Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Cook
    4. ›
  4. 60601
    5. ›
  5. BLUE CROSS AND BLUE SHIELD ASSOCIATION

BLUE CROSS AND BLUE SHIELD ASSOCIATION

Headquarter

Company Details

Entity Name: BLUE CROSS AND BLUE SHIELD ASSOCIATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 28 Dec 1948
Company Number: CORP_31058961
File Number: 31058961
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of BLUE CROSS AND BLUE SHIELD ASSOCIATION, NEW YORK 167535 NEW YORK

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
K6MQNEFWY2H5 2024-10-12 225 N MICHIGAN AVE, CHICAGO, IL, 60601, 7757, USA 225 N MICHIGAN AVE, ATTN: MAUREEN VARNER, CHICAGO, IL, 60601, 7680, USA

Business Information
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2023-10-16
Initial Registration Date 2001-04-25
Entity Start Date 1948-12-28
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 541611, 813910

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MAUREEN P. VARNER
Role DIRECTOR, EXTERNAL REPORTING AND COMPLIANCE
Address 225 N. MICHIGAN AVENUE, SUITE 922, CHICAGO, IL, 60601, 7680, USA
Title ALTERNATE POC
Name KEIR JONES
Role DIRECTOR, FINANCIAL OPERATIONS
Address 225 N. MICHIGAN AVENUE, CHICAGO, IL, 60601, 7680, USA
Government Business
Title PRIMARY POC
Name MAUREEN P. VARNER
Role DIRECTOR, EXTERNAL REPORTING AND COMPLIANCE
Address 225 N. MICHIGAN AVENUE, SUITE 922, CHICAGO, IL, 60601, 7680, USA
Title ALTERNATE POC
Name KEIR JONES
Role DIRECTOR, FINANCIAL OPERATIONS
Address 225 N. MICHIGAN AVENUE, CHICAGO, IL, 60601, 7680, USA
Past Performance
Title PRIMARY POC
Name MAUREEN P. VARNER
Role DIRECTOR, EXTERNAL REPORTING AND COMPLIANCE
Address 225 N. MICHIGAN AVENUE, SUITE 922, CHICAGO, IL, 60601, USA
Title ALTERNATE POC
Name MAUREEN P. VARNER
Role DIRECTOR, EXTERNAL REPORTING AND COMPLIANCE
Address 225 N. MICHIGAN AVENUE, SUITE 922, CHICAGO, IL, 60601, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE CROSS AND BLUE SHIELD ASSOCIATION FLEXIBLE BENEFITS PLAN 2012 135656874 2013-10-14 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1015
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1990-03-01
Business code 813000
Sponsor’s telephone number 3122976459
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 135656874
Plan administrator’s name BLUE CROSS AND BLUE SHIELD ASSOCIATION
Plan administrator’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Administrator’s telephone number 3122975887

Number of participants as of the end of the plan year
Active participants 1037

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing MITCHELL HELFAND
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION TAX-FAVORED SAVINGS PROGRAM 2012 135656874 2013-10-14 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1353
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 541990
Sponsor’s telephone number 3122976000
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757

Plan administrator’s name and address
Administrator’s EIN 363025560
Plan administrator’s name NATIONAL EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address 225 N. MICHIGAN AVE., CHICAGO, IL, 606017757
Administrator’s telephone number 3122975786

Number of participants as of the end of the plan year
Active participants 1032
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 317
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 1229
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing TERRENCE COONEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION TAX-FAVORED SAVINGS PROGRAM 2011 135656874 2012-12-31 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1133
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 541990
Sponsor’s telephone number 3122976000
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757

Plan administrator’s name and address
Administrator’s EIN 363025560
Plan administrator’s name NATIONAL EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address 225 N. MICHIGAN AVE., CHICAGO, IL, 606017757
Administrator’s telephone number 3122975722

Number of participants as of the end of the plan year
Active participants 1045
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 308
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1214
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 47

Signature of
Role Plan administrator
Date 2012-12-18
Name of individual signing DAVID MANUSZAK
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION TAX-FAVORED SAVINGS PROGRAM 2011 135656874 2012-10-15 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1133
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 541990
Sponsor’s telephone number 3122976000
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757

Plan administrator’s name and address
Administrator’s EIN 363025560
Plan administrator’s name NATIONAL EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address 225 N. MICHIGAN AVE., CHICAGO, IL, 606017757
Administrator’s telephone number 3122975722

Number of participants as of the end of the plan year
Active participants 1140
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 300
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 995
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 47

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAVID MANUSZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION FLEXIBLE BENEFITS PLAN 2011 135656874 2012-10-12 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1030
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1990-03-01
Business code 813000
Sponsor’s telephone number 3122976459
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 135656874
Plan administrator’s name BLUE CROSS AND BLUE SHIELD ASSOCIATION
Plan administrator’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Administrator’s telephone number 3122975887

Number of participants as of the end of the plan year
Active participants 1015

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing MITCHELL HELFAND
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION FLEXIBLE BENEFITS PLAN 2010 135656874 2011-10-13 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1018
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1990-03-01
Business code 813000
Sponsor’s telephone number 3122976459
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 135656874
Plan administrator’s name BLUE CROSS AND BLUE SHIELD ASSOCIATION
Plan administrator’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Administrator’s telephone number 3122975887

Number of participants as of the end of the plan year
Active participants 1030

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing ROBERT KOLODGY
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION TAX-FAVORED SAVINGS PROGRAM 2009 135656874 2010-10-12 BLUE CROSS AND BLUE SHIELD ASSOCIATION 1317
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 541990
Sponsor’s telephone number 3122976000
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 606017757

Plan administrator’s name and address
Administrator’s EIN 363025560
Plan administrator’s name NATIONAL EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address 225 N. MICHIGAN AVE., CHICAGO, IL, 606017757
Administrator’s telephone number 3122975722

Number of participants as of the end of the plan year
Active participants 1097
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 943
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 23

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing DAVID MANUSZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD ASSOCIATION FLEXIBLE BENEFITS PLAN 2009 135656874 2010-10-12 BLUE CROSS AND BLUE SHIELD ASSOCIATION 986
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1990-03-01
Business code 813000
Sponsor’s telephone number 3122976459
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 135656874
Plan administrator’s name BLUE CROSS AND BLUE SHIELD ASSOCIATION
Plan administrator’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Administrator’s telephone number 3122975887

Number of participants as of the end of the plan year
Active participants 1018
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing ROBERT KOLODGY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing WILLIAM COLBOURNE
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD PLANS' NATIONAL RETIREE HEALTH BENEFITS TRUST 2009 367008317 2010-09-29 BLUE CROSS AND BLUE SHIELD ASSOCIATION No data
File View Page
Three-digit plan number (PN) 001
Sponsor’s telephone number 3122975722
Plan sponsor’s mailing address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Plan sponsor’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363025560
Plan administrator’s name NATIONAL EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address 225 NORTH MICHIGAN AVENUE, CHICAGO, IL, 60601
Administrator’s telephone number 3122975722

Signature of
Role DFE
Date 2010-09-29
Name of individual signing DAVID MANUSZAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MONICA AUCIELLO, 200 EAST RANDOLPH STREET SUITE 1800, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2024-07-02

Historical Names

Name Change Date
BLUE CROSS ASSOCIATION 1982-07-01

Related by officers

MONICA AUCIELLO, 200 EAST RANDOLPH STREET SUITE 1800, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO

HEALTH SERVICES FOUNDATION BLUE CROSS BLUE SHIELD BENEFIT CORPORATION

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated