Retirement plan

BLUE CROSS & BLUE SHIELD OF RI EMPLOYEE SAVINGS PLAN

Name: BLUE CROSS & BLUE SHIELD OF RI - BLUE CROSS & BLUE SHIELD OF RI EMPLOYEE SAVINGS PLAN (2021) Form 5500
Creator: BLUE CROSS & BLUE SHIELD OF RI
License: https://www.dol.gov/general/disclaim
Keywords: Form 5500, ERISA, retirement plan, BLUE CROSS & BLUE SHIELD OF RI EMPLOYEE SAVINGS PLAN, BLUE CROSS & BLUE SHIELD OF RI

BLUE CROSS & BLUE SHIELD OF RIEIN 05-0158952Plan #002PY 2021

500 EXCHANGE STREET - PROVIDENCE, RI 02903401-459-1000bcbsri.comLinkedIn501-1000 employeesinsurance

Prospect flagsLow returnsCorrective distributions

Top hat statement on fileNQDC

Filed June 5, 2014 (most recent of 4 filings on file)

This is a legacy paper filing. Plan administrator and contact details are recorded in the original filing, which has not been digitised into structured fields.

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Total assets (EOY)

$278.4M

-3.4% from 2016

Total participants

1,438

+6.8% from 2016

Average account balance

$196,186

-9.5% from 2016

Annual return

12.40%

+11.25 pp from 2016

Benchmarks

See 1,509 peers

Peer group

Industry52 - Finance and Insurance

Plan typeDefined contribution

Participants250-999

Cohort1,509 peers

Snapshot2021

Free accounts unlock saves, downloads, and 3-year history.

Analytics

Total assets (EOY)

Plan-year ending balance

$270.10M

Not enough data

1 years with asset history on file

Average account balance

Total assets / participants with a balance (line 6g)

$179K

Not enough data

1 years with per-participant data

Participants with account balance

Stacked by status: active / separated vested / retired or beneficiary. Total = line 6g.

1,510

Not enough data

1 years with headcount on file

Eligible Participants and Participation

Bars: eligible actives (line 6a). Line: derived rate = active employees with a balance / 6a.

98.8%

Not enough data

1 years with eligibility data

Contributions (total)

Employer and participant dollars contributed each year

$15.72M

Not enough data

1 years with contributions on file

Contributions per participant

Average employer and participant contribution per enrolled participant

$16K

Not enough data

1 years with per-participant contribution data

Asset flow

BOY + contributions + return - distributions = EOY

Year

Annual return

Diverging bars; negative years highlighted

+11.84%

Not enough data

1 years with return on file

Admin fee / account holder

Total admin expenses / participants with a balance (line 6g)

$269

Not enough data

1 years with admin cost on file

Asset composition

Cash / stocks / bonds / mutual funds / real estate / loans over time

Not enough data

1 years with F_SCH_H allocation on file

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Service providers

Top 10 of 13 by compensation

Provider	Service type	Compensation
GREAT-WEST LIFE & ANNUITY INSURANCE1 year Filed as: GREAT WEST LIFE & ANNUITY INSURANCE Service code 49 · EIN 84-0467907	Other Services	$248,833
MERCER2 years Filed as: MERCER INVESTMENT MANAGEMENT, INC. Service code 17 · EIN 30-0282430	Pension Consulting	$53,842
MERCER1 year Service code 38 · EIN 13-2834414	Participant Communication	$53,046
CITRIN COOPERMAN5 years Filed as: CITRIN COOPERMAN & COMPANY LLP Service code 10 · EIN 22-2428965	Accounting	$17,200
AMERICAN FUNDS5 years Service code 52 · EIN 95-1411037	Indirect Investment Fees	$0
CAUSEWAY CAPITAL MANAGEMENT LLC2 years Filed as: CAUSEWAY Service code 52 · EIN 95-4861680	Indirect Investment Fees	$0
DODGE & COX2 years Service code 52 · EIN 94-6067274	Indirect Investment Fees	$0
FIDELITY INVESTMENTS INSTITUTIONAL5 years Filed as: FIDELITY INVESTMENTS Service code 52 · EIN 04-3365630	Indirect Investment Fees	$0
GREAT-WEST LIFE & ANNUITY INSURANCE1 year Filed as: GREAT WEST LIFE & ANNUITY INS. CO. Service code 60	Sub-TA Fees	$0
MASSACHUSETTS MUTUAL LIFE INS. CO.7+ years Service code 52 · EIN 04-1590850	Indirect Investment Fees	$0

