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        <BusinessNameLine1>BLUE CROSS AND BLUE SHIELD ASSOCIATION</BusinessNameLine1>
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      <PhoneNum>3122976000</PhoneNum>
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        <AddressLine1>225 North Michigan Avenue</AddressLine1>
        <City>Chicago</City>
        <State>IL</State>
        <ZIPCode>60601</ZIPCode>
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      <PersonNm>Robert Kolodgy</PersonNm>
      <PersonTitleTxt>Sr. VP &amp; Chief Financial Officer</PersonTitleTxt>
      <PhoneNum>3122976000</PhoneNum>
      <SignatureDt>2014-11-07</SignatureDt>
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    <TaxYr>2013</TaxYr>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
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      <PrincipalOfficerNm>Scott P Serota</PrincipalOfficerNm>
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        <State>IL</State>
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      <ActivityOrMissionDesc>The organization's tax exempt purpose is promoting through independent BCBS member (Plans), the common good and general welfare of the community by fostering broad-based health insurance coverage.</ActivityOrMissionDesc>
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      <Desc>The Blue Cross and Blue Shield Association's Federal Employee Program (FEP) administers the Blue Cross and Blue Shield Service Benefit Plan. Approximately 61 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. Service Benefit Plan has been part of the FEHBP since its inception in 1960 and is the largest plan in the program. The FEP program provides service to more than 5.2 million members and maintained a retention rate of 99 percent. Accomplishments in 2013 were related to expanding the Blues presence in the FEHBP market and managing the Blues entry in the OPM Multi-state Plan Program. Enhanced benefits, steady premiums, and active policy and advocacy support with OPM and Congress bolstered the Blues' leading position in the Federal Employee Program. The program also successfully negotiated a contract to participate in the Multi-state Program starting Jan. 1, 2014.</Desc>
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        <Desc>The BlueCard program is a clearinghouse service provided when a member Plan participant receives healthcare in another member Plan geographic service area. BlueCard gives Blue members seamless national access to the 92 percent of physicians and 96 percent of hospitals that participate in Blue networks. 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. The BlueCard for Public Exchange Products initiative focus in 2013 was developing a qualified health plan (QHP) exchange standards implementation guide for use by Blue Plans to ensure future services include flexible out-of-area network options for their individual and small group public Exchange members. During 2013, BCBSA negotiated and signed the terms of the Multi-State Plan Program standard contract for the plan year 2014 with the Office of Personnel Management.</Desc>
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        <Desc>As the umbrella organization for the member Plans, the Association coordinates advertising and communications programs, providing policy and representation of member interests, monitors and fosters the financial stability of all the Plans and supports the ability of the Plans to operate efficiently by providing conferences, consulting and miscellaneous services to the Plans.</Desc>
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        <Desc>The Association develops, enhances and protects the value of the Blue Cross and Blue Shield brand names and symbols and supports the oversight and management of member Plan license agreements.</Desc>
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        <Desc>National Data Warehouse (NDW) is a central data warehouse composed of aggregate standardized and de-identified data (such as medical and drug claims, membership and other provider information) obtained from participating member plans for use in complementing the analytical systems within each of the Plans to improve business intelligence and for the benefit of understanding and managing health care costs and quality via benchmarking and trend analysis.</Desc>
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        <Desc>The Association performs services for the Medicare A program and other services agreements with the Secretary of the United States Department of Health and Human Services (DHHS). BCBSA acts in a coordinating role for all Blue Cross and Blue Shield Plans to perform certain aspects of the Medicare A intermediary functions and other government business services provided to Plans. The Association provides additional services to DHHS through contracts with the Agency for Healthcare Research and Quality (AHRQ).</Desc>
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        <Desc>K-1 Partnership Pass Through (Loss) from BlueCross BlueShield Venture Partners, LP II. (Loss) is attributed to partnership portfolio companies whose goods and service are consistent with the filing entities tax exempt purpose.</Desc>
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        <PersonNm>Scott P Serota</PersonNm>
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        <PersonNm>William A Breskin</PersonNm>
        <TitleTxt>VP, Government Programs</TitleTxt>
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        <PersonNm>Frank E Coyne</PersonNm>
        <TitleTxt>VP, Operations &amp; Ntl Programs</TitleTxt>
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        <PersonNm>Kathy R Didawick</PersonNm>
        <TitleTxt>VP, Congressional Comm</TitleTxt>
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        <PersonNm>John T Ericksen</PersonNm>
        <TitleTxt>VP, Federal Relations</TitleTxt>
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        <PersonNm>Jena Estes</PersonNm>
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        <PersonNm>Alissa T Fox</PersonNm>
        <TitleTxt>SR VP, Policy &amp; Representation</TitleTxt>
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        <PersonNm>Paul Gerrard</PersonNm>
        <TitleTxt>VP, Strategic Communications</TitleTxt>
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        <PersonNm>Sudhama Gopalan</PersonNm>
        <TitleTxt>VP, Strategy</TitleTxt>
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        <PersonNm>Justine G Handelman</PersonNm>
        <TitleTxt>VP, Legislative &amp; Regulatory Policy</TitleTxt>
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        <PersonNm>Trent T Haywood</PersonNm>
        <TitleTxt>SR VP, Chief Medical Officer</TitleTxt>
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        <PersonNm>Kari J Hedges</PersonNm>
        <TitleTxt>VP, National Programs</TitleTxt>
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        <PersonNm>Mitchell J Helfand</PersonNm>
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        <PersonNm>Robert J Kolodgy</PersonNm>
        <TitleTxt>SR VP, FSGP and CFO</TitleTxt>
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        <PersonNm>Shirley S Lady</PersonNm>
        <TitleTxt>VP, Transformation Services</TitleTxt>
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        <PersonNm>William S Nehs</PersonNm>
        <TitleTxt>VP, Dep Gen Counsel Asst Sec</TitleTxt>
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        <PersonNm>William B OLoughlin</PersonNm>
        <TitleTxt>VP, Operational Readiness</TitleTxt>
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        <PersonNm>Doug Porter</PersonNm>
        <TitleTxt>SR VP, Chief Information Officer</TitleTxt>
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        <PersonNm>Cynthia P Rolfe</PersonNm>
        <TitleTxt>VP, Consumer Brand Strategy</TitleTxt>
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        <PersonNm>Maureen E Sullivan</PersonNm>
        <TitleTxt>SR VP, Strategic Services and CSO</TitleTxt>
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        <PersonNm>Cheryl L Thomas</PersonNm>
        <TitleTxt>VP, Human Resources</TitleTxt>
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        <PersonNm>Jennifer Vachon</PersonNm>
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        <PersonNm>Jody A Voss</PersonNm>
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        <PersonNm>Roger G Wilson</PersonNm>
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        <PersonNm>John Cerisano</PersonNm>
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        <PersonNm>Carole R Flamm</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Accordingly, 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 his 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO and the continued retention of his services are approved each year by a committee of the Associations Board comprised of independent Plan executives. That committee acts after deliberations based upon advice from a qualified independent compensation consulting firm. The consultants advice and those deliberations include a review of the results of the independent consultants research regarding compensation paid by other organizations for officers serving in capacities comparable to that of the Associations CEO. Each year this committees decisions are reported to the full Board during a regularly scheduled meeting. The Board deliberates on both matters. Extension of the period of the CEOs 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 committees compensation decisions. The same committee of independent Plan executives annually receives the CEOs recommendations regarding the compensation to be paid to the officers. As with the CEOs compensation, the deliberations of this committee and its decisions to approve or modify the CEOs recommendation are based upon the results of an independent consultants market research regarding comparable officer pay and the independent consultants advice.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>As required by the instructions to Form 990, Schedule J, Part II, a hypothetical SERP accrual was calculated for each reportable person who was eligible to participate in that program. The accrual amounts were determined using the Association's best estimate of the accrual using the methodology specified in the instructions to Schedule J. Because vested accruals under the SERP are currently taxed based on a different methodology and the instructions to Schedule J specify that amounts reported in columns B(i) through B(iii) should not be reported again in column C or D, the amount of imputed SERP income reported in column B(iii) was subtracted in each case and the balance of the hypothetical accrual was included in column C for the applicable reportable persons as follows: William A. Breskin - 23,972; William J Colbourne - 4,450; Frank E Coyne Jr- 42,602; Kathy Didawick - 2,644; John T Ericksen - 3,885; Alissa T Fox -39,400; Justine Handleman - 10,200; Mitchell Helfand - 41,189; Shirley Lady - 18,474; Doug Porter - 570; Maureen E Sullivan - 325; Jennifer Vachon - 2,847; Roger G Wilson - 17,320; John Cerisano - 33,167; Dan Engel - 14,567and Nasir Khan - 7,022. The combined total of imputed SERP included in column C = 262,634.