2011-11-03T13:55:35-04:00 2010-12-31 BDO USA LLP 7101 WISCONSIN AVE STE 800 BETHESA MD 20814 990 2010-01-01 510245316 Blue Cross & Blue Shield Associatn National Long Term Disability Trust BLUE 3124445670 225 North Michigan Avenue Chicago IL 60601 David Manuszak 3122976375 2011-11-02 3016544900 2010 2016-03-07 17:11:31Z DAVID MANUSZAK 225 NORTH MICHIGAN AVE CHICAGO IL 60601 11912735 false X N/A X 1960 IL THE TRUST WAS CREATED FOR THE EXCLUSIVE PURPOSE OF PROVIDING LONG TERM DISABILITY BENEFITS TO ELIGIBLE EMPLOYEES UNDER THE BLUE CROSS AND BLUE SHIELD ASSOCIATION NATIONAL LONG TERM DISABILITY PROGRAM. 12 12 0 0 0 0 0 3463041 5179385 2551509 2562684 0 0 6014550 7742069 0 0 9785073 9625501 42022 43211 0 0 0 1596008 1574305 11423103 11243017 -5408553 -3500948 68272456 68879325 281369 298652 67991087 68580673 X THE TRUST WAS CREATED FOR THE EXCLUSIVE PURPOSE OF PROVIDING LONG TERM DISABILITY BENEFTIS TO ELIGIBLE EMPLOYEES UNDER THE BLUE CROSS AND BLUE SHIELD ASSOCIATION NATIONAL LONG TERM DISABILITY PROGRAM. false false PROVIDED LONG TERM DISABILITY BENEFITS TO ELIGIBLE EMPLOYEES UNDER THE BLUE CROSS AND BLUE SHIELD ASSOCIATION NATIONAL LONG TERM DISABILITY PROGRAM. TOTAL BENEFITS PAID TO (OR FOR THE BENEFIT OF) ELIGIBLE EMPLOYEES DURING THE 2010 PLAN YEAR WERE $9,625,501. false false 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 false false false false false true false false false false false true false false false true 0 0 0 false false false false false false false X 12 12 true false false false false false false true true false false false true true true true true false X EXECUTIVE DIRECTOR 3122976000 225 NORTH MICHIGAN AVE CHICAGO IL 60601 Tim J Crilly 0.1 X 0 0 0 Robert A Leichtle 0.1 X 0 0 0 Robert P Hiam 0.1 X 0 0 0 Sherry Cladouhos 0.1 X 0 0 0 PAUL VON EBERS 0.1 X 0 0 0 Scott P Serota 0.1 X 0 0 0 R Chris Doerr 0.1 X 0 0 0 David Southwell 0.1 X 0 0 0 ANDREW C CORBIN 0.1 X 0 0 0 JOHN F GIBLIN 0.1 X 0 0 0 MICHAEL REITZ 0.1 X 0 0 0 MARK P STIMPSON 0.1 X 0 0 0 THE NORTHERN TRUST COMPANY 40.0 X 43211 0 0 43211 0 0 0 false false false 0 0 EMPLOYER CONTRIBUTIONS 900099 5144401 5144401 EMPLOYEE CONTRIBUTIONS 900099 34984 34984 5179385 1633350 1633350 0 0 5100000 4170666 929334 929334 929334 0 0 0 0 7742069 5179385 2562684 0 0 0 9625501 43211 0 0 0 0 0 0 0 59105 0 0 15848 0 0 0 0 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE FEES 858856 MEDICAL CONSULTANTS 429521 ACTURARIAL SERVICES 200222 COMPUTER CONSULTING SUPPORT 10753 11243017 1236833 1067897 66506091 67558297 529532 253131 68272456 68879325 281369 298652 281369 298652 X 67991087 68580673 67991087 68580673 68272456 68879325 X -3500948 4090534 X false true true X false 7742069 11243017 -3500948 -3500948 11832603 4090534 4090534 7742069 7742069 11243017 11243017 11243017 BCBSA Employer of 28c persons business relationship reimburses for services false part v, line 3b the organization does not have any unrelated business income. PART VI, LINE 2 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. part vi, line 11 form 990's consent and sources of information are review by subject matter experts including, but not limited to, internal and external tax and accounting professionals and internal legal personnel, and the audit financial statements were presented to the committee that serves as the governing body by the independent auditors. PART VI, SECTION B, 12C 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. PART VI, LINE 15A AND B THE ORGANIZATION DOES NOT REQUIRE COMPENSATION POLICIES AS IT DOES NOT COMPENSATE ANY OFFICERS, MANAGEMENT OFFICIALS OR KEY EMPLOYEES. PART VI, LINE 19 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. PART VII, SECTION A WITH THE EXCEPTION OF THE INSTITUTIONAL TRUSTEE, ALL LISTED ARE MEMBERS OF AN INDEPENDENT COMMITTEE THAT SUPERVISES THE TRUST. Part XI, Line 5 Changes in net assets or fund balances Unrealized Gains - $4,090,534 Blue Cross Blue Shield Association 225 North Michigan Ave Chicago IL 60601 135656874 Contrib.ER IL 501(c)(4) N/A NA Blue Cross & Blue Shield of Florida Inc 4800 Deerwood Campus Parkway Jacksonville FL 32246 592015694 Contrib.ER FL NA C Corp 0 0 0.00000 Blue Cross of Idaho Health Service Inc 3000 E Pine Avenue Meridian ID 836425995 820344294 Contrib.ER ID NA C Corp 0 0 0.00000 Blue Cross & Blue Shield of Kansas Inc 1133 Topeka Blvd Topeka KS 66629 480952857 Contrib.ER KS NA C Corp 0 0 0.00000 Louisiana Health Srv & Indemnity Co Inc 5525 Reitz Avenue Baton Rouge LA 70809 237384555 Contrib.ER LA NA C Corp 0 0 0.00000 Blue Cross and Blue Shield of Michigan 600 Lafayette East Detroit MI 482262998 382069753 Contrib.ER MI na c corp 0 0 0.00000 Blue Cross & Blue Shield of Mississippi 3545 Lakeland Drive East Jackson MS 39208 640295748 Contrib.ER MS na c corp 0 0 0.00000 Blue Cross & Blue Shield of Kansas City 2301 Main Street Kansas City MO 64108 431257251 Contrib.ER MO na c corp 0 0 0.00000 Excellus Health Plan Inc 165 Court Street Rochester NY 14647 150329043 Contrib.ER NY na c corp 0 0 0.00000 Blue Cross & Blue Shield of Montana Inc 560 North Park Avenue Helena MT 59601 810216685 Contrib.ER MT na c corp 0 0 0.00000 Noridian Mutual Insurance Company 4510 13th Avenue SW Fargo ND 581210001 450173185 Contrib.ER ND na c corp 0 0 0.00000 CoreLink Administrative Solutions LLC 4510 13th Ave S Fargo ND 58121 263655982 Contrib.ER ND na c corp 0 0 0.00000 Blue Cross & Blue Shield of Rhode Island 444 Westminster Street Providence RI 02903 050158952 Contrib.ER RI na c corp 0 0 0.00000 Blue Cross and Blue Shield of Vermont 445 Industrial Lane Berlin VT 05602 030277307 Contrib.ER VT na c corp 0 0 0.00000 Highmark West Virginia Inc 614 Market Street Parkersburg WV 26101 550624615 Contrib.ER WV na c corp 0 0 0.00000 Blue Cross and Blue Shield of Wyoming 4000 House Avenue Cheyenne WY 82001 830231011 Contrib.ER WY na c corp 0 0 0.00000 Triple-S Management Corp 1441 FD Roosevelt Avenue Caparra PR 00920 660555678 Contrib.ER PR na c corp 0 0 0.00000 BCS Financial Corporation 2 Mid-America Plaza Suite 200 Oakbrook Terrace IL 601814712 364247278 Contrib.ER IL na c corp 0 0 0.00000 Blue Cross and Blue Shield Association 225 North Michigan Avenue Chicago IL 60601 135656874 Contrib.ER IL na c corp 0 0 0.00000 Accident Fund Insurance Comp of America 232 S Capitol Avenue Lansing MI 489017990 383207001 Contrib.ER MI na c corp 0 0 0.00000 United Wisconsin Insurance Company 12695 West National Ave New Berlin WI 53151 390941450 Contrib.ER WI na c corp 0 0 0.00000 true