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Original filing (PDF)20251002150910NAL0000384387001

CAPITAL BLUE CROSS

Form 5500
FILING_RECEIVED
CAPITAL BLUE CROSS RETIREMENT PLAN
Defined-benefit pension plan
Signals · 1
6 service providers
Active participants
0
Accounts w/ balance
Plan assets (EOY)
$0
Net assets (EOY)
$0
Plan health score (directional)
89
/ 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
75
Total plan cost
75
Vendor stack
100
Participation health
100
Helping the score
  • Concentration not scored — Schedule of Assets PDF not yet parsed for this plan.
  • No Schedule C compensation disclosed — likely a small plan or unbundled.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for CAPITAL BLUE CROSS.
Plan sponsor
Name
CAPITAL BLUE CROSS
EIN
23-0455154
Address
2500 ELMERTON AVE. · HARRISBURG, PA · 17110
Phone
(717) 541-6009
Industry
Finance & Insurancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
001
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-02
Pension benefit codes
1A · Pay-related DB formula
3F · Sponsor used leased employees
3H · Sponsor in controlled / affiliated group
1H · PBGC-terminated and closed out
Audit & trust (Schedule H)
Auditor
BAKER TILLY US, LLP
Trustee / custodian
Trustee phone

Service providers (Schedule C)

6 rows
Other
6
NameEINLocationRelationDirect compIndirect comp
CONRAD SIEGEL23-1669823NONE$441K
BRENTWOOD CAPITAL ADVISORSNASHVILLE, TNNONE$60K
PNC BANK, NA51-0015380NONE$30K
MORGAN, LEWIS & BOCKIUS LLP83-8091050NONE$23K
WILMINGTON TRUSTBUFFALO, NYNONE$21K
THE BANK OF NEW YORK MELLON13-5160382NONE$6K

Investments

The Schedule of Assets is filed as a free-form PDF attachment on EFAST2; we parse these offline and coverage is partial (priority is the largest plans by EOY assets). This plan also reports no pooled (Schedule D) interests, so its holdings aren’t hidden on a master-trust filing. The line-item data lives on DOL EFAST2 under the same ACK_ID.

See Methodology > Data linkages for how Form 5500 / Schedule H / Schedule D / Schedule of Assets fit together.

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