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The Association maintains an Association wide annual performance bonus program that assures a portion of employees annual compensation is contingent upon the attainment of pre-approved organizational performance goals, as weighted by the performance measurement process that evaluates each individual employees 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 Associations 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 also participates in a Long Term Incentive Bonus program. As with the regular performance bonus program, payouts under the Long Term Incentive Program reflect the extent to which preestablished performance goals are reached. However, unlike the annual performance bonus program, the Long Term Incentive program operates on a multi-year cycle to assure that the CEO has incentives that look beyond the immediate year. This program, the performance measurements and the assessment of the achievement of those goals and the resulting payout amounts are all approved by the same Board committee described above and reported to the full Board. The committees deliberations regarding the establishment of the program, 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.</ExplanationTxt>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>Consortium Health Plans Inc</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Director-Customer Director</RelationshipDescriptionTxt>
        <TransactionAmt>145300</TransactionAmt>
        <TransactionDesc>Receipts - Contract Fees</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>BCS Life Insurance Co</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Director-Customer Director</RelationshipDescriptionTxt>
        <TransactionAmt>117123</TransactionAmt>
        <TransactionDesc>Receipts for Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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    <IRS990ScheduleO documentId="R000006" softwareId="13000241" softwareVersion="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Various BCBSA Board members (directors) also sit on the board of Blue Cross and Blue Shield Association affiliates.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Blue Cross and Blue Shield Association has thirty seven (37) independent member health care plan licensees operating in specified domestic service areas.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing body approves a nominating committee to oversee governing body elections.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing body decisions are approved according to the by-laws of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>In general, Form 990 content and sources of information are reviewed by subject matter experts including, but not limited to, internal and external tax 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 Associations board one month prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BCBSA 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 BCBSA Chief Auditor and Compliance Officer is charged with investigating any allegations of non compliance with the code of conduct, including any complaints reported through the anonymous hotline maintained through an independent organization. The results of the compliance programs effectiveness are reported to the 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 termination of employment</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO and the continued retention of his services are approved each year by a committee of the Associations Board comprised of independent Plan executives. That committee acts after deliberations based upon advice from a qualified independent compensation consulting firm. The consultants 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 committees 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 for the past three years or to make a copy by sending a written req'uest or appearing in person at its principal office or any of its other locations. The Associations 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Temporary Help - $35,436,234; Recruiting - $464,748; Printing and Graphics - $3,449,550; Various Consulting Fees including (but not limited to) actuaries, public relations, market research and business strategy, public policy and government relations, data analysis and infrastructure design - $89,145,238</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part XI, Line 9 - ASC 715, Other comprehensive income from pension plan obligations $42,758,559</ExplanationTxt>
      </SupplementalInformationDetail>
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          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60601</ZIPCode>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>BCBSA Services Inc</BusinessNameLine1>
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          <City>Chicago</City>
          <State>IL</State>
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        <PrimaryActivitiesTxt>Int'l Licensing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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          <BusinessNameLine1>BCBSA Services Inc</BusinessNameLine1>
        </OtherOrganizationName>
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        <InvolvedAmt>73974</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual cost for plus markup for Direct Costs to BCBSA</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BCBSA Services Inc</BusinessNameLine1>
        </OtherOrganizationName>
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        <InvolvedAmt>114208</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual costs incurred by Reporting Entity</MethodOfAmountDeterminationTxt>
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