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    <Timestamp>2012-11-16T10:31:17-06:00</Timestamp>
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        <BusinessNameLine1>BDO USA LLP</BusinessNameLine1>
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        <City>CHICAGO</City>
        <State>IL</State>
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      <Name>
        <BusinessNameLine1>Blue Cross Blue Shield Assoc Retire</BusinessNameLine1>
        <BusinessNameLine2>Benefits Trust</BusinessNameLine2>
      </Name>
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      <Phone>3124445670</Phone>
      <USAddress>
        <AddressLine1>225 North Michigan Avenue</AddressLine1>
        <City>Chicago</City>
        <State>IL</State>
        <ZIPCode>60601</ZIPCode>
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      <Title>executive officer</Title>
      <DateSigned>2012-11-07</DateSigned>
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    <Preparer>
      <Name>Rebekuh Eley</Name>
      <Phone>3128569100</Phone>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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        <City>Chicago</City>
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          <City>CHICAGO</City>
          <State>IL</State>
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        <NamePerson>John F Giblin</NamePerson>
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        <NamePerson>Mark P Stimpson</NamePerson>
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        <NamePerson>Paul von Ebers</NamePerson>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THE NORTHERN TRUST</NamePerson>
        <Title>TRUSTEE</Title>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
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      <PayrollTaxes>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <FeesForServicesInvstMgmntFees>
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      <InformationTechnology>
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      <Royalties>
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      <Occupancy>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
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      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>4829406</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-67164</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <Land />
      <Buildings />
      <LeaseholdImprovements />
      <Equipment />
      <OtherLandBuildings />
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO SPONSOR PREMIUM REIMBURSEMENT</Description>
        <Amount>1029774</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1029774</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE:</Identifier>
        <Explanation>Accounting principles generally accepted in the United States of America require Program management to evaluate tax positions taken by the Program and recognize a tax liability (or asset) if the Program has taken an uncertain position that more Likely than not would not be sustained upon examination by the Internal Revenue Service. The Program administrator has analyzed the tax positions taken by the Program and has concluded that as of December 31, 2011, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Program Is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Program administrator believes it is no longer subject to income tax examinations for years prior to 2008.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>part v, line 3a</Identifier>
        <Explanation>the organization does not have any unrelated business income.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vi, line 2</Identifier>
        <Explanation>certain members of the national employee benefits committee ("committee") serve together on the board of the blue cross and blue shield association. all members of the committee are either employees of the blue cross and blue shield association or one of the member plans.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vi, line 11B</Identifier>
        <Explanation>Form 990's 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, and the consolidated audited financial statements of the blue cross and blue shield health and life program were presented to the Committee that serves as the governing body by the independent auditors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vi, section b, 12c</Identifier>
        <Explanation>BCBSA maintains a comprehensive Code of Conduct and Compliance Program applicable to all employees and officers including those who either serve on the Committee (that governs and acts for the organization) or act on behalf of that Committee. In addition, all employees, officers, and directors (including those who serve on the Committee or act on its behalf) 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 hot-line maintained through an independent organization. The results of the Compliance Program's effectiveness are reported to the Audit Committee of The bcbsa 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. Moreover, committee members receive fiduciary training from the BCBSA Chief Employee Benefits Counsel regarding their fiduciary duties, including the ERISA fiduciary conflict of interest rules. BCBSA's Chief Employee Benefits Counsel also provides the Committee with an annual assessment of the organization's and the Committee's legal compliance, including compliance with ERISA. As employees of various Blue Plans, each Committee member not employed by BCBSA is subject to additional conflict of interest restriction under policies adopted by his or her Employer Plan.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vi, line 15 a and b</Identifier>
        <Explanation>the organization does not require compensation policies as it does not compensate any officers, management officials or key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vi, line 19</Identifier>
        <Explanation>The governing documents and Form 990 are made available upon request to the Executive Director, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>part vii, section a</Identifier>
        <Explanation>with the exception of the institutional trustee, all listed are members of an independent committee that supervises the trust.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 5</Identifier>
        <ReturnReference>Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>U/R Gain - $67,164</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Blue Cross Blue Shield Association</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 North Michigan Ave</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60601</ZIPCode>
        </AddressUS>
        <EIN>135656874</EIN>
        <PrimaryActivities>Contrib.ER</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
    </IRS990ScheduleR>
  </ReturnData>
</Return>