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Original filing (PDF)20251015172116NAL0002697731001
BLUE CROSS AND BLUE SHIELD ASSOCIATION
Form 5500
FILING_RECEIVED
BC AND BS ASSOCIATION HEALTH AND LIFE INSURANCE PROGRAM
Health & welfare plan
Signals · 3
51% in single holding~185 bps in Sched C feesNo recordkeeper disclosed
Active participants
1,212
Accounts w/ balance
—
Plan assets (EOY)
$98.4M
Net assets (EOY)
$91.3M
How this plan invests
This plan
4 pooled trusts
Schedule D
4 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
84
/ 100
Grade B
Above-average plan
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
65
Vendor stack
80
Participation health
100
Knocking points off
- Top holding "[DFE: COM DAILY RUSSELL 3000 EQUTY INDEX (no filing on disk)]" is 51% of plan.
- 185 bps in Schedule C fees — 1059% above peer band of 16 bps.
- No recordkeeper disclosed on Schedule C.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLUE CROSS AND BLUE SHIELD ASSOCIATION.
Plan sponsor
Name
BLUE CROSS AND BLUE SHIELD ASSOCIATION
EIN
13-5656874
Address
200 EAST RANDOLPH STREET · CHICAGO, IL · 60601
Phone
(312) 297-5760
Industry
Other Services (ex. Public Admin)see all
Plan administrator
Name
BLUE CROSS AND BLUE SHIELD ASSOCIATION
EIN
13-5656874
City
CHICAGO, IL
Phone
(312) 297-6020
Plan characteristics
Plan number
504
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-15
Welfare benefit codes
4A · Health (other than dental or vision)
4B · Life Insurance
4D · Dental
4E · Vision
4Q · Other
Audit & trust (Schedule H)
Auditor
KPMG LLC
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
3 rowsOther
3| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS | — | CHICAGO, IL | 13 | $1.7M | — |
| CAREFIRST BLUECROSS BLUESHIELD | — | OWINGS MILLS, MD | 13 | $135K | — |
| NORTHERN TRUST COMPANY | — | CHICAGO, IL | 21 | $28K | — |
Investments
4 pooled funds· $20.9M(21% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Their holdings are itemized on each fund’s own Form 5500.
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| COM DAILY RUSSELL 3000 EQUTY INDEX THE NORTHERN TRUST COMPANY · EIN 36-6036794 / PN 001 | Common Collective Trust | — | — | $10.6M | 10.7% | |
| COM DAILY EAFE EQUITY INDEX FUND THE NORTHERN TRUST COMPANY · EIN 36-6036794 / PN 001 | Common Collective Trust | — | — | $5.8M | 5.9% | |
| COM DAILY EMERGING MARKETS INDEX THE NORTHERN TRUST COMPANY · EIN 36-6036794 / PN 001 | Common Collective Trust | — | — | $2.9M | 3.0% | |
| COM SHORT TERM INVT FUND THE NORTHERN TRUST COMPANY · EIN 36-6036794 / PN 001 | Common Collective Trust | — | — | $1.6M | 1.6% |