2021-11-10T14:51:37-06:00 2020-12-31 990 2020-01-01 043362283 Blue Cross Blue Shield of Massachusetts HMO Blue Inc % MICHAEL CARDER BLUE 6172465313 101 Huntington Ave Suite 1300 Boston MA 02199 Andreana Santangelo CFO 6172465313 2021-11-10 Andreana Santangelo XXX-XX-XXXX 2 2020 2022-09-23 18:48:47Z Andrew Dreyfus 101 Huntington Ave Suite 1300 Boston MA 021997611 5254246974 false X www.bluecrossma.com X 2005 MA It is a Health Maintenance Organization that provides medical and other health benefits to members through contracts with hospitals, physicians, nursing homes, etc. 5 0 0 0 0 0 0 5195260278 5176150285 56416688 78096689 0 0 5251676966 5254246974 0 0 4576009100 4240317162 184343631 180046652 0 0 0 379754735 494298148 5140107466 4914661962 111569500 339585012 2551490500 2876856771 920552083 980123110 1630938417 1896733661 THE COMPANY OFFERS HEALTH MAINTENANCE ORGANIZATION SERVICES AND SUPPLEMENTARY PROGRAMS FOR THE BENEFIT OF ITS MEMBERS, PROVIDING HOSPITALIZATION, MEDICAL, AND OTHER HEALTH BENEFITS TO MEMBERS THROUGH CONTRACTS WITH HOSPITALS, PHYSICIANS, NURSING FACILITIES, AND OTHER HEALTH CARE PROVIDERS. false false 524114 4240317162 5254246973 Provision of hospital and medical benefits. 4240317162 false false false false false false false false false true true false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false 0 0 true 0 true true false false false false false false false false false false false false false false X 5 0 false false false false true true true true true false false true true true true true true true true true true MA X MICHAEL CARDER 6172465313 101 HUNTINGTON AVENUE SUITE 1300 BOSTON MA 02199 Andrew Dreyfus Director, President & CEO 0.0 0.0 X X 0 5536702 2054437 Stephanie Lovell Director, EVP, Chief Legal Off 0.0 0.0 X X 0 2372764 807742 Andreana Santangelo Director, EVP & CFO 0.0 0.0 X X 0 2187743 965954 Richard Lynch SVP 0.0 0.0 X X 0 1420078 789685 Linda Williams SVP & Chief Audit Executive 0.0 0.0 X 0 765571 285748 Laure Goldberg VP & Chief Actuary 0.0 0.0 X 0 565468 159423 Anthony Criscuolo VP of Treasury and Investments 0.0 0.0 X 0 458647 130797 Deborah Devaux Director, EVP, & COO 0.0 0.0 X 0 576520 512 Alona Abalos Vice President & Asst. Clerk 0.0 0.0 X 0 412324 97266 Michael Sheehan Sales Director 0.0 0.0 X 400978 58332 48156 Richard Lewis Physician Reviewer 0.0 0.0 X 111468 195606 55455 Joseph Schwartz Physician Reviewer 0.0 0.0 X 106089 186168 51501 Kacee Sweet Sales Executive 0.0 0.0 X 40427 259035 41961 Kerim Munir Psychiatrist 0.0 0.0 X 96135 180114 35638 Mark Collura Assistant Treasurer 0.0 0.0 X 88787 133182 49519 Enrico Giammarco Assistant Treasurer 0.0 0.0 X 85804 128706 48521 Dorothy Puhy Chair 0.0 0.0 X 0 128525 0 929688 15565485 5622315 109 true true false Perficient Inc One Washington Mall 15th Fl BOSTON MA 02108 IT Consulting 7068597 Cognizant Worldwide Limted 1 KINGDOM STREET PADDINGTON CENTRAL LONDON UK W2 6BD IT Consulting 5928035 Sirius Computer Solutions Inc 10100 Reunion Place Suite 500 SAN ANTONIO TX 78216 IT Consulting 1357321 Ernst Young LLP 200 Clarendon St BOSTON MA 02116 Financial Services 1219300 McKinsey Co Inc 55 East 52nd Street 21st Floor NEW YORK NY 10022 1045222 42 0 PREMIUMS EARNED 524114 5176150285 5176150285 5176150285 46901587 46901587 0 0 0 0 0 31195102 31195102 0 0 0 0 0 0 0 0 0 0 5254246974 5254246974 0 0 0 4240317162 4240317162 213807 213807 0 144425481 144425481 5663242 5663242 20901091 20901091 8843031 8843031 1203936 1203936 1441786 1441786 23060374 23060374 0 0 0 104803105 104803105 5346815 5346815 5075924 5075924 40035463 40035463 0 10444192 10444192 772168 772168 0 0 0 0 32909457 32909457 0 OTHER - BROKER FEES 99905399 99905399 OTHER - DUES AND ASSESSMENTS 74955440 74955440 OTHER - MISC 94344089 94344089 0 4914661962 4240317162 674344800 0 28773976 42356524 101036729 239899699 0 0 86841914 71103231 0 0 0 0 0 0 0 0 0 0 146633023 57804884 90961673 88828139 1167885290 1377077058 1040685441 1006901094 0 0 0 0 35305477 50691026 2551490500 2876856771 30112571 29295703 0 0 0 0 0 0 0 0 0 0 0 0 188298486 150120617 702141026 800706790 920552083 980123110 X 0 0 0 0 1630938417 1896733661 1630938417 1896733661 2551490500 2876856771 X 339585012 12820387 -86610155 X X false true X true true true false 7546776 7546776 109045125 31495307 77549818 30041122 26309577 3731545 88828139 JOINT VENTURE- FIXED INCOME 139336468 JOINT VENTURE - COMMON STOCK 171813586 JOINT VENTURE - REAL ESTATE 79665449 JOINT VENTURE - OTHER UNAFFIL 317924396 JOINT VENTURE OTHER AFFILIATE 13161195 SURPLUS DEBENTURES-UNAFFIL. 