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Original filing (PDF)20251015080527NAL0002004595001
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA
Form 5500
FILING_RECEIVED
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN
401(k) retirement plan
Active participants
5,395
Accounts w/ balance
7,596
Plan assets (EOY)
$1.4B
Net assets (EOY)
$1.4B
How this plan invests
This plan
25 pooled trusts
Schedule D
36 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 NORTH CAROLINA.
Plan sponsor
Name
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA
EIN
56-0894904
Address
PO BOX 2291 · DURHAM, NC · 27702
Phone
(919) 489-7431
Industry
Finance & Insurancesee all
Plan administrator
Name
BCBSNC EMPLOYEE BENEFITS ADMINISTRATION COMMITTEE
EIN
56-0894904
City
DURHAM, NC
Phone
(919) 489-7431
Plan characteristics
Plan number
003
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-15
Pension benefit codes
2A · Age/service weighted or new comparability
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2R · Participant-directed brokerage (SDBA)
2S · Automatic enrollment
2T · Default investment account (QDIA)
2X · Other multiple-employer DC plan
3F · Sponsor used leased employees
3H · Sponsor in controlled / affiliated group
Audit & trust (Schedule H)
Auditor
GREERWALKER
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
3 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| FIDELITY INVESTMENTS INSTITUTIONAL | 04-2647786 | — | RECORDKEEPER | $51K | — |
Advisor / Consultant
2| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| FINANCIAL ENGINES | 77-0473565 | — | INVESTMENT ADVISOR | $565K | — |
| CAPFINANCIAL PARTNERS, LLC | 26-0058143 | — | INVESTMENT ADVISOR | $110K | — |
Investments
12 direct securities · 25 pooled funds· $1.4B(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.
Common Collective Trust
$1.1B
23 holdings
Uncategorized
$210.0M
12 holdings
Pooled Separate Account
$117.1M
2 holdings
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| SPARTAN 500 INDEX POOL GEODE CAPITAL MANAGEMENT TRUST · EIN 82-6293122 / PN 001 | Common Collective Trust | — | $605K | $166.8M | 11.7% | |
| FIDELITY GROWTH COMPANY COMMINGLED FIDELITY MANAGEMENT TRUST COMPANY · EIN 04-3022712 / PN 135 | Common Collective Trust | — | $2.0M | $145.5M | 10.2% | |
| FIAM BLEND TARGET DATE 2040 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 093 | Common Collective Trust | — | $4.1M | $125.9M | 8.9% | |
| FIAM BLEND TARGET DATE 2035 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 092 | Common Collective Trust | — | $3.8M | $110.8M | 7.8% | |
| FIAM BLEND TARGET DATE 2030 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 091 | Common Collective Trust | — | $4.1M | $105.4M | 7.4% | |
| FIAM BLEND TARGET DATE 2045 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 094 | Common Collective Trust | — | $2.7M | $82.3M | 5.8% | |
| NEW YORK LIFE PSA 25 NEW YORK LIFE INSURANCE COMPANY · EIN 13-5582869 / PN 025 | Pooled Separate Account | — | $70.6M | $70.6M | 5.0% | |
| FIAM BLEND TARGET DATE 2050 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 095 | Common Collective Trust | — | $2.1M | $65.3M | 4.6% | |
| Participant-directed brokerage accounts Fidelity BrokerageLink | — | — | — | $61.5M | 4.3% | |
| Registered Investment Companies Fidelity U.S. Bond Index Fund | — | — | $5.6M | $57.5M | 4.0% | |
