Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024
BCheck if applicable:
CName of organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
200 E RANDOLPH STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60601
D Employer identification number

13-5656874
E Telephone number

G Gross receipts $ 874,259,991
F Name and address of principal officer:
KIM KECK
200 E RANDOLPH STREET
CHICAGO,IL60601
I
Tax-exempt status: ( 4 ) (insert no.) or
J
Website:
BCBS.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1948
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION'S TAX EXEMPT PURPOSE IS PROMOTING THROUGH INDEPENDENT BLUE CROSS AND BLUE SHIELD MEMBER PLANS, THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY FOSTERING BROADBASED HEALTH INSURANCE COVERAGE.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 34
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 33
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 1,393
6 Total number of volunteers (estimate if necessary) ............. 6 33
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,648,923
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 811,173,913 850,864,692
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,320,484 11,848,611
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,629,151 -53,422
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 819,123,548 862,659,881
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,000,585 1,215,062
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 273,000,689 283,419,637
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 522,974,960 566,868,722
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 797,976,234 851,503,421
19 Revenue less expenses. Subtract line 18 from line 12....... 21,147,314 11,156,460
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,126,787,082 1,245,975,964
21 Total liabilities (Part X, line 26)............. 809,648,702 913,830,869
22 Net assets or fund balances. Subtract line 21 from line 20..... 317,138,380 332,145,095
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE ASSOCIATION SERVES ITS MEMBERSHIP CONSISTING OF INDEPENDENT BLUE CROSS AND BLUE SHIELD MEMBER PLANS THAT OPERATE WITHIN SPECIFIC GEOGRAPHIC SERVICE AREAS. THE ASSOCIATION PROVIDES A VARIETY OF SERVICES TO MEMBER PLANS AND COORDINATES GOVERNMENT SERVICES, SUCH AS THE CONTRACT UNDER THE FEDERAL EMPLOYEE HEALTH BENEFIT PROGRAM (FEP), WHICH IS THE CORE OF THE ORGANIZATION'S EXEMPT PURPOSE OF PROMOTING THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY FOSTERING BROADBASED HEALTH INSURANCE COVERAGE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 358,449,053 including grants of $   ) (Revenue $ 358,729,957 )
THE BLUE CROSS AND BLUE SHIELD ASSOCIATION'S FEDERAL EMPLOYEE PROGRAM (FEP) ADMINISTERS THE BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN. APPROXIMATELY 67.5 PERCENT OF ALL FEDERAL EMPLOYEES AND RETIREES WHO RECEIVED THEIR HEALTH CARE BENEFITS THROUGH THE GOVERNMENT'S FEDERAL EMPLOYEES' HEALTH BENEFITS PROGRAM (FEHBP) ARE MEMBERS OF THE SERVICE BENEFIT PLAN RECEIVING HEALTH COVERAGE THROUGH MEMBER PLANS. THE SERVICE BENEFIT PLAN HAS BEEN PART OF THE FEHBP SINCE ITS INCEPTION IN 1960 AND IS THE LARGEST PLAN IN THE PROGRAM. 2024 WAS ANOTHER STRONG YEAR FOR THE FEP, BLUE CROSS BLUE SHIELD FEP DENTAL AND BLUE CROSS BLUE SHIELD FEP VISION. WE ATTAINED HISTORIC LEVELS OF ACHIEVEMENT ON SEVERAL BUSINESS METRICS: ENROLLMENT OF OVER 5.6 MILLION MEMBERS AND A RECORD 39 PROGRAM SERVICE ACCOMPLISHMENTS, CONSECUTIVE YEARS OF OPEN SEASON ENROLLMENT GROWTH, AND RETENTION REMAINS AT A HIGH-LEVEL OF 99.3 PERCENT.
4b (Code:   ) (Expenses $ 140,806,052 including grants of $ 1,215,062 ) (Revenue $ 156,580,905 )
AS AN ASSOCIATION OF MEMBER PLANS, THE ASSOCIATION (1) COORDINATES ADVERTISING AND COMMUNICATION PROGRAMS, PROVIDING POLICY AND REPRESENTATION OF MEMBER INTERESTS, (2) MONITORS AND FOSTERS THE FINANCIAL STABILITY OF ALL THE PLANS, AND (3) SUPPORTS THE ABILITY OF THE PLANS TO OPERATE EFFICIENTLY BY PROVIDING CONFERENCES, CONSULTING AND MISCELLANEOUS SERVICES TO THE PLANS.
4c (Code:   ) (Expenses $ 241,343,912 including grants of $   ) (Revenue $ 231,206,378 )
THE BLUECARD PROGRAM ENABLES BLUE PLAN MEMBERS TO RECEIVE THE BENEFITS OF THEIR INSURANCE CONTRACTS WHILE TRAVELING OR LIVING IN ANOTHER MEMBER PLAN'S GEOGRAPHIC SERVICE AREA. THROUGH BLUECARD, BLUE PLAN MEMBERS ARE GIVEN SEAMLESS NATIONAL ACCESS TO PHYSICIANS AND HOSPITALS THAT PARTICIPATE IN BLUE NETWORKS. ADDITIONALLY, THE PROGRAM LINKS PARTICIPATING HEALTHCARE PROVIDERS WITH THE INDEPENDENT BLUE CROSS AND BLUE SHIELD PLANS THROUGH A SINGLE ELECTRONIC NETWORK FOR CLAIMS PROCESSING AND REIMBURSEMENT.
(Code:   ) (Expenses $ 84,835,396 including grants of $   ) (Revenue $ 100,645,107 )
THE ASSOCIATION PROVIDES OPTIONAL CONSULTING SERVICES AND OTHER MISCELLANEOUS PROJECTS; OPERATION OF THE NATIONAL EMPLOYEE BENEFITS ADMINISTRATION PROGRAM THAT PROVIDES A COMPREHENSIVE GROUP PACKAGE OF EMPLOYEE BENEFITS PROGRAMS TO THE PLANS; A CLOSED PRIVATE, WIDE AREA NETWORK THAT LINKS THE COMPUTER AND INFORMATION RESOURCES OF THE PLANS.
4d Other program services (Describe in Schedule O.)
(Expenses $ 84,835,396 including grants of $   ) (Revenue $ 100,645,107 )
4e Total program service expenses825,434,413
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
Yes
 
