Blue Cross and Blue Shield of South Carolina, Corporation

Columbia, SC

Florida

Registered In

10/10/1997

Incorp. Date

Foreign

Registration Type

South Carolina

Foreign Jurisdiction

Company Summary

Blue Cross and Blue Shield of South Carolina, Corporation at 20 At Alpine Rd, Columbia, Sc 29219 lists Sellers M. Edward and Horton William R of Columbia, SC.

Registered In: Florida
Incorporation Date: 10/10/1997
Registration Type: Foreign
Foreign Jurisdiction: South Carolina
Company Type: Foreign Profit
Status: Inactive
EIN: 57-0287419
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C T Corporation System Registered Agent	1200 S PINE ISLAND RD, PLANTATION, FL 33324
Sellers M. Edward President	20 AT ALPINE RD, COLUMBIA, SC 29219
Horton William R Vice President	20 AT ALPINE RD, COLUMBIA, SC 29219
Mizeur Michael J Vice President	20 AT ALPINE RD, COLUMBIA, SC 29219
Gray Vivian B Secretary	20 AT ALPINE RD, COLUMBIA, SC 29219
Leichtle Robert A Treasurer	20 AT ALPINE RD, COLUMBIA, SC 29219

20 AT ALPINE RD, COLUMBIA, SC 29219 View Map

Financial Information for Blue Cross and Blue Shield of South Carolina, Corporation

Form 5500

BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA

I-20 East At Alpine Road, Columbia, Sc 29219 (803) 788-3860 EIN:57-0287419 Plan Admin:David Cote

