BLUE CROSS BLUE SHIELD 401k Plan overview

BLUE CROSS BLUE SHIELD Benefits

401k Sponsoring company profile

Company Name:	PATRIOT SOLUTIONS
Employer identification number (EIN):	273144760
NAIC Classification:	541600

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2014-10-01	ROB MERRITT
502	2013-10-01	ROB MERRITT
502	2012-10-01	ROB MERRITT

Plan Statistics for BLUE CROSS BLUE SHIELD

Measure	Date	Value
2014: BLUE CROSS BLUE SHIELD 2014 401k membership
Total participants, beginning-of-year	2014-10-01	102
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	0
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	0
2013: BLUE CROSS BLUE SHIELD 2013 401k membership
Total participants, beginning-of-year	2013-10-01	176
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	102
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	102
2012: BLUE CROSS BLUE SHIELD 2012 401k membership
Total participants, beginning-of-year	2012-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	176
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	176

Form 5500 Responses for BLUE CROSS BLUE SHIELD

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• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND RETIREMENT PLAN [EIN = 050158952]
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• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. VOLUNTARY LEGAL BENEFIT PLAN [EIN = 860004538]
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• BLUE CROSS AND BLUE SHIELD OF KANSAS CITY 401(K) PLAN [EIN = 431257251]
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• BLUE CROSS BLUE SHIELD OF MICHIGAN HEALTH CARE REIMBURSEMENT ACCOUNT [EIN = 382069753]
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• BLUE CROSS BLUE SHIELD OF WYOMING FLEXIBLE BENEFIT PLAN [EIN = 830231011]
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• BLUE CROSS OF NORTHEASTERN PENNSYLVANIA [EIN = 161486032]
• BLUE CROSS BLUE SHIELD OF DELAWARE FLEXIBLE BENEFITS PLAN [EIN = 510020405]
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• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561607563]
• BLUE CROSS BLUE SHIELD ASSOCIATION LONG TERM DISABILITY PROGRAM [EIN = 135656874]
• BLUE CROSS BLUE SHIELD OF ILLINOIS [EIN = 362549132]
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• BLUE CROSS AND BLUE SHIELD OF ALABAMA 401(K) SALARY DEFERRAL PLAN & TRUST [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF MICHIGAN REPRESENTED EMPLOYEES SAVINGS PLAN [EIN = 382069753]
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• BLUE CROSS BLUE SHIELD MICHIGAN LONG TERM DISABILITY PLAN [EIN = 382069753]
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• BLUE CROSS BLUE SHEILD [EIN = 464218169]
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• BLUE CROSS BLUE SHEILD OF ALABAMA [EIN = 273410813]
• BLUE CROSS AND BLUE SHIELD OF NEBRASKA WRAP PLAN [EIN = 470095156]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA VISION PLAN [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 200232609]
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• BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA [EIN = 270229866]
• BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICAL PLAN [EIN = 300752433]
• BLUE CROSS BLUE SHIELD OF NORTH CAROLINA [EIN = 562151684]
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• BLUE CROSS BLUE SHIELD DENTAL [EIN = 570678887]
• BLUE CROSS BLUE SHIELD OF ILLINOIS HMOS [EIN = 383984647]
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• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 201137248]
• BLUE CROSS BLUE SHIELD OF NORTH CAROLINA [EIN = 561236854]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 201137248]
• BLUE CROSS BLUE SHIELD OF ILLINOIS GROUP HEALTH INSURANCE PLAN [EIN = 362754650]
• BLUE CROSS BLUE SHIELD NC [EIN = 141919474]
• BLUE CROSS BLUE SHIELD OF GREATER NY MEDICAL PLAN [EIN = 133957095]
• BLUE CROSS BLUE SHIELD OF MICHIGAN [EIN = 381362823]
• BLUE CROSS & BLUE SHIELD OF MICHIGAN GROUP INSURANCE PLAN [EIN = 381956049]
• BLUE CROSS OF NORTHWEST OHIO EMPLOYEES' RETIREMENT TRUST [EIN = 340648820]
• BLUE CROSS BLUE SHIELD DENTAL [EIN = 042103638]
• BLUE CROSS BLUE SHIELD GP HOSP AND MED SURG PL MAJOR MEDICAL COVERAGE [EIN = 610458355]
• BLUE CROSS BLUE SHIELD OF ILLINIOS HMOS [EIN = 363984647]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561975885]
• BLUE CROSS & BLUE SHIELD OF ALABAMA ELECTIVE LIFE INSURANCE PLAN [EIN = 630103830]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561625075]
• BLUE CROSS BLUE SHIELD OF RI [EIN = 160812661]
• BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN [EIN = 942872506]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 581622664]
• BLUE CROSS BLUE SHIELD OF MA GROUP HLTH INS EMPLS UNION BUTTERFIELD [EIN = 561628422]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 562161782]
• BLUE CROSS AND BLUE SHIELD PPO [EIN = 205832739]
• BLUE CROSS BLUE SHIELD COMPCARE [EIN = 391500683]
• BLUE CROSS BLUE SHIELD [EIN = 751299243]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 133082788]
• BLUE CROSS BLUE SHIELD OF MISSISSIPPI [EIN = 620510412]
• BLUE CROSS/BLUE SHIELD OF MICHIGAN GAYLORD DIVISION PLAN [EIN = 340549970]
• BLUE CROSS BLUE SHIELD GROUP INSURANCE [EIN = 160743037]
• BLUE CROSS OF NORTHEASTERN PENNSYLVANIA [EIN = 231743282]
• BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA [EIN = 561038919]
• BLUE CROSS BLUE SHIELD ALABAMA [EIN = 630355713]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF ALABAMA [EIN = 273410813]
• BLUE CROSS AND BLUE SHIELD OF ALABAMA [EIN = 630103830]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHEILD OF NORTH CAROLINA [EIN = 562384240]
• BLUE CROSS BLUE SHIELD ALABAMA DENTAL [EIN = 630355713]
• BLUE CROSS BLUE SHIELD PLAN [EIN = 451580204]
• BLUE CROSS BLUE SHIELD OF MICHIGAN EMPLOYEES' MASTER RETIREMENT TRUST [EIN = 301140600]
• BLUE CROSS BLUE SHIELD OF MINNESOTA [EIN = 416050237]
• BLUE CROSS ANIMAL HOSPITAL GROUP 401(K) PLAN [EIN = 870903171]
• BLUE CROSS & BLUE SHIELD OF RHODE ISLAND GROUP BUSINESS TRAVEL ACCIDENT PLAN [EIN = 050158952]
• BLUE CROSS BLUE SHIELD OF ALABAMA MEDICAL [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF ARIZONA, INC. EXECUTIVE SEVERANCE PLAN [EIN = 860004538]
• BLUE CROSS BLUE SHIELD OF TEXAS MEDICAL INSURANCE PLAN [EIN = 842662763]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTHCARE REIMBURSEMENT PLAN [EIN = 262326076]
• BLUE CROSS BLUE SHIELD OF AZ [EIN = 882806512]
• BLUE CROSS PET CARE, INC 401K PLAN [EIN = 873520766]
• BLUE CROSS OF IDAHO RETIREE HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 820344294]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 831077369]
• BLUE CROSS BLUE SHIELD OF ALABAMA [EIN = 630843226]
• BLUE CROSS MEDICAL [EIN = 844205975]
• BLUE CROSS AND BLUE SHIELD OF MINNESOTA [EIN = 411500646]
• BLUE CROSS BLUE SHIELD OF TEXAS [EIN = 812845733]

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