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
Yes
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
337
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,393
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
34
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
33
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
IL
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
CHRISTINA FISHER200 E RANDOLPH STREET   CHICAGO,IL60601 (312) 297-5760
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) KIM KECK......................................................................
PRESIDENT AND CEO
 40.00
.................
0.00 		X   X       6,155,415 0 2,258,816
(2) MATT ALL......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(3) CURTIS BARNETT......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(4) GAIL BOUDREAUX......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(5) DAN CONRAD......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(6) GREGORY DEAVENS......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(7) DANA ERICKSON......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(8) PATRICK GERAGHTY......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(9) DIANE GORE......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(10) CORY HARRIS......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(11) JD HICKEY......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(12) DAVID HOLMBERG......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(13) SARAH ISELIN......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(14) PAM KEHALY......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(15) DANIEL LOEPP......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
(16) CHARLENE MAHER......................................................................
BOARD MEMBER (END 01/24)
 4.00
.................
0.00 		X           0 0 0
(17) PAUL MARKOVICH......................................................................
BOARD MEMBER
 4.00
.................
0.00 		X           0 0 0
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MICHAEL MIZEUR........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(19) MARK MUGIISHI........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(20) BRIAN PIENINCK........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(21) M CAROL PIGOTT........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(22) JAMES REED........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(23) JEFFREY ROE........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(24) JEFF RUSSELL........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(25) MARK RUSZCZYK........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(26) TODD SHAMASH........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(27) JARED SHORT........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(28) MAURICE SMITH........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(29) TUNDE SOTUNDE........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(30) GARY ST HILAIRE........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(31) ERIN STUCKY........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(32) DR STEVEN UDVARHELYI........................................................................
BOARD MEMBER (END 05/24)
 4.00
.......................0.00 		X           0 0 0
(33) TIM VINES........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(34) MARTHA WOFFORD........................................................................
BOARD MEMBER
 4.00
.......................0.00 		X           0 0 0
(35) BRYAN CAMERLINICK........................................................................
BOARD MEMBER (BEGIN 05/24)
 4.00
.......................0.00 		X           0 0 0
(36) PAUL ZURLO........................................................................
BOARD MEMBER (BEGIN 01/24)
 4.00
.......................0.00 		X           0 0 0
(37) JENNIFER VACHON........................................................................
EXECUTIVE VICE PRESIDENT (END 07/24)
 40.00
.......................0.00 		    X       1,302,007 0 308,572
(38) SEAN ROBBINS........................................................................
EXECUTIVE VICE PRESIDENT (END 05/24)
 40.00
.......................0.00 		    X       1,284,466 0 367,412
(39) KARI HEDGES........................................................................
SENIOR VICE PRESIDENT
 40.00
.......................0.00 		    X       848,926 0 183,406
(40) LACHLAN TIDMARSH........................................................................
SENIOR VICE PRESIDENT
 40.00
.......................0.00 		    X       799,235 0 173,806
(41) WILLIAM NEHS........................................................................
SENIOR VICE PRESIDENT (END 06/24)
 40.00
.......................0.00 		    X       1,455,280 0 171,868
(42) CHRISTINA FISHER........................................................................
EXECUTIVE VICE PRESIDENT & CFO
 40.00
.......................0.00 		    X       1,097,094 0 231,966
(43) LYNN MERRITT........................................................................
SVP AND CHIEF HR OFFICER
 40.00
.......................0.00 		    X       702,731 0 144,871
(44) JOHN BANTA........................................................................
VP INVESTMENTS & NEBA
 40.00
.......................0.00 		    X       727,853 0 337,253
(45) MARK TALLUTO........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       595,870 0 111,078
(46) CHRISTOPHER LUGO........................................................................
VP & CHIEF INFO SEC OFFICE
 40.00
.......................0.00 		    X       746,528 0 159,342
(47) DAVID MERRITT........................................................................
SVP POLICY AND ADVOCACY
 40.00
.......................0.00 		    X       764,500 0 134,594
(48) DAVID YODER........................................................................
SVP FEDERAL EMPLOYEE PROGR
 40.00
.......................0.00 		    X       674,882 0 141,375
(49) RICHARD CULLEN........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       414,046 0 96,914
(50) KELLY WILLIAMS........................................................................
VICE PRESIDENT (END 06/24)
 40.00
.......................0.00 		    X       847,644 0 68,071
(51) KRIS HALTMEYER........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       555,227 0 108,851
(52) KEYSHA BROOKS-COLEY........................................................................
VICE PRESIDENT ADVOCACY
 40.00
.......................0.00 		    X       458,576 0 58,662
(53) ERIN BARNEY........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       522,621 0 130,613
(54) ERIC WILKERSON........................................................................
VP STRATEGY PSHIP & DEV (END 01/24)
 40.00
.......................0.00 		    X       434,987 0 56,800
(55) MELISSA MASIELLO ROTUNNO........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       448,813 0 95,207
(56) KATIE MCBREEN........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       462,079 0 107,699
(57) JOHN JOYCE JR........................................................................
VICE PRESIDENT (END 04/24)
 40.00
.......................0.00 		    X       398,086 0 71,140
(58) REBECCA D'AMICO........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       491,762 0 67,397
(59) ANSHUMAN CHOUDHRI........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       428,079 0 67,827
(60) BRAD LUBRANT........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       422,138 0 96,012
(61) SONDRA IMPERATI........................................................................
VICE PRESIDENT (END 08/24)
 40.00
.......................0.00 		    X       411,824 0 59,631
(62) BRIAN BAUER........................................................................
VP APP. SOLUTIONS
 40.00
.......................0.00 		    X       490,842 0 88,758
(63) RAZIA HASHMI........................................................................
VICE PRESIDENT
 40.00
.......................0.00 		    X       471,027 0 41,168
(64) KRISTIN PENG........................................................................
CHIEF OPER OFFICER (BEGIN 07/24)
 40.00
.......................0.00 		    X       543,674 0 20,890
(65) MONICA AUCIELLO........................................................................
CHIEF LEGAL OFFICER (BEGIN 04/24)
 40.00
.......................0.00 		    X       445,700 0 127,022
(66) KATHY PARO........................................................................
VP STRAT & PSHIPS (BEGIN 01/24)
 40.00
.......................0.00 		    X       346,436 0 13,575
(67) ROBIN SANDERS........................................................................
VP LITIGATION & RISK (BEGIN 06/24)
 40.00
.......................0.00 		    X       369,579 0 32,839
(68) VANESSA HATCH........................................................................
VP FEP CLINICAL OPS (BEGIN 02/24)
 40.00
.......................0.00 		    X       329,896 0 46,423
(69) CATHERINE BENTLEY........................................................................
VP STRATEGIC OPER (BEGIN 08/24)
 40.00
.......................0.00 		    X       211,845 0 8,736
(70) DEIDRA JACKSON........................................................................
VP FEP PROD MARKETING (BEGIN 07/24)
 40.00
.......................0.00 		    X       140,604 0 11,232
(71) DENISE SCHOFIELD........................................................................
ED DATA STRATEGY
 40.00
.......................0.00 		        X   374,207 0 36,486
(72) PATRICIA TAYLOR........................................................................
ED IT INFO ENTERPRISE ARCHITECTURE
 40.00
.......................0.00 		        X   365,113 0 21,221
(73) JAMES BARKACH........................................................................
ED STRATEGIC SRVCS GROUP PURCHASING
 40.00
.......................0.00 		        X   352,749 0 45,050
(74) SUSAN SOMMER........................................................................
COO, SYNERGIE MEDICATION COLLECTIVE
 40.00
.......................0.00 		        X   369,594 0 44,990
(75) DARIN ROTHERT........................................................................
ED FEP PROGRAM INTEGRITY
 40.00
.......................0.00 		        X   339,040 0 43,648
(76) ADAM MYERS........................................................................
FORMER SENIOR VP & CCTO
 0.00
.......................0.00 		          X 121,100 0 52,903
(77) ANURAG VOLETI........................................................................
FORMER VICE PRESIDENT
 0.00
.......................0.00 		          X 320,518 0 65,071
(78) REED MELTON........................................................................
FORMER VICE PRESIDENT
 0.00
.......................0.00 		          X 521,852 0 35,199
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 29,564,445 0 6,544,394
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1,106
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
COGNIZANT TECHNOLOGY SOLUTIONS US CORP

300 FRANK W BURR BLVD SUITE 36 6TH
TEANECK,NJ07666 		INFORMATION TECHNOLOGY 44,416,828
UST GLOBAL INC

5 POLARIS WAY
ALISO VIEJO,CA92656 		INFORMATION TECHNOLOGY 43,822,180
CRAVATH SWAINE & MOORE LLP

WORLD WIDE PLACE 825 EIGTH AVE
NEW YORK,NY10019 		LEGAL SERVICES 37,049,846
INFOSYS PUBLIC HEALTH SERVICES INC

800 KING FARM BLVD STE 505
ROCKVILLE,MD20850 		BUSINESS CONSULTING 19,595,591
BEELINE SETTLEMENT COMPANY

12724 GRAN BAY PKWY WEST STE 200
JACKSONVILLE,FL32258 		TECHNICAL CONSULTING SERVICES 18,793,013
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 159
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......  
Program Service RevenueAmt Business Code
2a FEDERAL EMPLOYEE PRGM 900099 358,729,957 358,729,957    
b NATIONAL PROGRAMS 900099 231,206,378 231,206,378    
c OTHER SERVICES 900099 160,283,250 156,580,905 3,702,345  
d FEE FOR SERVICES 900099 68,051,310 68,051,310    
e BLUESNET 900099 20,425,521 20,425,521    
f All other program service revenue. 12,168,276 12,168,276    
g Total. Add lines 2a–2f ..... 850,864,692
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 9,296,120     9,296,120
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c    
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 12,559,218 1,593,383
b Less: cost or other basis and sales expenses 7b 10,003,023 1,597,087
c Gain or (loss) 7c 2,556,195 -3,704
d Net gain or (loss)......... 2,552,491     2,552,491
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a K-1 INCOME   -53,422   -53,422  
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... -53,422
12 Total revenue. See instructions..... 862,659,881 847,162,347 3,648,923 11,848,611
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,215,062 1,215,062
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 34,137,837 31,993,303 2,144,534  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 165,302   165,302  
7 Other salaries and wages........ 197,848,270 187,516,237 10,332,033  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,699,983 12,699,983    
9 Other employee benefits ....... 23,364,665 21,381,812 1,982,853  
10 Payroll taxes ........... 15,203,580 14,652,085 551,495  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 56,638,238 56,608,042 30,196  
c Accounting ........... 1,289,662 1,289,662    
d Lobbying ........... 3,547,168 3,547,168    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 311,277,339 306,244,789 5,032,550  
12 Advertising and promotion .... 16,438,696 16,438,696    
13 Office expenses ....... 9,038,975 8,905,307 133,668  
14 Information technology ...... 105,788,962 103,464,978 2,323,984  
15 Royalties ..        
16 Occupancy ........... 9,782,470 9,507,133 275,337  
17 Travel ............ 7,625,482 6,774,608 850,874  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 4,893,720 4,261,935 631,785  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 25,934,814 25,496,948 437,866  
23 Insurance ... 6,867,670 6,727,117 140,553  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEMBERSHIP & SPONSORSHI 3,848,060 3,670,854 177,206  
b CONTRIBUTIONS - GENERAL 2,525,753 2,525,753    
c BOOKS & PERIODICALS 761,422 753,723 7,699  
d OTHER 610,291 -240,782 851,073  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 851,503,421 825,434,413 26,069,008 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 1,185,830 1 1,066,020
2 Savings and temporary cash investments ......... 574,830,383 2 697,591,944
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 123,271,577 4 87,076,784
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 33,843,481 9 32,744,668
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 108,235,053
b Less: accumulated depreciation 10b 59,872,933 52,088,663 10c 48,362,120
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 142,891,075 12 164,032,375
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 62,045,022 14 95,127,319
15 Other assets. See Part IV, line 11 ........... 136,631,051 15 119,974,734
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,126,787,082 16 1,245,975,964
Liabilities 17 Accounts payable and accrued expenses ..... 252,808,106 17 179,884,079
18 Grants payable ...   18  
19 Deferred revenue ......... 1,010,292 19 3,928,629
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D 471,483,162 21 645,289,307
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 84,347,142 25 84,728,854
26 Total liabilities. Add lines 17 through 25.. 809,648,702 26 913,830,869
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 317,138,380 27 332,145,095
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 317,138,380 32 332,145,095
33 Total liabilities and net assets/fund balances ........ 1,126,787,082 33 1,245,975,964
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
862,659,881
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
851,503,421
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
11,156,460
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
317,138,380
5
Net unrealized gains (losses) on investments ...............
5
2,229,346
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
1,620,909
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
332,145,095
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$ 968,610
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$ 350,000
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$ 350,000
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
(1) DEMOCRATIC GOVERNORS ASSOCIATION
  		1401 K STREET NW
WASHINGTON,DC20005 		52-1304889 150,000  
(2) REPUBLICAN GOVERNORS ASSOCIATION
  		1747 PENNSYLVANIA AVE
WASHINGTON,DC20006 		11-3655877 150,000  
(3) REPUBLICAN ATTORNEYS GENERAL ASSOCIATION
  		1747 PENNSYLVANIA AVE
WASHINGTON,DC20006 		46-4501717 25,000  
(4) DEMOCRATIC ATTORNEYS GENERAL ASSOCIATION
  		1580 LINCOLN ST
DENVER,CO80203 		13-4220019 25,000  
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
No
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
No
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
102,000,000
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
7,718,656
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
7,718,656
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
7,718,656
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART I-A, LINE 1: THE AMOUNT OF DIRECTLY EXPENDED BY THE FILING ORG FOR SECTION 527 EXEMPT FUNCTION ACTIVITIES AND THE FILING ORG FUNDS CONTRIBUTED TO OTHER ORGS FOR SECTION 527 EXEMPT FUNCTION ACTIVITIES.
Schedule C (Form 990) 2024


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements   34,507,904 2,422,332 32,085,572
d Equipment ....   66,493,830 54,755,049 11,738,781
e Other .....   7,233,319 2,695,552 4,537,767
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 48,362,120
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) NON-PUBLIC MUTUAL FUNDS		 26,459,353 C

(B) EXCHANGE TRADED FUNDS		 122,517,183 C

(C) INVEST. IN AFFILIATES >5%		 14,844,839 C

(D) 206,839 COMMON, BCS INSR. CORP.		 211,000 C
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 164,032,375
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)RIGHT OF USE ASSET 45,777,501
(2)POST RETIREMENT ASSETS 45,663,033
(3)NOTE RECEIVABLE 12,544,274
(4)INVESTMENT - BCBSI 13,344,165
(5)LT PREPAID EXPENSES 1,698,432
(6)COMPUTER SOFTWARE 945,366
(7)OTHER ASSETS 1,963
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 119,974,734
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
LONG-TERM LEASE LIABILITY 78,547,821
LONG-TERM LEASE INCENTIVES 4,454,748
SHORT TERM LEASE LIABILITY 1,526,552
RETENTION BENEFIT 199,733





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 84,728,854
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART IV, LINE 2B: ESCROW & CUSTODIAL ARRANGEMENTS. THE ASSOCIATION HOLDS FUNDS AS AGENT FOR ITS MEMBER PLANS UNDER ARRANGEMENTS COVERING ITS BLUE CARD AND FEDERAL EMPLOYEE PROGRAMS.
PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE. THE ASSOCIATION RECORDS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 INCOME TAXES ON THE BASIS OF A TWO-STEP PROCESS IN WHICH (1) IT DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON THE BASIS OF THE TECHNICAL MERITS OF THE POSITION AND (2) FOR THOSE TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, IT RECOGNIZES THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELATED TAX AUTHORITY. THE ASSOCIATION DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS THAT SHOULD BE RECORDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF DECEMBER 31, 2024 OR 2023. NO INTEREST OR PENALTIES WERE RECORDED OR INCLUDED WITHIN THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2024, OR 2023. AS OF DECEMBER 31, 2024, THE ASSOCIATION IS OPEN TO EXAMINATION BY TAXING AUTHORITIES FOR TAX YEARS 2021 AND FORWARD.
Schedule D (Form 990) (Rev. 1-2025)


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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number
13-5656874
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) BOYS & GIRLS CLUB
1275 PEACHTREE ST NE
ATLANTA,GA30309 		13-5562976 501(C)(3) 550,000 0     GENERAL SUPPORT
(2) AMERICAN ACTION FORUM
1747 PENNSLYVANIA AV NW STE 5
WASHINGTON,DC20006 		27-0567765 501(C)(3) 50,000 0     GENERAL SUPPORT
(3) ALLIANCE TO FIGHT THE FORTY (AKA ALLIANCE TO FIGHT FOR HEALTH CARE)
1501 M ST NW ST 600
WASHINGTON,DC20005 		81-1362774 501(C)(3) 150,000 0     GENERAL SUPPORT
(4) THE FOUNDATION OF RESEARCH ON EQUAL OPPORTUNITY (FREOPP)
201 W 5TH ST STE 1100
AUSTIN,TX78701 		81-2699310 501(C)(3) 50,000 0     GENERAL SUPPORT
(5) GARDENEERS
3414 W ROOSEVELT RD FL 2
CHICAGO,IL60624 		46-4651665 501(C)(3) 15,000 0     GENERAL SUPPORT
(6) MARCH OF DIMES
1550 CRYSTAL DR STE 1300
ARLINGTON,VA22202 		13-1846366 501(C)(3) 50,000 0     GENERAL SUPPORT
(7) BLESSINGS IN A BACKPACK
4121 SHELBYVILLE ROAD
LOUISVILLE,KY40207 		26-1964620 501(C)(3) 28,000 0     GENERAL SUPPORT
(8) UNION LEAGUE BOYS AND GIRLS CLUB
65 W JACKSON BLVD
CHICAGO,IL60604 		36-2167939 501(C)(3) 20,000 0     GENERAL SUPPORT
(9) CRADLES TO CRAYONS
281 NEWTONVILLE AVE
NEWTONVILLE,MA02460 		04-3584367 501(C)(3) 12,500 0     GENERAL SUPPORT
(10) YMCA
1030 W VAN BUREN ST
CHICAGO,IL60607 		36-2179782 501(C)(3) 10,000 0     GENERAL SUPPORT
(11) ESCALENT
PO BOX 315
ESCALANTE,UT84726 		87-0623440 501(C)(3) 13,000 0     GENERAL SUPPORT
(12) NAACP
4805 MOUNT HOPE DRIVE
BALTIMORE,MD21212 		38-4108034 501(C)(4) 100,000 0     GENERAL SUPPORT
(13) SANDY HOOK PROMISE FOUNDATION
5 COMMERCE ROAD 3489
NEWTOWN,CT06470 		46-1657101 501(C)(3) 10,000 0     GENERAL SUPPORT
(14) HOPE FOR THE WARRIORS
8003 FORBES PLACE STE 320
SPRINGFIELD,VA221512215 		20-5182295 501(C)(3) 5,562 0     GENERAL SUPPORT
(15) KEEP AMERICANS COVERED
1341 G ST NW SUITE 1100
WASHINGTON,DC20036 		99-4276475 501(C)(4) 50,000 0     GENERAL SUPPORT
(16) BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE
200 E RANDOLPH ST
CHICAGO,IL60601 		23-7164980 501(C)(3) 100,000 0     GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ASSOCIATION'S MANAGEMENT SELECTS ORGANIZATIONS THAT FURTHER THE ASSOCIATION'S TAX-EXEMPT PURPOSE OF PROMOTING, THROUGH INDEPENDENT BLUE CROSS BLUE SHIELD MEMBER PLANS, THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY, INCLUDING FOSTERING BROAD-BASED HEALTH INSURANCE COVERAGE. THE ASSOCIATION'S MANAGEMENT IDENTIFIES ORGANIZATIONS ON A DISCRETIONARY BASIS AND CONFIRMS WITH ALL RECIPIENTS THAT CONTRIBUTIONS ARE EXPENDED. THE ASSOCIATION'S MANAGEMENT DOES NOT MAKE RESTRICTIVE GRANTS.
Schedule I (Form 990) Rev. 1-2025



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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1KIM KECK
PRESIDENT AND CEO 		(i)

(ii)		 1,555,062
-------------
0 		4,392,400
-------------
0 		207,953
-------------
0 		2,227,277
-------------
0 		31,539
-------------
0 		8,414,231
-------------
0 		1,436,400
-------------
0
2SEAN ROBBINS
EXECUTIVE VICE PRESIDENT (END 05/24) 		(i)

(ii)		 310,304
-------------
0 		972,724
-------------
0 		1,438
-------------
0 		349,860
-------------
0 		17,552
-------------
0 		1,651,878
-------------
0 		484,524
-------------
0
3WILLIAM NEHS
SENIOR VICE PRESIDENT (END 06/24) 		(i)

(ii)		 310,007
-------------
0 		559,308
-------------
0 		585,965
-------------
0 		155,860
-------------
0 		16,008
-------------
0 		1,627,148
-------------
0 		315,508
-------------
0
4JENNIFER VACHON
EXECUTIVE VICE PRESIDENT (END 07/24) 		(i)

(ii)		 442,521
-------------
0 		1,038,402
-------------
0 		-178,916
-------------
0 		268,095
-------------
0 		40,477
-------------
0 		1,610,579
-------------
0 		559,202
-------------
0
5CHRISTINA FISHER
EXECUTIVE VICE PRESIDENT & CFO 		(i)

(ii)		 589,315
-------------
0 		504,445
-------------
0 		3,334
-------------
0 		214,715
-------------
0 		17,251
-------------
0 		1,329,060
-------------
0 		144,545
-------------
0
6JOHN BANTA
VP INVESTMENTS & NEBA 		(i)

(ii)		 352,020
-------------
0 		366,600
-------------
0 		9,233
-------------
0 		297,970
-------------
0 		39,283
-------------
0 		1,065,106
-------------
0 		241,100
-------------
0
7KARI HEDGES
SENIOR VICE PRESIDENT 		(i)

(ii)		 494,845
-------------
0 		351,489
-------------
0 		2,592
-------------
0 		132,503
-------------
0 		50,903
-------------
0 		1,032,332
-------------
0 		113,289
-------------
0
8LACHLAN TIDMARSH
SENIOR VICE PRESIDENT 		(i)

(ii)		 461,131
-------------
0 		333,620
-------------
0 		4,484
-------------
0 		130,554
-------------
0 		43,252
-------------
0 		973,041
-------------
0 		112,320
-------------
0
9KELLY WILLIAMS
VICE PRESIDENT (END 06/24) 		(i)

(ii)		 156,371
-------------
0 		376,338
-------------
0 		314,935
-------------
0 		58,415
-------------
0 		9,656
-------------
0 		915,715
-------------
0 		143,738
-------------
0
10CHRISTOPHER LUGO
VP & CHIEF INFO SEC OFFICE 		(i)

(ii)		 445,877
-------------
0 		298,200
-------------
0 		2,451
-------------
0 		148,495
-------------
0 		10,847
-------------
0 		905,870
-------------
0 		0
-------------
0
11DAVID MERRITT
SVP POLICY AND ADVOCACY 		(i)

(ii)		 523,943
-------------
0 		240,000
-------------
0 		557
-------------
0 		133,876
-------------
0 		718
-------------
0 		899,094
-------------
0 		0
-------------
0
12LYNN MERRITT
SVP AND CHIEF HR OFFICER 		(i)

(ii)		 461,513
-------------
0 		240,500
-------------
0 		718
-------------
0 		140,164
-------------
0 		4,707
-------------
0 		847,602
-------------
0 		0
-------------
0
13DAVID YODER
SVP FEDERAL EMPLOYEE PROGR 		(i)

(ii)		 414,174
-------------
0 		254,707
-------------
0 		6,001
-------------
0 		101,773
-------------
0 		39,602
-------------
0 		816,257
-------------
0 		62,207
-------------
0
14MARK TALLUTO
VICE PRESIDENT 		(i)

(ii)		 384,808
-------------
0 		203,703
-------------
0 		7,359
-------------
0 		68,148
-------------
0 		42,930
-------------
0 		706,948
-------------
0 		54,503
-------------
0
15KRIS HALTMEYER
VICE PRESIDENT 		(i)

(ii)		 368,179
-------------
0 		184,355
-------------
0 		2,693
-------------
0 		72,386
-------------
0 		36,465
-------------
0 		664,078
-------------
0 		55,655
-------------
0
16ERIN BARNEY
VICE PRESIDENT 		(i)

(ii)		 366,283
-------------
0 		154,300
-------------
0 		2,038
-------------
0 		91,295
-------------
0 		39,318
-------------
0 		653,234
-------------
0 		0
-------------
0
17BRIAN BAUER
VP APP. SOLUTIONS 		(i)

(ii)		 328,004
-------------
0 		161,000
-------------
0 		1,838
-------------
0 		47,516
-------------
0 		41,242
-------------
0 		579,600
-------------
0 		0
-------------
0
18MONICA AUCIELLO
CHIEF LEGAL OFFICER (BEGIN 04/24) 		(i)

(ii)		 359,572
-------------
0 		85,000
-------------
0 		1,128
-------------
0 		100,152
-------------
0 		26,870
-------------
0 		572,722
-------------
0 		0
-------------
0
19KATIE MCBREEN
VICE PRESIDENT 		(i)

(ii)		 297,526
-------------
0 		164,313
-------------
0 		240
-------------
0 		65,328
-------------
0 		42,371
-------------
0 		569,778
-------------
0 		38,213
-------------
0
20KRISTIN PENG
CHIEF OPER OFFICER (BEGIN 07/24) 		(i)

(ii)		 318,572
-------------
0 		225,000
-------------
0 		102
-------------
0 		0
-------------
0 		20,890
-------------
0 		564,564
-------------
0 		0
-------------
0
21REBECCA D'AMICO
VICE PRESIDENT 		(i)

(ii)		 340,180
-------------
0 		151,366
-------------
0 		216
-------------
0 		56,947
-------------
0 		10,450
-------------
0 		559,159
-------------
0 		29,266
-------------
0
22REED MELTON
FORMER VICE PRESIDENT 		(i)

(ii)		 345,019
-------------
0 		178,091
-------------
0 		-1,258
-------------
0 		35,199
-------------
0 		0
-------------
0 		557,051
-------------
0 		77,891
-------------
0
23MELISSA MASIELLO ROTUNNO
VICE PRESIDENT 		(i)

(ii)		 300,036
-------------
0 		147,408
-------------
0 		1,369
-------------
0 		55,435
-------------
0 		39,772
-------------
0 		544,020
-------------
0 		42,308
-------------
0
24BRAD LUBRANT
VICE PRESIDENT 		(i)

(ii)		 277,375
-------------
0 		140,294
-------------
0 		4,469
-------------
0 		55,684
-------------
0 		40,328
-------------
0 		518,150
-------------
0 		40,194
-------------
0
25KEYSHA BROOKS-COLEY
VICE PRESIDENT ADVOCACY 		(i)

(ii)		 316,586
-------------
0 		140,987
-------------
0 		1,003
-------------
0 		58,223
-------------
0 		439
-------------
0 		517,238
-------------
0 		31,387
-------------
0
26RAZIA HASHMI
VICE PRESIDENT 		(i)

(ii)		 417,743
-------------
0 		51,700
-------------
0 		1,584
-------------
0 		40,598
-------------
0 		570
-------------
0 		512,195
-------------
0 		0
-------------
0
27RICHARD CULLEN
VICE PRESIDENT 		(i)

(ii)		 301,813
-------------
0 		106,700
-------------
0 		5,533
-------------
0 		61,881
-------------
0 		35,033
-------------
0 		510,960
-------------
0 		0
-------------
0
28ANSHUMAN CHOUDHRI
VICE PRESIDENT 		(i)

(ii)		 296,200
-------------
0 		130,324
-------------
0 		1,555
-------------
0 		51,889
-------------
0 		15,938
-------------
0 		495,906
-------------
0 		32,324
-------------
0
29ERIC WILKERSON
VP STRATEGY PSHIP & DEV (END 01/24) 		(i)

(ii)		 40,386
-------------
0 		212,120
-------------
0 		182,481
-------------
0 		55,046
-------------
0 		1,754
-------------
0 		491,787
-------------
0 		89,520
-------------
0
30SONDRA IMPERATI
VICE PRESIDENT (END 08/24) 		(i)

(ii)		 185,698
-------------
0 		85,544
-------------
0 		140,582
-------------
0 		40,590
-------------
0 		19,041
-------------
0 		471,455
-------------
0 		17,244
-------------
0
31JOHN JOYCE JR
VICE PRESIDENT (END 04/24) 		(i)

(ii)		 107,968
-------------
0 		204,572
-------------
0 		85,546
-------------
0 		49,775
-------------
0 		21,365
-------------
0 		469,226
-------------
0 		98,172
-------------
0
32SUSAN SOMMER
COO, SYNERGIE MEDICATION COLLECTIVE 		(i)

(ii)		 368,132
-------------
0 		0
-------------
0 		1,462
-------------
0 		16,966
-------------
0 		28,024
-------------
0 		414,584
-------------
0 		0
-------------
0
33DENISE SCHOFIELD
ED DATA STRATEGY 		(i)

(ii)		 280,475
-------------
0 		72,200
-------------
0 		21,532
-------------
0 		11,720
-------------
0 		24,766
-------------
0 		410,693
-------------
0 		0
-------------
0
34ROBIN SANDERS
VP LITIGATION & RISK (BEGIN 06/24) 		(i)

(ii)		 280,750
-------------
0 		88,100
-------------
0 		729
-------------
0 		31,935
-------------
0 		904
-------------
0 		402,418
-------------
0 		0
-------------
0
35JAMES BARKACH
ED STRATEGIC SRVCS GROUP PURCHASING 		(i)

(ii)		 281,770
-------------
0 		66,500
-------------
0 		4,479
-------------
0 		17,250
-------------
0 		27,800
-------------
0 		397,799
-------------
0 		0
-------------
0
36PATRICIA TAYLOR
ED IT INFO ENTERPRISE ARCHITECTURE 		(i)

(ii)		 267,869
-------------
0 		69,800
-------------
0 		27,444
-------------
0 		13,471
-------------
0 		7,750
-------------
0 		386,334
-------------
0 		0
-------------
0
37ANURAG VOLETI
FORMER VICE PRESIDENT 		(i)

(ii)		 181,341
-------------
0 		139,177
-------------
0 		0
-------------
0 		65,071
-------------
0 		0
-------------
0 		385,589
-------------
0 		37,377
-------------
0
38DARIN ROTHERT
ED FEP PROGRAM INTEGRITY 		(i)

(ii)		 244,374
-------------
0 		65,100
-------------
0 		29,566
-------------
0 		16,552
-------------
0 		27,096
-------------
0 		382,688
-------------
0 		0
-------------
0
39VANESSA HATCH
VP FEP CLINICAL OPS (BEGIN 02/24) 		(i)

(ii)		 261,407
-------------
0 		63,000
-------------
0 		5,489
-------------
0 		33,491
-------------
0 		12,932
-------------
0 		376,319
-------------
0 		0
-------------
0
40KATHY PARO
VP STRAT & PSHIPS (BEGIN 01/24) 		(i)

(ii)		 307,657
-------------
0 		37,500
-------------
0 		1,279
-------------
0 		9,974
-------------
0 		3,601
-------------
0 		360,011
-------------
0 		0
-------------
0
41CATHERINE BENTLEY
VP STRATEGIC OPER (BEGIN 08/24) 		(i)

(ii)		 119,279
-------------
0 		92,500
-------------
0 		66
-------------
0 		5,325
-------------
0 		3,411
-------------
0 		220,581
-------------
0 		0
-------------
0
42ADAM MYERS
FORMER SENIOR VP & CCTO 		(i)

(ii)		 0
-------------
0 		121,100
-------------
0 		0
-------------
0 		52,903
-------------
0 		0
-------------
0 		174,003
-------------
0 		0
-------------
0
43DEIDRA JACKSON
VP FEP PROD MARKETING (BEGIN 07/24) 		(i)

(ii)		 140,327
-------------
0 		0
-------------
0 		277
-------------
0 		5,209
-------------
0 		6,023
-------------
0 		151,836
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A AS AN ORGANIZATION SERVING A SYSTEM OF LOCALLY BASED INDEPENDENT PLANS OFFERING HEALTH INSURANCE IN ALL 50 STATES, DC AND PUERTO RICO, THE ASSOCIATION'S OFFICERS ARE EXPECTED TO MAINTAIN AN UNUSUALLY DEMANDING TRAVEL SCHEDULE. A COMMITTEE OF THE ASSOCIATION'S BOARD COMPRISED OF INDEPENDENT PLAN EXECUTIVES HAS ESTABLISHED CEO TRAVEL POLICIES DESIGNED TO ASSURE THE ORGANIZATION IS ABLE TO MEET THE CEO'S TRAVEL COMMITMENTS, INCLUDING TRAVEL TO UNDERSERVED REGIONAL DESTINATIONS. THESE POLICIES INCLUDE THE USE OF CHARTER AIRCRAFT AND FIRST CLASS TRAVEL ON SCHEDULED COMMERCIAL FLIGHTS UNDER CERTAIN LIMITED CIRCUMSTANCES. THE ASSOCIATION HAS DESIGNED A COMPREHENSIVE FINANCIAL AND SERVICE RELOCATION PROGRAM TO ASSIST RELOCATING EMPLOYEES AND NEW HIRES WITH THE RELOCATION PROCESS. THE ASSOCIATION MAY PROVIDE A TAX GROSS UP ON ALL OR PART OF A RELOCATING EMPLOYEE'S TAXABLE RELOCATION EXPENSES IN ORDER TO ASSIST THE RELOCATING EMPLOYEE OR NEW HIRE FOR NEGATIVE TAX CONSEQUENCES DUE TO TAXATION OF RELOCATION EXPENSE REIMBURSEMENTS. THE EXPENSES ARE REIMBURSED AND INCLUDED IN TAXABLE COMPENSATION, IF APPLICABLE, IN ACCORDANCE WITH THE ASSOCIATION'S POLICY. TO FACILITATE BUSINESS MEETINGS WITH VISITING PLAN OFFICIALS AND OTHERS, AND TO FOSTER SOCIAL INTERACTION SERVING THE INTERESTS OF THE ASSOCIATION AND TO FOSTER THEIR GOOD HEALTH, THE ASSOCIATION REIMBURSES A LUNCHEON CLUB MEMBERSHIP FOR OFFICERS. THE EXPENSES ARE REIMBURSED AND INCLUDED IN TAXABLE COMPENSATION, IF APPLICABLE, IN ACCORDANCE WITH THE ASSOCIATION'S POLICY.
PART I, LINE 3 THE COMPENSATION OF THE CEO AND THE CONTINUED RETENTION OF THAT PROFESSIONAL'S SERVICES ARE APPROVED EACH YEAR BY A COMMITTEE OF THE ASSOCIATION'S BOARD COMPRISED OF INDEPENDENT PLAN EXECUTIVES. THAT COMMITTEE ACTS AFTER DELIBERATIONS BASED UPON ADVICE FROM A QUALIFIED INDEPENDENT COMPENSATION CONSULTING FIRM. THE CONSULTANT'S ADVICE AND THOSE DELIBERATIONS INCLUDE A REVIEW OF THE RESULTS OF THE INDEPENDENT CONSULTANT'S RESEARCH REGARDING COMPENSATION PAID BY OTHER ORGANIZATIONS FOR OFFICERS SERVING IN CAPACITIES COMPARABLE TO THAT OF THE ASSOCIATION'S CEO. EACH YEAR THIS COMMITTEE'S DECISIONS ARE REPORTED TO THE FULL BOARD DURING A REGULARLY SCHEDULED MEETING. THE BOARD DELIBERATES ON BOTH MATTERS. EXTENSION OF THE PERIOD OF THE CEO'S SERVICE REQUIRES ACTION BY THE FULL BOARD. THE COMPENSATION DETERMINATIONS OF THE COMMITTEE STAND APPROVED UNLESS THE BOARD EXERCISES ITS INHERENT PREROGATIVE TO MODIFY THE COMMITTEE'S COMPENSATION DECISIONS. THE SAME COMMITTEE OF INDEPENDENT PLAN EXECUTIVES ANNUALLY RECEIVES THE CEO'S RECOMMENDATIONS REGARDING THE COMPENSATION TO BE PAID TO THE OFFICERS. AS WITH THE CEO'S COMPENSATION, THE DELIBERATIONS OF THIS COMMITTEE AND ITS DECISIONS TO APPROVE OR MODIFY. THE CEO'S COMPENSATION ARE BASED UPON THE RESULTS OF AN INDEPENDENT CONSULTANT'S MARKET RESEARCH REGARDING COMPARABLE OFFICER PAY AND THE INDEPENDENT CONSULTANT'S ADVICE.
PART I, LINES 4A-B FORM 990, SCHEDULE J, PART I, LINE 4A: FOUR OFFICERS RECEIVED SEVERANCE PAY DURING 2024: WILLIAM NEHS - $584,100 KELLY WILLIAMS - $314,419 ERIC WILKERSON - $182,402 SONDRA IMPERATI - $139,907 FORM 990, SCHEDULE J, PART I, LINE 4B: THE FOLLOWING INDIVIDUALS RECEIVED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) PAYMENT: JENNIFER VACHON - $-180,830 REED MELTON - $-1,258 JOHN JOYCE JR. - $85,059 THE FOLLOWING INDIVIDUAL PARTICIPATES IN THE ORGANIZATION'S 457(F) PLAN. TOTAL CONTRIBUTIONS TO THE PLAN FOR THE YEAR ENDED DECEMBER 31, 2024 ARE AS FOLLOWS: KIM KECK - $195,900 AMOUNTS INCLUDED IN INCOME FOR THIS PLAN FOR THE YEAR ENDED DECEMBER 31, 2024, WERE AS FOLLOWS: KIM KECK - $190,500
PART I, LINE 7 THE ASSOCIATION MAINTAINS AN ASSOCIATION WIDE ANNUAL PERFORMANCE BONUS PROGRAM THAT ASSURES A PORTION OF EMPLOYEE'S ANNUAL COMPENSATION IS CONTINGENT UPON THE ATTAINMENT OF PREAPPROVED ORGANIZATIONAL PERFORMANCE GOALS, AS WEIGHTED BY THE PERFORMANCE MEASUREMENT PROCESS THAT EVALUATES EACH INDIVIDUAL EMPLOYEES'S EFFORTS. OFFICERS, LIKE ALL EMPLOYEES, ARE ELIGIBLE TO PARTICIPATE IN THIS PROGRAM. THE PERFORMANCE GOALS AND THE BUDGET FOR THIS BONUS PROGRAM ARE APPROVED EACH YEAR BY THE ASSOCIATION'S BOARD BASED UPON RECOMMENDATIONS FROM A BOARD COMMITTEE CONSISTING OF INDEPENDENT PLAN EXECUTIVES. MOREOVER, THE PERFORMANCE ASSESSMENT JUDGMENTS AND THE APPROVAL OF ACTUAL PAYOUTS REQUIRE APPROVAL BY THAT COMMITTEE. THE CEO, ALL OFFICERS AND AN EXECUTIVE DIRECTOR PARTICIPATE IN SEPARATE LONG TERM INCENTIVE BONUS PROGRAMS. AS WITH THE REGULAR PERFORMANCE BONUS PROGRAMS, PAYOUTS UNDER THESE LONG-TERM INCENTIVE PROGRAMS REFLECT THE EXTENT TO WHICH PREESTABLISHED PERFORMANCE GOALS ARE REACHED. HOWEVER, UNLIKE THE ANNUAL PERFORMANCE BONUS PROGRAM, THE LONG-TERM INCENTIVE PROGRAMS OPERATE ON A MULTIYEAR BASIS THAT LOOKS BEYOND THE IMMEDIATE YEAR. UNDER THE OFFICERS' PROGRAM, THE GOALS AND THE RESULTING PAYOUT AMOUNTS ARE ALL APPROVED BY THE SAME COMMITTEE'S DELIBERATIONS REGARDING THE ESTABLISHMENT OF THE PROGRAM CYCLE TO ENSURE THAT INCENTIVE PERFORMANCE MEASUREMENTS AND THE ASSESSMENT OF THE ACHIEVEMENT OF THOSE BOARD COMMITTEE GOALS DESCRIBED ABOVE ARE REPORTED TO THE FULL BOARD. THE SELECTION OF THE PERFORMANCE FACTORS AND ASSESSMENT OF PERFORMANCE ALL INCLUDE CONSULTATION AND RECOMMENDATION FROM A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT BASED UPON A MARKET STUDY OF COMPARABLE PROGRAMS FOR COMPARABLE EXECUTIVES. UNDER THE EXECUTIVE DIRECTOR'S PROGRAM, THE PERFORMANCE MEASUREMENT IS BASED ON THE PERFORMANCE OF SPECIFIED INVESTMENTS.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ............... $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) N PARKER
  		FORMER OFFICER 165,302 EMPLOYEES SALARY   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 VARIOUS ASSOCIATION BOARD MEMBERS (DIRECTORS) ALSO SIT ON THE BOARD OF BLUE CROSS BLUE SHIELD ASSOCIATION AFFILIATES.
FORM 990, PART VI, SECTION A, LINE 4 THE ASSOCIATION AMENDED ITS BYLAWS IN JUNE 2024 TO: (I) REMOVE THE PROVISION FOR ASSOCIATE MEMBERSHIP, (II) REFLECT A CHANGE THAT THE ASSOCIATION, INSTEAD OF THE BOARD, SHALL HAVE THE AUTHORITY TO APPROPRIATE AND DISBURSE FUNDS IN ACCORDANCE WITH A BUDGET APPROVED BY THE BOARD, (III) REMOVE REFERENCE TO THE BOARD DESIGNATING THE PLACE OF IT ANNUAL MEETING, (IV) REMOVE REFERENCE TO THE ASSOCIATION CHIEF EXECUTIVE OFFICER SEEKING THE ADVICE AND CONSENT OF THE ORGANIZATION AND GOVERNANCE COMMITTEE TO APPOINT OFFICERS OF THE ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 6 THE ASSOCIATION HAS THIRTY-THREE (33) INDEPENDENT HEALTH CARE PLAN LICENSEES OPERATING IN SPECIFIED DOMESTIC SERVICE AREAS. ALL HEALTH CARE PLAN LICENSEES ARE ASSOCIATION MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A EACH PRIMARY LICENSEE MEMBER PLAN, BY THE AUTHORITY OF THEIR INDIVIDUAL GOVERNING DOCUMENTS, SELECT THE CEO OF THEIR RESPECTIVE COMPANIES TO SERVE AS A MEMBER OF THE ASSOCIATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNING DECISIONS, SUCH AS BYLAW AMENDMENTS, REQUIRE ACTION BY BOTH THE ASSOCIATION'S BOARD AND ITS MEMBER PLANS.
FORM 990, PART VI, SECTION B, LINE 11B IN GENERAL, FORM 990 CONTENT AND SOURCES OF INFORMATION ARE REVIEWED BY SUBJECT MATTER EXPERTS INCLUDING, BUT NOT LIMITED TO, INTERNAL AND EXTERNAL TAX (KPMG) AND ACCOUNTING PROFESSIONALS AND INTERNAL LEGAL PERSONNEL. FINALIZING THE RETURN DRAFT CONSISTS OF DISCUSSIONS BETWEEN FINANCE OFFICERS AND FINANCE MANAGERS REGARDING THE NUMERIC RESULTS AND WRITTEN RESPONSES TO SELECT RETURN QUESTIONS. UPON INTERNAL AGREEMENT AS TO THE FORM AND CONTENT, AN ELECTRONIC DRAFT 990 IS SENT TO THE ASSOCIATION'S BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C THE ASSOCIATION MAINTAINS A COMPREHENSIVE CODE OF CONDUCT AND COMPLIANCE PROGRAM APPLICABLE TO ALL EMPLOYEES AND OFFICERS. IN ADDITION, ALL EMPLOYEES, OFFICERS, AND BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM. THE ASSOCIATION'S ETHICS AND COMPLIANCE OFFICIAL IS CHARGED WITH INVESTIGATING ANY ALLEGATIONS OF NONCOMPLIANCE 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 FINANCIAL AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. FAILURE TO ADHERE TO THE CODE OF CONDUCT MAY RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING RECUSAL AND/OR TERMINATION OF EMPLOYMENT. CONSISTENT WITH THE PRINCIPLES OF DISCLOSURE, THE DUTY OF LOYALTY AND GOOD GOVERNANCE PRACTICES, BOARD, COMMITTEE, AND SUBCOMMITTEE MEMBERS SHOULD RECUSE THEMSELVES FROM VOTING ON RESOLUTIONS NAMING THE MEMBER PLAN EMPLOYING THEM, AND THEY SHOULD ALSO NOT PARTICIPATE IN BOARD, COMMITTEE, OR SUBCOMMITTEE DELIBERATIONS ON SUCH RESOLUTIONS UNLESS REQUESTED BY THE DELIBERATING BODY.
FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO AND THE CONTINUED RETENTION OF THAT PROFESSIONAL'S SERVICES ARE APPROVED EACH YEAR BY A COMMITTEE OF THE ASSOCIATION'S BOARD COMPRISED OF INDEPENDENT PLAN EXECUTIVES. THAT COMMITTEE ACTS AFTER DELIBERATIONS BASED UPON ADVICE FROM A QUALIFIED INDEPENDENT COMPENSATION CONSULTING FIRM. THE CONSULTANT'S ADVICE AND THOSE DELIBERATIONS INCLUDE A REVIEW OF THE RESULTS OF THE INDEPENDENT CONSULTANT'S RESEARCH REGARDING COMPENSATION PAID BY OTHER ORGANIZATIONS FOR SERVING IN CAPACITIES COMPARABLE TO THAT OF THE ASSOCIATION'S CEO. EACH YEAR THIS COMMITTEE'S DECISIONS ARE REPORTED TO THE FULL BOARD DURING A REGULARLY SCHEDULED MEETING. THE BOARD DELIBERATES ON BOTH MATTERS. EXTENSION OF THE PERIOD OF THE CEO'S SERVICE REQUIRES ACTION BY THE FULL BOARD. THE COMPENSATION DETERMINATIONS OF THE COMMITTEE STAND APPROVED UNLESS THE BOARD EXERCISES ITS INHERENT PREROGATIVE TO MODIFY THE COMMITTEE'S COMPENSATION DECISIONS. THE SAME COMMITTEE OF INDEPENDENT PLAN EXECUTIVES ANNUALLY RECEIVES THE CEO'S RECOMMENDATIONS REGARDING THE COMPENSATION TO BE PAID TO THE OFFICERS. AS WITH THE CEO'S COMPENSATION, THE DELIBERATIONS OF THIS COMMITTEE AND ITS DECISIONS TO APPROVE OR MODIFY THE CEO'S RECOMMENDATION ARE BASED UPON THE RESULTS OF AN INDEPENDENT CONSULTANT'S MARKET RESEARCH REGARDING COMPARABLE OFFICER PAY AND THE INDEPENDENT CONSULTANT'S ADVICE. THE ASSOCIATION MAINTAINS CORPORATE RECORDS REFLECTING THE APPROVAL OF THE COMPENSATION METHODOLOGY APPLICABLE TO ALL ASSOCIATION PERSONNEL.
FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION COMPLIES WITH ALL APPLICABLE PUBLIC DISCLOSURE REQUIREMENTS. THUS, FOR EXAMPLE, MEMBERS OF THE PUBLIC MAY REQUEST AN OPPORTUNITY TO REVIEW THE ASSOCIATION'S FORM 990 OR TO MAKE A COPY BY SENDING A WRITTEN REQUEST OR APPEARING IN PERSON AT ITS PRINCIPAL OFFICE OR ANY OF ITS OTHER LOCATIONS. THE ASSOCIATION'S FAVORABLE DETERMINATION LETTER REGARDING ITS TAX-EXEMPT STATUS AND MATERIALS COMPRISING ITS EXEMPTION APPLICATION ARE ALSO AVAILABLE IN THIS MANNER. IF THE ASSOCIATION'S GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND CONFLICT OF INTEREST POLICY ARE SUBJECT TO APPLICABLE FEDERAL OR STATE PUBLIC DISCLOSURE REQUIREMENTS, THOSE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. FOR EXAMPLE, FORM 990 FILINGS MAY INCLUDE BYLAW AMENDMENTS AND THOSE AMENDMENTS WILL BE MADE AVAILABLE AS NOTED ABOVE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF THE ASSOCIATION'S MANAGEMENT.
FORM 990, PART IX, LINE 11G VARIOUS CONSULTING FEES: PROGRAM SERVICE EXPENSES 282,891,446. MANAGEMENT AND GENERAL EXPENSES 4,935,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 287,826,767. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 19,003,640. MANAGEMENT AND GENERAL EXPENSES 78,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,082,610. PRINTING & GRAPHICS: PROGRAM SERVICE EXPENSES 3,803,209. MANAGEMENT AND GENERAL EXPENSES 1,176. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,804,385. RECRUITING: PROGRAM SERVICE EXPENSES 546,494. MANAGEMENT AND GENERAL EXPENSES 17,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 563,577.
FORM 990, PART XI, LINE 9: CHANGE IN RETIREMENT OBLIGATIONS -1,729,377. CHANGE IN OTHER COMPONENTS OF NET PERIODIC PENSION COST 2,985,336. CHANGE IN LOSS RETIREMENT OBLIGATION 364,983. OTHER ADJUSTMENT -33.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)HEALTH SERVICES FOUNDATION
200 E RANDOLPH STREET

CHICAGO,IL60601
23-7011867 		EDUCATIONAL RESEARCH IL 501(C)(3) LINE 10 N/A
Yes
 
(2)BC AND BS FOUNDATION ON HEALTH CARE
200 E RANDOLPH STREET

CHICAGO,IL60601
23-7164980 		EDUCATIONAL RESEARCH IL 501(C)(3) LINE 7 N/A
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BLUE CROSS BLUE SHIELD BENEFIT CORP

200 E RANDOLPH STREET
CHICAGO,IL60601
36-4176277 		COMMUNITY HEALTH IL N/A
 C 257,195 1,570,507 100.000 % Yes  












Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BLUE CROSS BLUE SHIELD BENEFIT CORP

 A 194,444 ACTUAL COST
(2) BLUE CROSS BLUE SHIELD BENEFIT CORP

 Q 51,149 ACTUAL COST




Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


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