Civic Intelligence

Blue Cross and Blue Shield Plans National Retiree Health Benefits Trust

990 • Fiscal year 2018 • EIN 36-7008317

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 07, 2019

225 North Michigan AvenueChicago, IL 60601

(312) 444-5670

Siviq Scores

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

Liabilities / Assets

58th percentile

0.05x

Higher debt load relative to assets than 58% of similar nonprofits.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

95th percentile

0.70x

Higher debt load relative to revenue than 95% of similar nonprofits.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2018

Net Margin

74th percentile

13%

Higher net margin than 74% of similar nonprofits.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

100th percentile

$3,265,943

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 21.8% of source-year revenue.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2018

Asset Growth

11th percentile

-12%

Faster asset growth than 11% of similar nonprofits.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

92nd percentile

49%

Faster revenue growth than 92% of similar nonprofits.

2018 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Down

$192,055,377

Down $27,282,562 (-12%) from 2017

Net Assets

Down

$181,620,792

Down $18,998,010 (-9.5%) from 2017

Liabilities

Down

$10,434,585

Down $8,284,552 (-44%) from 2017

Revenue

Up

$14,949,350

Up $4,920,081 (+49%) from 2017

Expenses

Down

$12,985,563

Down $8,469,720 (-39%) from 2017

Net Income

Up

$1,963,787

Up $13,389,801 (+117%) from 2017

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2010: $170,289,982Liabilities 2010: $9,195,065Net Assets 2010: $161,094,9172010Assets 2011: $183,995,360Liabilities 2011: $15,474,554Net Assets 2011: $168,520,8062011Assets 2012: $188,933,534Liabilities 2012: $8,764,129Net Assets 2012: $180,169,4052012Assets 2013: $213,711,157Liabilities 2013: $10,840,553Net Assets 2013: $202,870,6042013Assets 2014: $217,692,831Liabilities 2014: $14,219,375Net Assets 2014: $203,473,4562014Assets 2015: $210,177,317Liabilities 2015: $14,805,536Net Assets 2015: $195,371,7812015Assets 2016: $207,889,634Liabilities 2016: $12,139,795Net Assets 2016: $195,749,8392016Assets 2017: $219,337,939Liabilities 2017: $18,719,137Net Assets 2017: $200,618,8022017Assets 2018: $192,055,377Liabilities 2018: $10,434,585Net Assets 2018: $181,620,7922018Assets 2019: $211,021,064Liabilities 2019: $10,603,750Net Assets 2019: $200,417,3142019Assets 2021: $234,048,539Liabilities 2021: $12,253,146Net Assets 2021: $221,795,3932021Assets 2024: $207,668,722Liabilities 2024: $9,652,317Net Assets 2024: $198,016,4052024

Highlighted filing

2018

Assets$192,055,377
Liabilities$10,434,585
Net Assets$181,620,792

Operations Trend

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

$30M$20M$10M$0-$10M-$20MExpenses 2010: $10,732,6472010Expenses 2011: $11,109,0432011Expenses 2012: $10,457,4982012Revenue 2013: $27,865,606Expenses 2013: $13,208,608Net Income 2013: $14,656,9982013Revenue 2014: $11,916,145Expenses 2014: $15,134,960Net Income 2014: -$3,218,8152014Revenue 2015: $20,920,862Expenses 2015: $18,214,463Net Income 2015: $2,706,3992015Revenue 2016: $14,735,194Expenses 2016: $12,401,200Net Income 2016: $2,333,9942016Revenue 2017: $10,029,269Expenses 2017: $21,455,283Net Income 2017: -$11,426,0142017Revenue 2018: $14,949,350Expenses 2018: $12,985,563Net Income 2018: $1,963,7872018Revenue 2019: $14,141,346Expenses 2019: $10,950,160Net Income 2019: $3,191,1862019Revenue 2021: $8,544,850Expenses 2021: $12,277,581Net Income 2021: -$3,732,7312021Revenue 2024: $12,870,688Expenses 2024: $11,473,410Net Income 2024: $1,397,2782024

Highlighted filing

2018

Revenue$14,949,350
Expenses$12,985,563
Net Income$1,963,787
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 7, 2019
Return Version
2018v3.1
Gross Receipts
$70,595,912
Mission and Program Overview

Mission

The primary purpose of the trust is to provide health benefits to eligible retirees of the Blue Cross & Blue Shield Companies.

To provide health benefits to eligible retirees of the blue cross & blue shield companies.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$217,847,781$188,364,733▼ $29,483,048
Cap Stk Tr Prin Current Funds$200,618,802$181,620,792▼ $18,998,010
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$219,337,939$192,055,377▼ $27,282,562
Other Assets Total$1,490,158$3,690,644▲ $2,200,486
Liabilities
Accounts Payable and Accrued Expenses$14,599,540$10,405,658▼ $4,193,882
Other Liabilities$4,119,597$28,927▼ $4,090,670
Total Liabilities$18,719,137$10,434,585▼ $8,284,552
Net Assets / Fund Balance
Total Net Assets Fund Balance$200,618,802$181,620,792▼ $18,998,010
Total Liabilities and Net Assets / Fund Balance$219,337,939$192,055,377▼ $27,282,562
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
-TrusteeFT$506,939$506,939

Board Members and Trustees

NameTitle
Andrew C CorbinCommittee Member
Christopher BoothCommittee Member
Chuck DivitaCommittee Member
Don GeorgeCommittee Member
Jim DucharmeCommittee Member
John F GiblinCommittee Member
Karen M AbrahamCommittee Member
Mark P StimpsonCommittee Member
Michael MizeurCommittee Member
Michael a GoldCommittee Member
Robert J KolodgyCommittee Member
Tim HuckleCommittee Member
Rick SchumCommittee Member-see Sch J, Part Iii
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$900,000
Investment Income
$14,049,350
Other Revenue
$0
Change in Net Assets
$1,963,787

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,949,350
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-20,961,797
Total Revenue per Audited Statements
$-6,012,447
Total Revenue per Form 990
$14,949,350
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,228,627
Salaries, Compensation, and Employee Benefits$506,939
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$10,249,997
Other Expenses---$2,192,627
Current Officers, Directors, Trustees, and Key Employees---$506,939
Fees for Services Accounting---$24,000
Fees for Services Other---$12,000
Total Functional Expenses$0$0$0$12,985,563

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$12,985,563
Total Expenses per Audited Statements$12,985,563
Total Expenses per Form 990$12,985,563
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Income Taxes Payable$28,927
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Certain members of the national employee benefits committee ("committee") serve together on the board of blue cross and blue shield association. All members of the committee are either employees of the blue cross and blue shield association or one of the member plans.

Form 990, Part VI, Section B, Line 11B

Form 990's content and source of information are reviewed by subject matter experts including, but not limited to, internal and external tax and accounting professionals and internal legal personnel, and the audited financial statements are presented to the committee that serves as the governing body by the independent auditors.

Form 990, Part VI, Section B, Line 12C

Blue cross blue shield association (bcbsa) maintains a comprehensive code of conduct and compliance program applicable to all employees and officers, including those who either serve on the committee (that governs and acts for the organization) or act on behalf of that committee. In addition, all employees, officers, and directors (including those who serve on the committee or act on its behalf) are required to complete an annual conflict of interest form. The bcbsa chief auditor and compliance officer is charged with investigating any allegations of non-compliance with the code of conduct, including any complaints reported through the anonymous hotline maintained through an independent organization. The results of the compliance program's effectiveness are reported to the audit committee of the bcbsa board of directors on an annual basis. Failure to adhere to the code of conduct may result in disciplinary action, up to and including termination of employment. Moreover, committee members receive fiduciary training from the bcbsa chief employee benefits counsel regarding their fiduciary duties, including the erisa fiduciary conflict of interest rules. Bcbsa's chief employee benefits counsel also provides the committee with an annual assessment of the organization's and committee's legal compliance, including compliance with erisa. As employees of various blue plans, each committee members not employed by bcbsa is subject to additional conflict of interest restriction under policies adopted by his or her employer plan.

Form 990, Part VI, Section B, Line 15

The organization does not require compensation policies as it does not compensate any officers, management officials, or key employees.

Form 990, Part VI, Section C, Line 19

The governing documents and form 990 are made available to participants in the employee benefit programs funded through veba upon request to the vice president, national employee benefits administration, blue cross and blue shield association, 225 n. Michigan avenue, chicago, il 60601.

Filing and Contact Details

Filer

Filer Name
Blue Cross and Blue Shield Plans
EIN
36-7008317
Phone
3124445670
Address
225 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601

Signing Officer

Name
Terrence J Cooney
Title
Asst. Secretary of Committee
Phone
3124445670
Signed
2019-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence J Cooney
Formed
1991
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
10
Employees
0
Volunteers
10

Preparer

Firm
Plante & Moran Pllc
Address
10 S RIVERSIDE PLAZA 9TH FLOOR, CHICAGO, IL 60606
Preparer
David Lowenthal
Phone
3122071040
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Adjustment to basis of securities (including amortization) -1,116,901. Return of capital -20,925.

Financial Statement Notes

PART X, LINE 2:

U.s. Gaap requires evaluation of tax positions taken by the trust and recognition of a tax liability or asset if the trust has taken an uncertain position that more likely than not would not be sustained upon examination by the irs. In 2018, the trust administrator received correspondence from the irs under section 512(a)(3)(e)(i) of the code stating that the trust owed additional tax and interest for tax years 2015 and 2016 and proposed tax adjustments which the trust has now accepted. The trust administrator has analyzed the tax positions taken by the trust and has concluded that, as of december 31, 2018 and 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a tax liability or asset or financial statement disclosure, other than those previously described. The trust is subject to routine audits by taxing jurisdictions, however there are currently no audits for any tax periods in progress other than those previously described.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Adjustment to basis of securities (including amortization) -1,116,901. Return of capital -20,925.

Raw XML AppendixShowing 400 of 477 raw XML fields

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IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE PRIMARY PURPOSE OF THE TRUST IS TO PROVIDE HEALTH BENEFITS TO ELIGIBLE RETIREES OF THE BLUE CROSS & BLUE SHIELD COMPANIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0200618802
IRS990/NetAssetsOrFundBalancesEOYAmt0181620792
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt06931110
IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt06931110
IRS990/NetUnrelatedBusTxblIncmAmt07680116
IRS990/NetUnrlzdGainsLossesInvstAmt0-19823971
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01490158
IRS990/OtherAssetsTotalGrp/EOYAmt03690644
IRS990/OtherChangesInNetAssetsAmt0-1137826
IRS990/OtherExpensesGrp/Desc0TAXES INCURRED
IRS990/OtherExpensesGrp/TotalAmt02192627
IRS990/OtherLiabilitiesGrp/BOYAmt04119597
IRS990/OtherLiabilitiesGrp/EOYAmt028927
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0TERRENCE J COONEY
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTION
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0900000
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0900000
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt014170736
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt09486802
IRS990/PYOtherExpensesAmt06802092
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0542467
IRS990/PYRevenuesLessExpensesAmt0-11426014
IRS990/PYSalariesCompEmpBnftPaidAmt0482455
IRS990/PYTotalExpensesAmt021455283
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt010029269
IRS990/ReconcilationRevenueExpnssAmt01963787
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt012985563
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-19823971
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt028927
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0INCOME TAXES PAYABLE
IRS990ScheduleD/OtherRevenueAmt0-1137826
IRS990ScheduleD/RevenueNotReportedAmt0-20961797
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt014949350
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0U.S. GAAP REQUIRES EVALUATION OF TAX POSITIONS TAKEN BY THE TRUST AND RECOGNITION OF A TAX LIABILITY OR ASSET IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. IN 2018, THE TRUST ADMINISTRATOR RECEIVED CORRESPONDENCE FROM THE IRS UNDER SECTION 512(A)(3)(E)(I) OF THE CODE STATING THAT THE TRUST OWED ADDITIONAL TAX AND INTEREST FOR TAX YEARS 2015 AND 2016 AND PROPOSED TAX ADJUSTMENTS WHICH THE TRUST HAS NOW ACCEPTED. THE TRUST ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE TRUST AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A TAX LIABILITY OR ASSET OR FINANCIAL STATEMENT DISCLOSURE, OTHER THAN THOSE PREVIOUSLY DESCRIBED. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS OTHER THAN THOSE PREVIOUSLY DESCRIBED.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1ADJUSTMENT TO BASIS OF SECURITIES (INCLUDING AMORTIZATION) -1,116,901. RETURN OF CAPITAL -20,925.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt012985563
IRS990ScheduleD/TotalLiabilityAmt028927
IRS990ScheduleD/TotalRevenuePerForm990Amt014949350
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0-6012447
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt012985563
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1425000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt03265943
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1600051
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt118500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt131919
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt127662
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICK SCHUM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ROBERT J KOLODGY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0COMMITTEE MEMBER-SEE SCH J, PART III
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1COMMITTEE MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt03265943
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11103132
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0ROBERT KOLODGY PARTICIPATED IN A LONG-TERM INCENTIVE PLAN BUT DID NOT RECEIVE ANY DISTRIBUTIONS FROM THE PLAN IN 2018.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1COMPENSATION REPORTED FOR RICK SCHUM IS LIMITED TO HIS W-2 INCOME AS REPORTED IN BOX 5.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART II:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CERTAIN MEMBERS OF THE NATIONAL EMPLOYEE BENEFITS COMMITTEE ("COMMITTEE") SERVE TOGETHER ON THE BOARD OF BLUE CROSS AND BLUE SHIELD ASSOCIATION. ALL MEMBERS OF THE COMMITTEE ARE EITHER EMPLOYEES OF THE BLUE CROSS AND BLUE SHIELD ASSOCIATION OR ONE OF THE MEMBER PLANS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990'S CONTENT AND SOURCE OF INFORMATION ARE REVIEWED BY SUBJECT MATTER EXPERTS INCLUDING, BUT NOT LIMITED TO, INTERNAL AND EXTERNAL TAX AND ACCOUNTING PROFESSIONALS AND INTERNAL LEGAL PERSONNEL, AND THE AUDITED FINANCIAL STATEMENTS ARE PRESENTED TO THE COMMITTEE THAT SERVES AS THE GOVERNING BODY BY THE INDEPENDENT AUDITORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BLUE CROSS BLUE SHIELD ASSOCIATION (BCBSA) MAINTAINS A COMPREHENSIVE CODE OF CONDUCT AND COMPLIANCE PROGRAM APPLICABLE TO ALL EMPLOYEES AND OFFICERS, INCLUDING THOSE WHO EITHER SERVE ON THE COMMITTEE (THAT GOVERNS AND ACTS FOR THE ORGANIZATION) OR ACT ON BEHALF OF THAT COMMITTEE. IN ADDITION, ALL EMPLOYEES, OFFICERS, AND DIRECTORS (INCLUDING THOSE WHO SERVE ON THE COMMITTEE OR ACT ON ITS BEHALF) ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM. THE BCBSA CHIEF AUDITOR AND COMPLIANCE OFFICER IS CHARGED WITH INVESTIGATING ANY ALLEGATIONS OF NON-COMPLIANCE WITH THE CODE OF CONDUCT, INCLUDING ANY COMPLAINTS REPORTED THROUGH THE ANONYMOUS HOTLINE MAINTAINED THROUGH AN INDEPENDENT ORGANIZATION. THE RESULTS OF THE COMPLIANCE PROGRAM'S EFFECTIVENESS ARE REPORTED TO THE AUDIT COMMITTEE OF THE BCBSA BOARD OF DIRECTORS ON AN ANNUAL BASIS. FAILURE TO ADHERE TO THE CODE OF CONDUCT MAY RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. MOREOVER, COMMITTEE MEMBERS RECEIVE FIDUCIARY TRAINING FROM THE BCBSA CHIEF EMPLOYEE BENEFITS COUNSEL REGARDING THEIR FIDUCIARY DUTIES, INCLUDING THE ERISA FIDUCIARY CONFLICT OF INTEREST RULES. BCBSA'S CHIEF EMPLOYEE BENEFITS COUNSEL ALSO PROVIDES THE COMMITTEE WITH AN ANNUAL ASSESSMENT OF THE ORGANIZATION'S AND COMMITTEE'S LEGAL COMPLIANCE, INCLUDING COMPLIANCE WITH ERISA. AS EMPLOYEES OF VARIOUS BLUE PLANS, EACH COMMITTEE MEMBERS NOT EMPLOYED BY BCBSA IS SUBJECT TO ADDITIONAL CONFLICT OF INTEREST RESTRICTION UNDER POLICIES ADOPTED BY HIS OR HER EMPLOYER PLAN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION DOES NOT REQUIRE COMPENSATION POLICIES AS IT DOES NOT COMPENSATE ANY OFFICERS, MANAGEMENT OFFICIALS, OR KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE GOVERNING DOCUMENTS AND FORM 990 ARE MADE AVAILABLE TO PARTICIPANTS IN THE EMPLOYEE BENEFIT PROGRAMS FUNDED THROUGH VEBA UPON REQUEST TO THE VICE PRESIDENT, NATIONAL EMPLOYEE BENEFITS ADMINISTRATION, BLUE CROSS AND BLUE SHIELD ASSOCIATION, 225 N. MICHIGAN AVENUE, CHICAGO, IL 60601.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ADJUSTMENT TO BASIS OF SECURITIES (INCLUDING AMORTIZATION) -1,116,901. RETURN OF CAPITAL -20,925.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd40
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1OTHER PARTICIPATING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2OTHER PARTICIPATING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3OTHER PARTICIPATING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4OTHER PARTICIPATING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BLUE CROSS & BLUE SHIELD OF WYOMING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1ANTHEM INC & CONTROLLED AFFILIATES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2BLUE CROSS & BLUE SHIELD OF TENNESSEE & CONTROLLED AFFILIATES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3BLUE CROSS & BLUE SHIELD OF NORTH CAROLINA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4BLUE CROSS AND BLUE SHIELD OF ARIZONA & CONTROLLED AFFILIATES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD ASSOCIATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0135656874
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(4)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0VEBA ADMINISTRATIVE SUPPORT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0225 NORTH MICHIGAN AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0CHICAGO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd060601
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION OF TRANSACTIONS REFERRED TO IN RESPONSE TO LINES 1P AND 1S LINE 1P: AS PERMITTED BY ERISA SECTIONS 408(B)(2) AND 408(C)(2), PROGRAM ASSETS ARE DISBURSED TO REIMBURSE PROGRAM BENEFIT PAYMENTS, PROGRAM PREMIUMS AND PROGRAM ADMINISTRATIVE EXPENSES. LINE 1S: IN 2018 BLUE CROSS BLUE SHIELD OF WYOMING MADE CONTRIBUTIONS TO FUND PROGRAM BENEFITS. IN PRIOR YEARS ALL THE PARTICIPATING EMPLOYERS DID LIKEWISE.
IRS990ScheduleR/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, SCHEDULE R, PART V, LINE 2:
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0900000
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0COST
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0BLUE CROSS & BLUE SHIELD OF WYOMING
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$208$9.65$198$12.9$11.5$1.40
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$234$12.3$222$8.54$12.3$3.73
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$211$10.6$200$14.1$11.0$3.19
2018Detailed filing. Detailed filing data is available for this year.$192$10.4$182$14.9$13.0$1.96
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$219$18.7$201$10.0$21.5$11.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$208$12.1$196$14.7$12.4$2.33
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$210$14.8$195$20.9$18.2$2.71
2014Detailed filing. Detailed filing data is available for this year.$218$14.2$203$11.9$15.1$3.22
2013Detailed filing. Detailed filing data is available for this year.$214$10.8$203$27.9$13.2$14.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$189$8.76$180$10.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$184$15.5$169$11.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$170$9.20$161$10.7