285000000 1006901094 0 CLAIMS UNPAID 443203991 AGGREGATE POLICY RESERVES 111566400 PREMIUMS RECEIVED IN ADVANCE 135985134 OTHER LIABILITIES 86950535 UNPAID CLAIMS ADJUSTMENT EXPEN 4772135 PAYABLE FOR SECURITIES 18228595 800706790 5254246974 5254246974 5254246974 4914661962 4914661962 4914661962 X true true X X X X X false true false false false true true false false Andrew Dreyfus Director, President & CEO 1170193 3003240 1363269 1997767 56670 7591139 958334 Stephanie Lovell Director, EVP, Chief Legal Off 603750 1202261 566753 767459 40283 3180506 402500 Alona Abalos Vice President & Asst. Clerk 250883 142933 18508 64867 32399 509590 40986 Enrico Giammarco Assistant Treasurer 70000 105000 15089 22633 715 1073 5578 8367 13830 20746 105212 157819 Andreana Santangelo Director, EVP & CFO 689254 1258217 240272 920196 45758 3153697 429333 Mark Collura Assistant Treasurer 72170 108256 15559 23339 1058 1587 5659 8488 14149 21223 108595 162893 Deborah Devaux Director, EVP, & COO 504783 71737 512 577032 144300 Richard Lewis Physician Reviewer 89879 157721 20700 36325 889 1560 6628 11631 13502 23694 131598 230931 Joseph Schwartz Physician Reviewer 85666 150329 19743 34645 680 1194 5761 10110 12934 22696 124784 218974 Laure Goldberg VP & Chief Actuary 309626 241423 14419 118932 40491 724891 69985 Linda Williams SVP & Chief Audit Executive 335708 314798 115065 237344 48404 1051319 Richard Lynch SVP 600000 788228 31850 737365 52320 2209763 Anthony Criscuolo VP of Treasury and Investments 281665 169804 7178 94059 36738 589444 32083 Michael Sheehan Sales Director 111738 16255 274962 40000 14278 2077 19568 2847 22472 3269 443018 64448 Kacee Sweet Sales Executive 8672 55565 28814 184626 2941 18844 1091 6991 4574 29305 46092 295331 Kerim Munir Psychiatrist 78672 147397 17369 32542 94 175 4960 9293 7442 13943 108537 203350 Part I, line 1a: The organization's senior management is expected to maintain a demanding travel schedule. The organization's Board of Directors has approved an accountable plan for payment and reimbursement for travel policies designed to assure that the organization is able to meet senior management's travel commitments. The organization permits appropriate travel and amenities for senior level management. Business travel is not taxable to those employees of the organization as compensation. Part I, line 4a: Part I, line 4b: The organization's officers participated in a supplemental non-qualified retirement plan sponsored by their employer, Blue Cross Blue Shield of Massachusetts, Inc. Payments were made to Deborah Devaux for $71,737 who is listed on Form 990 Part VII. The actuarially determined present value of the benefits accrued under this plan is included in each applicable individual's deferred compensation amount on this form. Part I, lines 6a and 6b: The employees of the organization listed participated in an incentive pay plan for leaders designed to recognize and reward significant accomplishments that have contributed to the overall success of the organization in the fulfillment of its organizational mission. The organization's goals are established at the beginning of the calendar year by the independent Board of Directors of Blue Cross Blue Shield of Massachusetts, Inc. ("BCBSMA"), a related party. These goals cover important measures of the organization's success such as net financial results, member satisfaction, and net membership growth. At the end of the year, results against those goals are reviewed by the BCBSMA Board of Directors under whose sole discretion the determination of any payout level is made. There is no guarantee that amounts will be paid for any calendar year. Form 990 Part VI Part VI, Line 1b, 3, 6, 7a, 7b: The organization's Board of Directors are appointed by, and accountable to, the Board of Directors of Blue Cross and Blue Shield of Massachusetts, Inc., the organization's parent company, which is comprised of a majority of independent voting members and which reserves the right to act as the Board Committees of the organization. Part VI, Line 11a: The organization's Form 990 was prepared and reviewed by the organization's Finance Department with relevant input and review by subject matter personnel from throughout