2022-05-04T17:16:12-05:00 2021-12-31 990 2021-01-01 320045033 BCBSF Voluntary Employees' Beneficiary Assoc % LESLIE SCHUMACHER BCBS 9049050440 4800 Deerwood Campus Parkway Jacksonville FL 32246 CRAIG PROVENZANO VP TAX 9049050440 2022-05-04 CRAIG PROVENZANO 999009999 2 2021 2022-09-23 18:48:47Z SEE SCHEDULE O 4800 Deerwood Campus Parkway Jacksonville FL 32246 9335048 false X N/A X 2002 FL The BCBSF Voluntary Employees Beneficiary Assoc is the funding vehicle for retiree health benefits provided on behalf of eligible employees of Blue Cross & Blue Shield of FL. 0 0 0 3718348 3581800 0 0 0 0 3156091 5613144 0 0 3156091 5613144 0 0 4845962 6198351 0 0 0 0 0 458885 407574 5304847 6605925 -2148756 -992781 110523680 109632367 50720 152188 110472960 109480179 THE BCBSF VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION IS THE FUNDING VEHICLE FOR RETIREE HEALTH BENEFITS PROVIDED ON BEHALF OF ELIGIBLE EMPLOYEES OF BLUE CROSS AND BLUE SHIELD OF FLORIDA. false false N/A false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 0 true true false false false false false false false X 0 0 false false false false false false false false false false false false false false false FL X LESLIE SCHUMACHER 9049054548 4800 DEERWOOD CAMPUS PKWY DC1-5 JACKSONVILLE FL 32246 X Wells Fargo Bank Trustee - See Schedule O 1.0 0.0 X 0 0 93502 0 0 93502 0 false false false 0 0 0 2519879 1894796 625083 0 0 0 0 0 6815169 3721904 3093265 3093265 3093265 0 0 0 0 0 0 0 0 0 0 5613144 1894796 3718348 0 0 0 6198351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEDERAL UBIT TAXES 266101 STATE (FL) UBIT TAXES 135548 FOREIGN TAXES 5925 6605925 0 0 10611 31656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110513069 109600711 0 0 0 0 0 0 0 0 110523680 109632367 50720 152188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50720 152188 X 0 0 0 0 110472960 109480179 110472960 109480179 110523680 109632367 -992781 X X true X true X true false 0 0 X Part XIII FIN 48 Footnote The Trust had no unrecognized tax benefits during 2021 and 2020 and does not anticipate significant adjustments to this amount within the next 12 months. The Trust recognized interest and if applicable, penalties, which could be assessed, related to unrecognized tax benefits in income tax expense. For the years ended 12/31/21 and 12/31/20, there were no cumulative interest or penalty amounts recorded in the Trust's 2021 statement of changes in net assets. Form 990 Page 12 Part XII Line 2c Blue Cross and Blue Shield of Florida, the sponsor of the BCBSF VEBA Trust, has a committee that assumes oversight of the audit of the BCBSF Retiree Group Benefit Plan's financial statements and selection of an independent auditor. Form 990 Pg 1 Question F Name and Address of Principal Officer: F) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate officers. Please contact Craig Provenzano, Tax VP of Blue Cross and Blue Shield of Florida, with any questions at the address and phone number shown on Form 990, Page 1, Questions C and E. Form 990 Page 6 Part VI Section A Lines 1a & 1b) The BCBSF VEBA is a Trust with an Institutional Trustee(Wells Fargo Bank) but no separate governing body. Lines 8a & 8b) The BCBSF VEBA does not have a separate board. Form 990 Page 6 Part VI Section B Line 11a) The BCBSF VEBA is a Trust with an institutional trustee (Wells Fargo Bank) but no separate governing body. Line 11b) The annual Form 990 for the BCSF VEBA is prepared by an in-house CPA and reviewed by the VP of Tax, also a CPA. Line 12a) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written conflict of interest policy. Line 12b) Yes, annual disclosure of interests that could give rise to conflicts is required by BCBSF. Line 12c) Yes, BCBSF regularly and consistently monitors and enforces compliance with its conflict of interest policy. Line 13) BCBSF, the Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written whistleblower policy. Line 14) BCBSF, The Company that established the BCBSF VEBA to provide health benefits for its retirees, has a written document retention and destruction policy. Line 15) The BCBSF VEBA does not have any employees. Form 990 Page 6 Part VI Section C Line 19) No documents are made available to the public except for tax forms which are required by law to be made publicly available. Form 990 Page 7, Part VII Section A Line 1a(1) Columns (E) and (F): Blue Cross and Blue Shield of Florida(EIN: 59-2015694) paid Wells Fargo Bank the following amounts during 2021: For BCBSF VEBA Trustee Fees: $39,618 Other services provided to BCBSF: 53,884 Total compensation paid to Wells Fargo: $93,502