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameNON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC Plan #001 Participants BOY/EOY8,251 / 8,032 Assets BOY/EOY$1,533,092,278 / $1,161,191,922	2022	NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC - Plan #001	8,251 / 8,032	$1,533,092,278 / $1,161,191,922
2022	Plan NameBLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN Plan #002 Participants BOY/EOY14,346 / 13,995 Assets BOY/EOY$1,324,104,629 / $1,085,276,125	2022	BLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN - Plan #002	14,346 / 13,995	$1,324,104,629 / $1,085,276,125
2022	Plan NameONSITE MEDICAL CLINIC Plan #509 Participants BOY/EOY10,899 / 11,083 Assets BOY/EOY$0 / $0	2022	ONSITE MEDICAL CLINIC - Plan #509	10,899 / 11,083	$0 / $0
2022	Plan NameHOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #503 Participants BOY/EOY11,589 / 11,915 Assets BOY/EOY$0 / $0	2022	HOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #503	11,589 / 11,915	$0 / $0
2022	Plan NameGROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC Plan #502 Participants BOY/EOY11,296 / 11,647 Assets BOY/EOY$0 / $0	2022	GROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC - Plan #502	11,296 / 11,647	$0 / $0
2022	Plan NameLONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC Plan #501 Participants BOY/EOY9,273 / 9,321 Assets BOY/EOY$0 / $0	2022	LONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC - Plan #501	9,273 / 9,321	$0 / $0
2022	Plan NameFLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC Plan #508 Participants BOY/EOY11,589 / 11,915 Assets BOY/EOY$0 / $0	2022	FLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC - Plan #508	11,589 / 11,915	$0 / $0
2022	Plan NameDEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC Plan #507 Participants BOY/EOY143 / 149 Assets BOY/EOY$0 / $0	2022	DEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC - Plan #507	143 / 149	$0 / $0
2022	Plan NameEDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC Plan #505 Participants BOY/EOY115 / 99 Assets BOY/EOY$0 / $0	2022	EDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC - Plan #505	115 / 99	$0 / $0
2022	Plan NameSEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #506 Participants BOY/EOY10,899 / 11,083 Assets BOY/EOY$0 / $0	2022	SEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #506	10,899 / 11,083	$0 / $0
2021	Plan NameNON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC Plan #001 Participants BOY/EOY8,432 / 8,251 Assets BOY/EOY$1,491,734,607 / $1,533,092,278	2021	NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC - Plan #001	8,432 / 8,251	$1,491,734,607 / $1,533,092,278
2021	Plan NameBLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN Plan #002 Participants BOY/EOY13,795 / 14,346 Assets BOY/EOY$1,154,799,162 / $1,324,104,629	2021	BLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN - Plan #002	13,795 / 14,346	$1,154,799,162 / $1,324,104,629
2021	Plan NameEDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC Plan #505 Participants BOY/EOY126 / 118 Assets BOY/EOY$0 / $0	2021	EDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC - Plan #505	126 / 118	$0 / $0
2021	Plan NameGROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC Plan #502 Participants BOY/EOY11,058 / 11,290 Assets BOY/EOY$0 / $0	2021	GROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC - Plan #502	11,058 / 11,290	$0 / $0
2021	Plan NameDEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC Plan #507 Participants BOY/EOY141 / 151 Assets BOY/EOY$0 / $0	2021	DEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC - Plan #507	141 / 151	$0 / $0
2021	Plan NameSEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #506 Participants BOY/EOY10,501 / 11,009 Assets BOY/EOY$0 / $0	2021	SEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #506	10,501 / 11,009	$0 / $0
2021	Plan NameONSITE MEDICAL CLINIC Plan #509 Participants BOY/EOY10,501 / 11,009 Assets BOY/EOY$0 / $0	2021	ONSITE MEDICAL CLINIC - Plan #509	10,501 / 11,009	$0 / $0
2021	Plan NameLONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC Plan #501 Participants BOY/EOY10,278 / 9,467 Assets BOY/EOY$0 / $0	2021	LONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC - Plan #501	10,278 / 9,467	$0 / $0
2021	Plan NameFLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC Plan #508 Participants BOY/EOY11,254 / 11,706 Assets BOY/EOY$0 / $0	2021	FLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC - Plan #508	11,254 / 11,706	$0 / $0
2021	Plan NameHOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #503 Participants BOY/EOY11,249 / 11,559 Assets BOY/EOY$0 / $0	2021	HOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #503	11,249 / 11,559	$0 / $0
2020	Plan NameNON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC Plan #001 Participants BOY/EOY8,608 / 8,432 Assets BOY/EOY$1,404,100,780 / $1,491,734,607	2020	NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC - Plan #001	8,608 / 8,432	$1,404,100,780 / $1,491,734,607
2020	Plan NameBLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN Plan #002 Participants BOY/EOY12,210 / 13,795 Assets BOY/EOY$968,728,661 / $1,154,799,162	2020	BLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN - Plan #002	12,210 / 13,795	$968,728,661 / $1,154,799,162
2020	Plan NameONSITE MEDICAL CLINIC Plan #509 Participants BOY/EOY10,011 / 10,615 Assets BOY/EOY$0 / $0	2020	ONSITE MEDICAL CLINIC - Plan #509	10,011 / 10,615	$0 / $0
2020	Plan NameLONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC Plan #501 Participants BOY/EOY9,698 / 9,370 Assets BOY/EOY$0 / $0	2020	LONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC - Plan #501	9,698 / 9,370	$0 / $0
2020	Plan NameDEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC Plan #507 Participants BOY/EOY286 / 196 Assets BOY/EOY$0 / $0	2020	DEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC - Plan #507	286 / 196	$0 / $0
2020	Plan NameGROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC Plan #502 Participants BOY/EOY10,511 / 11,048 Assets BOY/EOY$0 / $0	2020	GROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC - Plan #502	10,511 / 11,048	$0 / $0
2020	Plan NameSEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #506 Participants BOY/EOY10,011 / 10,615 Assets BOY/EOY$0 / $0	2020	SEVERANCE PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #506	10,011 / 10,615	$0 / $0
2020	Plan NameHOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #503 Participants BOY/EOY10,754 / 11,267 Assets BOY/EOY$0 / $0	2020	HOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #503	10,754 / 11,267	$0 / $0
2020	Plan NameFLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC Plan #508 Participants BOY/EOY10,798 / 11,437 Assets BOY/EOY$0 / $0	2020	FLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC - Plan #508	10,798 / 11,437	$0 / $0
2020	Plan NameEDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC Plan #505 Participants BOY/EOY148 / 143 Assets BOY/EOY$0 / $0	2020	EDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC - Plan #505	148 / 143	$0 / $0
2019	Plan NameNON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC Plan #001 Participants BOY/EOY9,534 / 8,608 Assets BOY/EOY$1,145,244,389 / $1,404,100,780	2019	NON-CONTRIBUTORY RETIREMENT PROGRAM FOR CERTAIN EMPL OF BCBSSC - Plan #001	9,534 / 8,608	$1,145,244,389 / $1,404,100,780
2019	Plan NameBLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN Plan #002 Participants BOY/EOY12,409 / 12,210 Assets BOY/EOY$794,388,187 / $968,728,661	2019	BLUE CROSS BLUE SHIELD OF SC EMPLOYEE SAVINGS AND SALARY REDUCTION PLAN - Plan #002	12,409 / 12,210	$794,388,187 / $968,728,661
2019	Plan NameEDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC Plan #505 Participants BOY/EOY240 / 218 Assets BOY/EOY$0 / $0	2019	EDUCATION ASSISTANCE FOR BLUECROSS BLUESHIELD OF SC - Plan #505	240 / 218	$0 / $0
2019	Plan NameLONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC Plan #501 Participants BOY/EOY8,455 / 8,885 Assets BOY/EOY$0 / $0	2019	LONG TERM DISABILITY FOR BLUECROSS BLUESHIELD OF SC - Plan #501	8,455 / 8,885	$0 / $0
2019	Plan NameGROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC Plan #502 Participants BOY/EOY10,446 / 10,485 Assets BOY/EOY$0 / $0	2019	GROUP TERM LIFE FOR BLUECROSS BLUESHIELD OF SC - Plan #502	10,446 / 10,485	$0 / $0
2019	Plan NameFLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC Plan #508 Participants BOY/EOY10,378 / 10,903 Assets BOY/EOY$0 / $0	2019	FLEXIBLE BENEFITS FOR BLUECROSS BLUESHIELD OF SC - Plan #508	10,378 / 10,903	$0 / $0
2019	Plan NameSEVERANCE PAY PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #506 Participants BOY/EOY9,810 / 10,229 Assets BOY/EOY$0 / $0	2019	SEVERANCE PAY PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #506	9,810 / 10,229	$0 / $0
2019	Plan NameDEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC Plan #507 Participants BOY/EOY311 / 294 Assets BOY/EOY$0 / $0	2019	DEPENDENT CARE FLEXIBLES FOR BLUECROSS BLUESHIELD OF SC - Plan #507	311 / 294	$0 / $0
2019	Plan NameONSITE MEDICAL CLINIC Plan #509 Participants BOY/EOY11,095 / 9,511 Assets BOY/EOY$0 / $0	2019	ONSITE MEDICAL CLINIC - Plan #509	11,095 / 9,511	$0 / $0
2019	Plan NameHOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC Plan #503 Participants BOY/EOY10,460 / 10,945 Assets BOY/EOY$0 / $0	2019	HOSPITAL AND MEDICAL PLAN FOR BLUECROSS BLUESHIELD OF SC - Plan #503	10,460 / 10,945	$0 / $0