the organization. The completed Form 990 was provided to both the voting members of the governing board of the organization and designated representatives of the independent governing board of Blue Cross Blue Shield of Massachusetts, Inc. at the direction of the full Board of Directors. Part VI, Line 12a,b,&c: The avoidance of actual or perceived conflicts of interest is important to Blue Cross Blue Shield of Massachusetts and its related organizations. As a matter of corporate responsibility the Board ensures that the Company maintains a thorough and robust disclosure process. Members of the Board of Directors of the organization, its corporate officers, senior leaders, and select other associates participate in an annual Conflict of Interest disclosure process. The Conflict process is managed by the Blue Cross Blue Shield of Massachusetts Legal Department and is designed to identify, among other matters, self-reported financial relationships between the organization, its Directors, and senior management (including family members) and other organizations. The Conflict process provides an opportunity to evaluate and address as necessary actual or perceived conflicts of interest. The Conflict of Interest Policy, a Confidentiality Statement and a Disclosure Questionnaire are distributed annually to Directors, Officers, and members of senior management. Responses are subject to extensive evaluation by the Legal Department and Governance Committee. Recommendations and summary reports are provided to and evaluated annually by the Governance Committee. Part VI, Line 15a-15b: The Organization's senior level management services are provided by Blue Cross Blue Shield of Massachusetts, Inc., a related organization, under an arm's length services agreement. The organization's CEO is compensated solely by Blue Cross Blue Shield of Massachusetts Inc. The organization's CEO compensation is determined under the direction of the Human Resources Committee of the Blue Cross Blue Shield of Massachusetts, Inc. Board of Directors using market assessment information provided by independent compensation consultants. Final approval of the organization's CEO compensation is performed by the full Board of Directors of Blue Cross Blue Shield of Massachusetts, Inc. Part VI, Line 19: The organization's governing documents, conflict of interest policy, and financial statements are available at the Company's headquarters at 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611. Part XI, Line 9: Other changes in net assets consists of the change in non-admitted assets ($86,610,155). BCBSMA Foundation for Expanding Healthca 101 Huntington Avenue Suite 1300 Boston MA 02199 043148824 See Supp Info MA 501(c)(3) PF NA Healthcare Assistance Foundation Inc 101 Huntington Avenue Suite 1300 Boston MA 02199 043453264 See Supp Info MA 501(c)(3) PF NA Blue Cross and Blue Shield of MA Inc 101 Huntington Avenue Suite 1300 Boston MA 02199 041045815 See Suppl Inf MA NA C Corporation Part II (1): BCBSMA Foundation for Expanding Healthcare Access's primary activity is to provide and support education and research, foster health care innovation and reform, and develop, promote, and support programs to improve health care access. Part II (2): Health Care Assistance Foundation, Inc.'s primary activity is to provide and support education and research, foster health care innovation and reform, and develop, promote, and support programs to improve health care access. Part IV (1): Blue Cross and Blue Shield of Massachusetts, Inc. (the Parent Company) is organized for the purpose of establishing, maintaining and operating a nonprofit hospital and medical service company to provide hospital and medical care reimbursement for health services to its members. Hospitalization, medical and other health benefits are provided to members through contracts with hospitals, participating physicians, skilled nursing facilities, nursing homes, and other health care organizations. Blue Cross Blue Shield of Massachusetts HMO Blue, Inc. ("HMO Blue") is a wholly-controlled subsidiary organization of Blue Cross and Blue Shield of Massachusetts, Inc. ("BCBSMA"). The board of directors of HMO Blue is largely made up of officers of BCBSMA. HMO Blue board members are approved, appointed and operate under the direction by/of the board of directors of BCBSMA, an independent governing body.