Capital Blue Cross DB Plan

Form 5500 filing data for plan year 2023.

Plan Snapshot

  • Plan Sponsor: Capital Blue Cross
  • Sponsor EIN: 230455154
  • Sponsor Address: 2500 ELMERTON AVE., HARRISBURG, PA, 17110
  • Plan Type: DB
  • Plan Number: 001
  • Total Participants: 100
  • Total Assets: $83.0M

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

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
2023100$83.0M$0$0
2022778$153.8M$0$0

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
CONRAD SIEGELOther Service Provider$180,524—$180,524
MORGAN, LEWIS & BOCKIUS LLPOther Service Provider$104,013—$104,013
SEIX INVESTMENT ADVISORSOther Service Provider$74,280—$74,280
PNC BANK, NAOther Service Provider$64,104—$64,104
ZIEGLER CAPITAL MANAGEMENT, LLCOther Service Provider$48,920—$48,920
THE BANK OF NEW YORK MELLONOther Service Provider$28,544—$28,544
WILMINGTON TRUSTOther Service Provider$16,794—$16,794
BRENTWOOD CAPITAL ADVISORSOther Service Provider$5,000—$5,000

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $522,179
  • Estimated Expense Ratio: 0.629% 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
2023$975,140$227,919———
2022$1,415,411$265,683——$155,371

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