Civic Intelligence

Bcbsf Voluntary Employees' Beneficiary Assoc

990 • Fiscal year 2021 • EIN 32-0045033

Jan 01, 2021 to Dec 31, 2021 • Filed on May 04, 2022

4800 Deerwood Campus ParkwayJacksonville, FL 32246

(904) 905-0440

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.00x

Higher debt load relative to assets than 29% of similar nonprofits.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2021

Liabilities / Revenue

44th percentile

0.03x

Higher debt load relative to revenue than 44% of similar nonprofits.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2021

Net Margin

8th percentile

-18%

Higher net margin than 8% of similar nonprofits.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2021

Top Officer Pay

56th percentile

$93,502

Higher top officer pay than 56% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2021

Asset Growth

22nd percentile

-0.8%

Faster asset growth than 22% of similar nonprofits.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2020 to 2021

Revenue Growth

89th percentile

78%

Faster revenue growth than 89% of similar nonprofits.

2021 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2020 to 2021

Assets

Down

$109,632,367

Down $891,313 (-0.8%) from 2020

Net Assets

Down

$109,480,179

Down $992,781 (-0.9%) from 2020

Liabilities

Up

$152,188

Up $101,468 (+200%) from 2020

Revenue

Up

$5,613,144

Up $2,457,053 (+78%) from 2020

Expenses

Up

$6,605,925

Up $1,301,078 (+25%) from 2020

Net Income

Up

-$992,781

Up $1,155,975 (+54%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2020: $110,523,680Liabilities 2020: $50,720Net Assets 2020: $110,472,9602020Assets 2021: $109,632,367Liabilities 2021: $152,188Net Assets 2021: $109,480,1792021Assets 2022: $106,997,056Liabilities 2022: $191,189Net Assets 2022: $106,805,8672022Assets 2024: $105,980,578Liabilities 2024: $262,733Net Assets 2024: $105,717,8452024

Highlighted filing

2021

Assets$109,632,367
Liabilities$152,188
Net Assets$109,480,179

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2020: $3,156,091Expenses 2020: $5,304,847Net Income 2020: -$2,148,7562020Revenue 2021: $5,613,144Expenses 2021: $6,605,925Net Income 2021: -$992,7812021Revenue 2022: $2,725,760Expenses 2022: $5,400,072Net Income 2022: -$2,674,3122022Revenue 2024: $4,044,651Expenses 2024: $3,700,131Net Income 2024: $344,5202024

Highlighted filing

2021

Revenue$5,613,144
Expenses$6,605,925
Net Income-$992,781
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 4, 2022
Return Version
2021v4.2
Gross Receipts
$9,335,048
Mission and Program Overview

Mission

The bcbsf voluntary employees' beneficiary association is the funding vehicle for retiree health benefits provided on behalf of eligible employees of blue cross and blue shield of florida.

The BCBSF Voluntary Employees Beneficiary Assoc is the funding vehicle for retiree health benefits provided on behalf of eligible employees of Blue Cross & Blue Shield of FL.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$110,513,069$109,600,711▼ $912,358
Rtn Earn Endowment Incm Other Fnds$110,472,960$109,480,179▼ $992,781
Savings and Temporary Cash Investments$10,611$31,656▲ $21,045
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$110,523,680$109,632,367▼ $891,313
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$50,720$152,188▲ $101,468
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$50,720$152,188▲ $101,468
Net Assets / Fund Balance
Total Net Assets Fund Balance$110,472,960$109,480,179▼ $992,781
Total Liabilities and Net Assets / Fund Balance$110,523,680$109,632,367▼ $891,313
Compensation and Service Providers

Employees

NameTitleOtherTotal
Wells Fargo BankTrustee - See Schedule O$93,502$93,502
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$5,613,144
Other Revenue
$0
Change in Net Assets
$-992,781
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$407,574
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$6,198,351
Other Expenses---$5,925
Total Functional Expenses$0$0$0$6,605,925
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 Page 6 Part VI Section A

Lines 1a & 1b) The BCBSF VEBA is a Trust with an Institutional Trustee(Wells Fargo Bank) but no separate governing body. Lines 8a & 8b) The BCBSF VEBA does not have a separate board.

Form 990 Page 6 Part VI Section B

Line 11a) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate governing body. Line 11b) The annual Form 990 for the BCSF VEBA is prepared by an in-house CPA and reviewed by the VP of Tax, also a CPA. Line 12a) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written conflict of interest policy. Line 12b) Yes, annual disclosure of interests that could give rise to conflicts is required by BCBSF. Line 12c) Yes, BCBSF regularly and consistently monitors and enforces compliance with its conflict of interest policy. Line 13) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written whistleblower policy. Line 14) BCBSF, The Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written document retention and destruction policy. Line 15) The BCBSF VEBA does not have any employees.

Form 990 Page 6 Part VI Section C

Line 19) No documents are made available to the public except for tax forms which are required by law to be made publicly available.

Form 990 Page 7, Part VII Section A

Line 1a(1) Columns (E) and (F): Blue Cross and Blue Shield of Florida(EIN: 59-2015694) paid Wells Fargo Bank the following amounts during 2021: For BCBSF VEBA Trustee Fees: $39,618 Other services provided to BCBSF: 53,884 Total compensation paid to Wells Fargo: $93,502

Filing and Contact Details

Filer

Filer Name
BCBSF Voluntary Employees' Beneficiary Assoc
EIN
32-0045033
In Care Of
% LESLIE SCHUMACHER
Phone
9049050440
Address
4800 Deerwood Campus Parkway, Jacksonville, FL 32246

Signing Officer

Name
Craig Provenzano
Title
VP Tax
Phone
9049050440
Signed
2022-05-04

Organization Details

Principal Officer
See Schedule O
Formed
2002
Legal Domicile
Fl
Voting Board Members
0
Independent Board Members
0
Employees
0
Supplemental Narrative

Additional Explanations

Form 990 Page 12 Part XII Line 2C

Blue Cross and Blue Shield of Florida, the sponsor of the BCBSF VEBA Trust, has a committee that assumes oversight of the audit of the BCBSF Retiree Group Benefit Plan's financial statements and selection of an independent auditor.

Form 990 Pg 1 Question F

Name and Address of Principal Officer: F) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate officers. Please contact Craig Provenzano, Tax VP of Blue Cross and Blue Shield of Florida, with any questions at the address and phone number shown on Form 990, Page 1, Questions C and E.

Financial Statement Notes

Part XIII FIN 48 Footnote

The Trust had no unrecognized tax benefits during 2021 and 2020 and does not anticipate significant adjustments to this amount within the next 12 months. The Trust recognized interest and if applicable, penalties, which could be assessed, related to unrecognized tax benefits in income tax expense. For the years ended 12/31/21 and 12/31/20, there were no cumulative interest or penalty amounts recorded in the Trust's 2021 statement of changes in net assets.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Trust had no unrecognized tax benefits during 2021 and 2020 and does not anticipate significant adjustments to this amount within the next 12 months. The Trust recognized interest and if applicable, penalties, which could be assessed, related to unrecognized tax benefits in income tax expense. For the years ended 12/31/21 and 12/31/20, there were no cumulative interest or penalty amounts recorded in the Trust's 2021 statement of changes in net assets.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part XIII FIN 48 Footnote
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Blue Cross and Blue Shield of Florida, the sponsor of the BCBSF VEBA Trust, has a committee that assumes oversight of the audit of the BCBSF Retiree Group Benefit Plan's financial statements and selection of an independent auditor.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Name and Address of Principal Officer: F) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate officers. Please contact Craig Provenzano, Tax VP of Blue Cross and Blue Shield of Florida, with any questions at the address and phone number shown on Form 990, Page 1, Questions C and E.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Lines 1a & 1b) The BCBSF VEBA is a Trust with an Institutional Trustee(Wells Fargo Bank) but no separate governing body. Lines 8a & 8b) The BCBSF VEBA does not have a separate board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Line 11a) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate governing body. Line 11b) The annual Form 990 for the BCSF VEBA is prepared by an in-house CPA and reviewed by the VP of Tax, also a CPA. Line 12a) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written conflict of interest policy. Line 12b) Yes, annual disclosure of interests that could give rise to conflicts is required by BCBSF. Line 12c) Yes, BCBSF regularly and consistently monitors and enforces compliance with its conflict of interest policy. Line 13) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written whistleblower policy. Line 14) BCBSF, The Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written document retention and destruction policy. Line 15) The BCBSF VEBA does not have any employees.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Line 19) No documents are made available to the public except for tax forms which are required by law to be made publicly available.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Line 1a(1) Columns (E) and (F): Blue Cross and Blue Shield of Florida(EIN: 59-2015694) paid Wells Fargo Bank the following amounts during 2021: For BCBSF VEBA Trustee Fees: $39,618 Other services provided to BCBSF: 53,884 Total compensation paid to Wells Fargo: $93,502
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 Page 12 Part XII Line 2c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990 Pg 1 Question F
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990 Page 6 Part VI Section A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990 Page 6 Part VI Section B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990 Page 6 Part VI Section C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990 Page 7, Part VII Section A
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondLiabilitiesGrp/BOYAmt00
IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt00
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0110523680
IRS990/TotalAssetsEOYAmt0109632367
IRS990/TotalAssetsGrp/BOYAmt0110523680
IRS990/TotalAssetsGrp/EOYAmt0109632367
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt06605925
IRS990/TotalGrossUBIAmt03718348
IRS990/TotalLiabilitiesBOYAmt050720
IRS990/TotalLiabilitiesEOYAmt0152188
IRS990/TotalLiabilitiesGrp/BOYAmt050720
IRS990/TotalLiabilitiesGrp/EOYAmt0152188
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0110472960
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0109480179
IRS990/TotalOtherCompensationAmt093502
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01894796
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt05613144
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt03718348
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0110523680
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0109632367
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/TotalAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0true
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04800 Deerwood Campus Parkway
IRS990/USAddress/CityNm0Jacksonville
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd032246
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0CRAIG PROVENZANO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP TAX
ReturnHeader/BusinessOfficerGrp/PhoneNum09049050440
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BCBSF Voluntary Employees' Beneficiary Assoc
ReturnHeader/Filer/BusinessNameControlTxt0BCBS
ReturnHeader/Filer/EIN0320045033
ReturnHeader/Filer/InCareOfNm0% LESLIE SCHUMACHER
ReturnHeader/Filer/PhoneNum09049050440
ReturnHeader/Filer/USAddress/AddressLine1Txt04800 Deerwood Campus Parkway
ReturnHeader/Filer/USAddress/CityNm0Jacksonville
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032246
ReturnHeader/ReturnTs02022-05-04T17:16:12-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0CRAIG
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0PROVENZANO
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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