Blue Cross and Blue Shield of North Carolina

Form 5500

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA

PO Box 2291, Durham, Nc 27702 (919) 489-7431 EIN:56-0894904 Plan Admin:Bcbs Of Nc Employee Benefits Administration Committee

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN Plan #003 Participants BOY/EOY6,846 / 7,412 Assets BOY/EOY$1,162,848,626 / $1,091,767,775	2022	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN - Plan #003	6,846 / 7,412	$1,162,848,626 / $1,091,767,775
2022	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN Plan #501 Participants BOY/EOY5,648 / 0 Assets BOY/EOY$79,176,413 / $67,949,733	2022	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN - Plan #501	5,648 / 0	$79,176,413 / $67,949,733
2022	Plan NamePARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN Plan #004 Participants BOY/EOY261 / 251 Assets BOY/EOY$1,301,629 / $1,031,810	2022	PARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN - Plan #004	261 / 251	$1,301,629 / $1,031,810
2022	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN Plan #001 Participants BOY/EOY2,778 / 0 Assets BOY/EOY$718,160,216 / $315,737	2022	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN - Plan #001	2,778 / 0	$718,160,216 / $315,737
2022	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN Plan #513 Participants BOY/EOY5,978 / 0 Assets BOY/EOY$0 / $0	2022	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN - Plan #513	5,978 / 0	$0 / $0
2021	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN Plan #003 Participants BOY/EOY6,817 / 6,846 Assets BOY/EOY$1,002,766,868 / $1,162,848,626	2021	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN - Plan #003	6,817 / 6,846	$1,002,766,868 / $1,162,848,626
2021	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN Plan #001 Participants BOY/EOY2,851 / 2,778 Assets BOY/EOY$732,285,915 / $718,160,216	2021	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN - Plan #001	2,851 / 2,778	$732,285,915 / $718,160,216
2021	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN Plan #501 Participants BOY/EOY5,750 / 0 Assets BOY/EOY$71,985,389 / $79,176,413	2021	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN - Plan #501	5,750 / 0	$71,985,389 / $79,176,413
2021	Plan NamePARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN Plan #004 Participants BOY/EOY265 / 261 Assets BOY/EOY$1,218,334 / $1,301,629	2021	PARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN - Plan #004	265 / 261	$1,218,334 / $1,301,629
2021	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN Plan #513 Participants BOY/EOY6,062 / 0 Assets BOY/EOY$0 / $0	2021	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN - Plan #513	6,062 / 0	$0 / $0
2020	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN Plan #003 Participants BOY/EOY6,605 / 6,817 Assets BOY/EOY$800,166,698 / $1,002,766,868	2020	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN - Plan #003	6,605 / 6,817	$800,166,698 / $1,002,766,868
2020	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN Plan #001 Participants BOY/EOY2,914 / 2,851 Assets BOY/EOY$664,611,931 / $732,285,915	2020	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN - Plan #001	2,914 / 2,851	$664,611,931 / $732,285,915
2020	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN Plan #501 Participants BOY/EOY5,507 / 0 Assets BOY/EOY$68,780,534 / $71,985,389	2020	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN - Plan #501	5,507 / 0	$68,780,534 / $71,985,389
2020	Plan NamePARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN Plan #004 Participants BOY/EOY272 / 265 Assets BOY/EOY$1,145,302 / $1,218,334	2020	PARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN - Plan #004	272 / 265	$1,145,302 / $1,218,334
2020	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN Plan #513 Participants BOY/EOY5,794 / 0 Assets BOY/EOY$0 / $0	2020	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN - Plan #513	5,794 / 0	$0 / $0
2019	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN Plan #003 Participants BOY/EOY6,412 / 6,605 Assets BOY/EOY$625,589,608 / $800,166,698	2019	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 401(K) PLAN - Plan #003	6,412 / 6,605	$625,589,608 / $800,166,698
2019	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN Plan #001 Participants BOY/EOY2,986 / 2,914 Assets BOY/EOY$583,077,541 / $664,611,931	2019	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREMENT PLAN - Plan #001	2,986 / 2,914	$583,077,541 / $664,611,931
2019	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN Plan #501 Participants BOY/EOY5,366 / 0 Assets BOY/EOY$61,201,502 / $68,780,534	2019	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA RETIREE MEDICAL BENEFITS PLAN - Plan #501	5,366 / 0	$61,201,502 / $68,780,534
2019	Plan NamePARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN Plan #004 Participants BOY/EOY279 / 272 Assets BOY/EOY$1,009,303 / $1,145,302	2019	PARTNERS NATIONAL HEALTH PLANS OF NC, INC. TARGET BENEFIT PENSION PLAN - Plan #004	279 / 272	$1,009,303 / $1,145,302
2019	Plan NameBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN Plan #513 Participants BOY/EOY5,630 / 0 Assets BOY/EOY$0 / $0	2019	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA WELFARE BENEFIT PLAN - Plan #513	5,630 / 0	$0 / $0