BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 401k Plan overview

BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	BLUE CROSS & BLUE SHIELD OF ARIZONA, INC.
Employer identification number (EIN):	860004538
NAIC Classification:	524140

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
507	2022-01-01
507	2021-01-01
507	2020-01-01
507	2019-01-01
507	2018-01-01
507	2017-01-01	GREG WELLS, CHIEF HR OFFICER
507	2016-01-01	GREG WELLS, VICE PRESIDENT
507	2015-01-01	GREG WELLS, VICE PRESIDENT
507	2014-01-01	GREG WELLS, VICE PRESIDENT
507	2013-01-01	GREG WELLS, VICE PRESIDENT
507	2012-01-01	GREG WELLS, VICE PRESIDENT
507	2011-01-01	GREG WELLS, VICE PRESIDENT
507	2009-01-01	GREG WELLS, VICE PRESIDENT

Plan Statistics for BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN

Measure	Date	Value
2022: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	376
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	476
Total of all active and inactive participants	2022-01-01	476
Total participants	2022-01-01	476
2021: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	376
Total of all active and inactive participants	2021-01-01	376
Total participants	2021-01-01	376
2020: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	352
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	382
Total of all active and inactive participants	2020-01-01	382
Total participants	2020-01-01	382
2019: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	298
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	352
Total of all active and inactive participants	2019-01-01	352
Total participants	2019-01-01	352
2018: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	298
Total of all active and inactive participants	2018-01-01	298
Total participants	2018-01-01	298
2017: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	387
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	294
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	294
2016: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	293
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	387
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	387
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	387
2015: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	290
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	293
Total of all active and inactive participants	2015-01-01	293
Total participants	2015-01-01	293
2014: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	290
Total of all active and inactive participants	2014-01-01	290
Total participants	2014-01-01	290
2013: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	260
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	309
Total of all active and inactive participants	2013-01-01	309
Total participants	2013-01-01	309
2012: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	260
Total of all active and inactive participants	2012-01-01	260
Total participants	2012-01-01	260
2011: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	265
Total of all active and inactive participants	2011-01-01	265
Total participants	2011-01-01	265
2009: BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	235
Total of all active and inactive participants	2009-01-01	235
Total participants	2009-01-01	235

Form 5500 Responses for BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN

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• BLUE CROSS/BLUE SHIELD OF MICHIGAN GAYLORD DIVISION PLAN [EIN = 340549970]
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• BLUE CROSS OF NORTHEASTERN PENNSYLVANIA [EIN = 231743282]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561038919]
• BLUE CROSS BLUE SHIELD ALABAMA [EIN = 630355713]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF ALABAMA [EIN = 273410813]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF NORTH CAROLINA [EIN = 562384240]
• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
• BLUE CROSS BLUE SHIELD OF MINNESOTA [EIN = 416050237]
• BLUE CROSS ANIMAL HOSPITAL GROUP 401(K) PLAN [EIN = 870903171]
• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA [EIN = 223851031]
• BLUE CROSS BLUE SHIELD OF ND SEVERANCE PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF AZ [EIN = 882806512]
• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 831077369]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]

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