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Original filing (PDF)20251013082423NAL0000844305001

BLUE CROSS AND BLUE SHIELD OF KANSAS CITY

Form 5500
FILING_RECEIVED
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY 401(K) PLAN
401(k) retirement plan
Active participants
1,327
Accounts w/ balance
1,855
Plan assets (EOY)
$282.4M
Net assets (EOY)
$282.4M
How this plan invests
This plan
14 pooled trusts
Schedule D
24 securities
funds · stocks · CUSIPs

Holdings are itemized directly on this plan's Schedule of Assets, below.

Plan health score (directional)
100
/ 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
100
Total plan cost
100
Vendor stack
100
Participation health
100
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLUE CROSS AND BLUE SHIELD OF KANSAS CITY.
Plan sponsor
Name
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY
EIN
43-1257251
Address
1400 BALTIMORE AVENUE · KANSAS CITY, MO · 64105
Phone
(816) 395-2222
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
2025-10-13
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
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
3F · Sponsor used leased employees
3H · Sponsor in controlled / affiliated group
Audit & trust (Schedule H)
Auditor
ERNST & YOUNG
Trustee / custodian
Trustee phone

Service providers (Schedule C)

3 rows
Recordkeeper
1
NameEINLocationRelationDirect compIndirect comp
FIDELITY INVESTMENTS INSTITUTIONAL04-2647786RECORDKEEPER$123K
Advisor / Consultant
1
NameEINLocationRelationDirect compIndirect comp
FINANCIAL ENGINES94-3250323ADVISOR$175K
Other
1
NameEINLocationRelationDirect compIndirect comp
SS&C04-3157927NONE$0

Investments

22 direct securities · 14 pooled funds· $407.7M(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.

Uncategorized
$239.4M
22 holdings
Common Collective Trust
$168.3M
14 holdings
PIInvestmentTypeShares / unitsCostCurrent value% of plan
Fidelity* 500 Index Fund$43.4M15.4%
FID GROWTH CO POOL A
FIDELITY MANAGEMENT TRUST COMPANY · EIN 04-3022712 / PN 135
Common Collective Trust
$24.1M8.5%
Target Retirement 2030 Securities Lending State Street Series Fund Class VI$22.9M8.1%
SS TRGT RET 2030 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 316
Common Collective Trust
$22.9M8.1%
Target Retirement 2035 Securities Lending State Street Series Fund Class VI$21.9M7.8%
SS TRGT RET 2035 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 317
Common Collective Trust
$21.9M7.8%
Target Retirement 2045 Securities Lending State Street Series Fund Class VI$20.5M7.3%
SS TRGT RET 2045 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 319
Common Collective Trust
$20.5M7.3%
Target Retirement 2040 Securities Lending State Street Series Fund Class VI$19.5M6.9%
SS TRGT RET 2040 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 318
Common Collective Trust
$19.5M6.9%
Target Retirement 2050 Securities Lending State Street Series Fund Class VI$18.7M6.6%
SS TRGT RET 2050 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 320
Common Collective Trust
$18.7M6.6%
Fidelity* Extended Market Index Fund$17.6M6.2%
Fidelity* U.S. Bond Index Fund$17.0M6.0%
Target Retirement 2025 Securities Lending State Street Series Fund Class VI$14.9M5.3%
SS TRGT RET 2025 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 315
Common Collective Trust
$14.9M5.3%
Target Retirement 2055 Securities Lending State Street Series Fund Class VI$11.4M4.0%
SS TRGT RET 2055 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 325
Common Collective Trust
$11.4M4.0%
Galliard* Stable Return Fund E$5.9M2.1%
GALLIARD STBLE RTN E
SEI TRUST COMPANY · EIN 52-2250951 / PN 001
Common Collective Trust
$5.9M2.1%
participants* 9.50% with varying maturity dates$4.9M1.7%
Fidelity* Money Market Funds$4.6M1.6%
Target Retirement 2060 Securities Lending State Street Series Fund Class VI$4.0M1.4%
SS TRGT RET 2060 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 454
Common Collective Trust
$4.0M1.4%
Diamond Hill Large Cap Fund Class Y$3.8M1.3%
Blackrock Total Return Fund Institutional Shares$2.3M0.8%
Target Retirement 2020 Securities Lending State Street Series Fund Class VI$2.0M0.7%
SS TRGT RET 2020 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 314
Common Collective Trust
$2.0M0.7%
Harding Loevner International Equity Portfolio Institutional Class$1.6M0.6%
Target Retirement 2065 Securities Lending State Street Series Fund Class VI$897K0.3%
SS TRGT RET 2065 VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 32-6528132 / PN 049
Common Collective Trust
$897K0.3%
WT SMID CAP RES EQ 4
WELLINGTON TRUST COMPANY, N.A. · EIN 04-6913417 / PN 157
Common Collective Trust
$835K0.3%
Target Retirement Income Securities Lending State Street Series Fund Class VI$652K0.2%
SS TRGT RET INC VI
STATE STREET GLOBAL ADVISORS TRUST CO · EIN 90-0337987 / PN 326
Common Collective Trust
$652K0.2%
Vanguard International Value Fund Investor Shares$496K0.2%
DoubleLine Flexible Income Fund Class I$300K0.1%