| FIAM BLEND TARGET DATE 2025 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 090 | Common Collective Trust | — | $2.1M | $50.9M | 3.6% | |
| SPARTAN TOTAL INTERNATIONAL INDEX P GEODE CAPITAL MANAGEMENT TRUST · EIN 82-6293122 / PN 014 | Common Collective Trust | — | $468K | $50.7M | 3.6% | |
| NEW YORK LIFE ANCHOR ACCOUNT NEW YORK LIFE INSURANCE COMPANY · EIN 13-5582869 / PN 025 | Pooled Separate Account | — | $46.5M | $46.5M | 3.3% | |
| SPARTAN MID CAP INDEX POOL GEODE CAPITAL MANAGEMENT TRUST · EIN 82-6293122 / PN 013 | Common Collective Trust | — | $304K | $38.9M | 2.7% | |
| FIAM BLEND TARGET DATE 2055 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 113 | Common Collective Trust | — | $967K | $31.6M | 2.2% | |
| Metropolitan West Total Return Bond Fund Plan Class | — | — | $2.3M | $19.2M | 1.4% | |
| FIAM BLEND TARGET DATE 2020 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 089 | Common Collective Trust | — | $831K | $19.0M | 1.3% | |
| Participant loans * 3.25% to 8.50% | — | — | — | $17.7M | 1.2% | |
| FIAM BLEND TARGET DATE 2060 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 147 | Common Collective Trust | — | $712K | $15.6M | 1.1% | |
| Fidelity BrokerageLink | — | — | — | $15.1M | 1.1% | |
| COLUMBIA TRUST DIVIDEND INCOME FUND AMERIPRISE TRUST COMPANY · EIN 87-1854339 / PN 090 | Common Collective Trust | — | $1.1M | $14.6M | 1.0% | |
| SPARTAN SMALL CAP INDEX POOL GEODE CAPITAL MANAGEMENT TRUST · EIN 82-6293122 / PN 009 | Common Collective Trust | — | $90K | $13.8M | 1.0% | |
| FIDELITY LOW PRICED STOCK COMMINGLE FIDELITY MANAGEMENT TRUST COMPANY · EIN 04-3022712 / PN 132 | Common Collective Trust | — | $469K | $12.2M | 0.9% | |
| FIAM BLEND TARGET DATE 2010 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 087 | Common Collective Trust | — | $573K | $12.0M | 0.8% | |
| American Balanced Fund Class R6 | — | — | $308K | $10.6M | 0.7% | |
| HL INTERNATIONAL EQUITY COLLECTIVE GLOBAL TRUST COMPANY HARDING LOEVNER · EIN 27-6075499 / PN 003 | Common Collective Trust | — | $747K | $9.7M | 0.7% | |
| DFA Emerging Markets Core Equity Portfolio Institutional Class | — | — | $390K | $9.1M | 0.6% | |
| MFS MID CAP VALUE FUND GREAT GRAY TRUST COMPANY · EIN 38-4139822 / PN 616 | Common Collective Trust | — | $368K | $8.0M | 0.6% | |
| BlackRock Mid-Cap Growth Equity Portfolio Class K | — | — | $172K | $7.5M | 0.5% | |
| FIAM BLEND TARGET DATE 2015 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 088 | Common Collective Trust | — | $283K | $6.3M | 0.4% | |
| Fidelity Small Cap Growth Fund | — | — | $324K | $5.8M | 0.4% | |
| COHEN & STEERS US REALTY FUND CLASS COHEN & STEERS COLLECTIVE INVESTMENT TRUST · EIN 46-3411346 / PN 064 | Common Collective Trust | — | $196K | $4.2M | 0.3% | |
| MFS International Diversification Fund Class R6 | — | — | $164K | $3.7M | 0.3% | |
| FIAM BLEND TARGET DATE INCOME COMMI FIAM TRUST COMPANY · EIN 20-4659714 / PN 085 | Common Collective Trust | — | $213K | $3.6M | 0.3% | |
| Victory Sycamore Small Company Opportunity Fund R6 | — | — | $47K | $2.2M | 0.2% | |
| Fidelity Government Money Market Fund | — | — | $141K | $141K | <0.1% | |
| FIAM BLEND TARGET DATE 2005 COMMING FIAM TRUST COMPANY · EIN 20-4659714 / PN 086 | Common Collective Trust | — | — | $0 | <0.1% |