Blue Cross Blue Shield of Massachusetts, Inc.
Overview
Blue Cross Blue Shield of Massachusetts, Inc. sponsors a self-funded health plan that covered 4,524 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,524 · prior year 4,524
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Blue Cross Blue Shield of Massachusetts, Inc. Omnibus Welfare Plan, plan 512 (4,524 participants)
- Broker compensation
- $87K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Lincoln National Life Insurance Company | Long-term disability | 3,581 | $1.9M | $67K |
| Usable Life | Life | 4,219 | $1.5M | $20K |
| Blue Cross Blue Shield of Massachusetts, Inc. | Medical, Prescription drug, HMO, PPO, