# BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. GROUP BENEFIT PLAN

Health and welfare plan sponsored by **BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. |
| EIN | 592015694 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | JACKSONVILLE, FL |
| Industry | investment management |
| Funding | mixed |
| Total premiums | $165.4M |
| Participants | 8,030 |
| Persons covered | 8,536 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Rx, PPO, Vision |
| UPMC HEALTH OPTIONS | Rx, HMO |
| USABLE LIFE | Life, Other |
| COMBINED INSURANCE COMPANY OF AMERICA | Dental |
| FEDERAL INSURANCE COMPANY | Other |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/592015694-502
- Cite as: PlanOptica, https://planoptica.com/welfare/592015694-502
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