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Original filing (PDF)20251008122806NAL0005841537001
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND
Form 5500
FILING_RECEIVED
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND EMPLOYEE SAVINGS PLAN
401(k) retirement plan
Signals · 2
26% in single holdingNo recordkeeper disclosed
Active participants
973
Accounts w/ balance
1,510
Plan assets (EOY)
$270.1M
Net assets (EOY)
$270.1M
How this plan invests
This plan
31 pooled trusts
Schedule D
23 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
87
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
87
Total plan cost
65
Vendor stack
80
Participation health
100
Knocking points off
- Top holding "Investments at contract value * Massachusetts Mutual Life Insurance Company Guaranteed Interest Account" is 26% of plan.
- 15 bps in Schedule C fees — 50% above peer band of 10 bps.
- No recordkeeper disclosed on Schedule C.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLUE CROSS & BLUE SHIELD OF RHODE ISLAND.
Plan sponsor
Name
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND
EIN
05-0158952
Address
500 EXCHANGE STREET · PROVIDENCE, RI · 029032699
Phone
(401) 459-1968
Industry
Finance & Insurancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
002
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-08
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2S · Automatic enrollment
3D · Pre-approved plan (master / prototype / VS)
Audit & trust (Schedule H)
Auditor
CITRIN COOPERMAN & COMPANY, LLP
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
3 rowsOther
3| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| EMPOWER ANNUITY INSURANCE COMPANY O | — | GREENWOOD VILLAGE, CO | NONE | $267K | — |
| MERCER (US) INC | — | CHICAGO, IL | NONE | $116K | — |
| CITRIN COOPERMAN & COMPANY LLP | — | NEW YORK, NY | NONE | $23K | — |
Investments
7 direct securities · 31 pooled funds· $275.5M(100% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Click one to drill into its own Schedule of Assets — where the individual funds, shares, and CUSIPs live.
Common Collective Trust
$165.8M
31 holdings
Uncategorized
$94.3M
5 holdings
Pooled Separate Accounts
$8.8M
1 holding
Mutual Funds
$6.6M
1 holding
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| Investments at contract value * Massachusetts Mutual Life Insurance Company Guaranteed Interest Account | — | — | — | $70.0M | 25.9% | |
| STATE ST S&P 500 INDX SL CL II STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 04-0025081 / PN 078 | Common Collective Trust | — | — | $30.2M | 11.2% | |
| STATE ST RUSSELL SMALL/MID IDX SL C STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 04-0025081 / PN 091 | Common Collective Trust | — | — | $18.7M | 6.9% | |
| Dodge & Cox Dodge & Cox Large Cap Value Fund | — | — | — | $17.0M | 6.3% | |
| T. ROWE PRICE BLUE CHIP GROWTH TR-T T. ROWE PRICE · EIN 80-0470272 / PN 004 | Common Collective Trust | — | — | $16.2M | 6.0% | |
| STATE ST TARGET RET 2040 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 318 | Common Collective Trust | — | — | $14.6M | 5.4% | |
| STATE ST TARGET RET 2035 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 317 | Common Collective Trust | — | — | $13.1M | 4.9% | |
| STATE ST TARGET RET 2045 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 319 | Common Collective Trust | — | — | $11.6M | 4.3% | |
| STATE ST TARGET RET 2030 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 316 | Common Collective Trust | — | — | $11.0M | 4.1% | |
| STATE ST TARGET RET 2025 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0337987 / PN 315 | Common Collective Trust | — | — | $9.1M | 3.4% | |
| STATE ST TARGET RET 2050 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 320 | Common Collective Trust | — | — | $8.9M | 3.3% | |
| * Massachusetts Mutual Life Insurance Company T. Rowe Price New Horizons | Pooled Separate Accounts | — | — | $8.8M | 3.3% | |
| STATE ST TARGET RET 2055 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 325 | Common Collective Trust | — | — | $7.6M | 2.8% | |
| PRUDENTIAL CORE PLUS BOND FUND 5 PRUDENTIAL COLLECTIVE INVESTMENT TRUST · EIN 23-6994310 / PN 165 | Common Collective Trust | — | — | $7.2M | 2.7% | |
| William Blair William Blair International Leaders Fund | Mutual Funds | — | — | $6.6M | 2.4% | |
| STATE ST TARGET RET 2020 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0337987 / PN 314 | Common Collective Trust | — | — | $4.8M | 1.8% | |
| STATE ST TARGET RET 2060 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 454 | Common Collective Trust | — | — | $3.7M | 1.4% | |
| State Street Global International Cap Fund | — | — | — | $2.9M | 1.1% | |
| STATE ST GBL ALLCP EQ EX-US IDX SL STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 444 | Common Collective Trust | — | — | $2.9M | 1.1% | |
| State Street U.S. Bond Index Fund | — | — | — | $2.4M | 0.9% | |
| STATE ST US BND INDX SL CL XIV STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 477 | Common Collective Trust | — | — | $2.4M | 0.9% | |
| maturing through 12/31/2029 | — | — | — | $1.9M | 0.7% | |
| CAUSEWAY INTERNATIONAL VALUE EQ CIT CAUSEWAY CIT FUNDS · EIN 65-4984161 / PN 654 | Common Collective Trust | — | — | $1.3M | 0.5% | |
| STATE ST TARGET RET INCOME SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 454 | Common Collective Trust | — | — | $1.3M | 0.5% | |
| STATE ST TARGET RET 2065 SL CL VI STATE STREET GLOBAL ADVISORS COLLECTIVE TRUST · EIN 90-0779283 / PN 326 | Common Collective Trust | — | — | $845K | 0.3% | |
| T. ROWE PRICE RETIREMENT 2055 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 35-6941728 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2020 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 36-7594871 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2040 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 35-6941729 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2060 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 47-1088316 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2030 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 38-7010946 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2010 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 32-6199795 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T ROWE PRICE RETIREMENT 2065 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 85-1763138 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2015 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 35-6941654 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2005 TRUST T ROWE PRICE COLLECTIVE TRUSTS · EIN 61-6434302 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T ROWE PRICE RETIREMENT 2035 TRUST T ROWE PRICE COLLECTIVE TRUSTS · EIN 36-7595013 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2050 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 30-6303214 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2045 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 32-6199848 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| T. ROWE PRICE RETIREMENT 2025 TRUST T. ROWE PRICE COLLECTIVE TRUSTS · EIN 37-6495447 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% |