Benefit & Retirement Plans based on Form 5500.

Address Match:20 At Alpine Rd Columbia, SC

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Person/City Match:Sellers M Edward - Columbia, SC

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Blue Cross and Blue Shield of South Carolina Registered in Georgia	Columbia, SC	View Report
Cgs Administrators, LLC Registered in North Carolina	Nashville, TN Raleigh, NC	View Report
Pgba, LLC Registered in North Carolina	Columbia, SC Raleigh, NC	View Report
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Preferred Health Systems, Inc. Registered in Florida	Columbia, SC	View Report
Cimr, Inc. Registered in Georgia	Columbia, SC	View Report
Companion Systems, Inc. Registered in Georgia	Columbia, SC	View Report

Person/City Match:Mizeur Michael J - Columbia, SC

International Specialty Underwriters, Inc. Registered in Michigan	Columbia, SC	View Report
Planned Administrators, Inc. Registered in West Virginia	Charleston, WV Columbia, SC	View Report
Summit Reinsurance Services, Inc. Registered in West Virginia	Charleston, WV Wayne, IN (1 more)	View Report
Companion Life Insurance Company Registered in Florida	Columbia, SC	View Report
Planned Administrators, Inc. Registered in Florida	Columbia, SC	View Report
Planned Adminstrators, Inc. Registered in Pennsylvania	Columbia, SC	View Report
Summit Reinsurance Services, Inc. Registered in Florida	Fort Wayne, IN	View Report
Planned Administrators, Inc. Registered in Georgia	Columbia, SC Lawrenceville, GA	View Report
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Dental Management Administrators, Inc. Registered in Texas	Columbia, SC Phoenix, AZ	View Report
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Person/City Match:Gray Vivian B - Columbia, SC

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Person/City Match:Leichtle Robert A - Columbia, SC

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The following government agencies have contributed data:

Florida Department of State U.S. Department of Labor

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