Plan features & details

Pension benefit codes2E2J2F2G2K3F2S2T

Plan features

2E
Profit-sharing
Profit-sharing plan.
2F
ERISA section 404(c) plan
This plan or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1 (shifting investment responsibility to participants).
2G
Total participant-directed account plan
Participants have the opportunity to direct the investment of all of the assets allocated to their individual accounts regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J
Code section 401(k) feature
Cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan under which employees may elect to defer part of their compensation or receive these amounts in cash.
2K
Code section 401(m) arrangement
Employee contributions are allocated to separate accounts under the plan or employer contributions are based in whole or in part on employee deferrals or contributions to the plan. Not applicable to 401(k) plans with only QNECs and/or QMACs or to 403(b)(1) 403(b)(7) or 408 arrangements.
2S
Automatic enrollment
Plan provides for automatic enrollment in plan that has elective contributions deducted from payroll.
2T
Default investment account
Total or partial participant-directed account plan where plan uses a default investment account for participants who fail to direct assets in their account.
3F
Leased employees
Plan sponsor(s) received services of leased employees as defined in Code section 414(n) during the plan year.

Opportunity flags

2 tripped

OpportunityLow returns
Annual investment return is in the bottom quintile of the peer cohort.
ComplianceCorrective distributions
Plan reported corrective distributions (failed ADP/ACP testing).

Expense breakdown

Schedule H Part II

Admin total

$373K

$459 / participant

Investment mgmt$53K14.2%
Contract admin$246K66.0%
Other / not subdivided$74K19.7%

% of EOY assets

0.134%

all-in expense ratio

Categories reported

2 / 9

subdivided buckets used

Audit opinion

Schedule H Part III

Unqualified opinion

Auditor signed off without reservation - the cleanest possible opinion.

Auditor firm: CITRIN COOPERMAN & COMPANY, LLP
Auditor EIN: 222428965
Audit fees: (not subdivided)
Opinion code: Unqualified

Metric

This plan

Peer set

Industry

Size

Avg account balance

$196,186

$111,491+76.0%

$189,534+3.5%

$86,828+125.9%

Participation rate

97.7%

87.3%+10.3pp

87.8%+9.9pp

72.3%+25.4pp

Annual return

12.40%

83.50%-71.1pp

555.39%-543.0pp

97.95%-85.5pp

Employer contribution / active EE

$7,719

$3,951+95.4%

$6,162+25.3%

$2,406+220.8%

Participant deferral / active EE

$9,060

$6,437+40.8%

$8,220+10.2%

$4,132+119.3%

Admin fee / account holder

$263

$189+39.3%

$12,049-97.8%

$170+55.0%

Provider

Service type

Compensation

GREAT-WEST LIFE & ANNUITY INSURANCE1 year

Filed as: GREAT WEST LIFE & ANNUITY INSURANCE

Service code 49 · EIN 84-0467907

Other Services

$248,833

MERCER2 years

Filed as: MERCER INVESTMENT MANAGEMENT, INC.

Service code 17 · EIN 30-0282430

Pension Consulting

$53,842

MERCER1 year

Service code 38 · EIN 13-2834414

Participant Communication

$53,046

CITRIN COOPERMAN5 years

Filed as: CITRIN COOPERMAN & COMPANY LLP

Service code 10 · EIN 22-2428965

Accounting

$17,200

AMERICAN FUNDS5 years

Service code 52 · EIN 95-1411037

Indirect Investment Fees

CAUSEWAY CAPITAL MANAGEMENT LLC2 years

Filed as: CAUSEWAY

Service code 52 · EIN 95-4861680

Indirect Investment Fees

DODGE & COX2 years

Service code 52 · EIN 94-6067274

Indirect Investment Fees

FIDELITY INVESTMENTS INSTITUTIONAL5 years

Filed as: FIDELITY INVESTMENTS

Service code 52 · EIN 04-3365630

Indirect Investment Fees

GREAT-WEST LIFE & ANNUITY INSURANCE1 year

Filed as: GREAT WEST LIFE & ANNUITY INS. CO.

Service code 60

Sub-TA Fees

MASSACHUSETTS MUTUAL LIFE INS. CO.7+ years

Service code 52 · EIN 04-1590850

Indirect Investment Fees

BLUE CROSS & BLUE SHIELD OF RI EMPLOYEE SAVINGS PLAN

Top hat statement on fileNQDC

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

BLUE CROSS & BLUE SHIELD OF RI EMPLOYEE SAVINGS PLAN

Top hat statement on fileNQDC

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion