANDOLPH STREET, CHICAGO, IL, 60601
- Plan Type: Health & Welfare
- Plan Number: 504
- Total Participants: 1,212
- Total Assets: $98.4M
Key Plan Design Features
- Auto-Enrollment: No
- Auto-Escalation: No
- Allows Roth Contributions: No
- Participant Loans: No
- Participant-Directed Investments: No
- ERISA Section 404(c) Fiduciary Safe Harbor: No
Plan Financials by Year
| Year | Participants | Total Assets | Employer Contrib. | Employee Contrib. |
|---|---|---|---|---|
| 2024 | 1,212 | $98.4M | $16.3M | $6.3M |
| 2023 | 1,198 | $98.4M | $15.2M | $6.0M |
| 2022 | 1,209 | $89.2M | $13.5M | $5.8M |
Service Providers (Schedule C)
Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).
| Provider Name | Role | Direct Compensation | Indirect Compensation | Total Fees |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS | Other Service Provider | $1,660,858 | — | $1,660,858 |
| CAREFIRST BLUECROSS BLUESHIELD | Other Service Provider | $135,488 | — | $135,488 |
| NORTHERN TRUST COMPANY | Other Service Provider | $28,342 | — | $28,342 |
Plan Fees & Expenses
Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.
- Total Service Provider Fees: $1,824,688
- Estimated Expense Ratio: 1.854% of plan assets
Historical Administrative Expenses
Breakdown of administrative expense categories reported on Form 5500 filings.
| Year | Total Admin Expenses | Investment Mgmt Fees | Contract Admin Fees | IQPA Audit Fees | Professional Fees |
|---|---|---|---|---|---|
| 2024 | $928,247 | $1,333 | $899,906 | — | — |
| 2023 | $979,502 | $10,016 | $899,219 | — | — |
| 2022 | $2,073,627 | — | $969,372 | — | $1,031,611 |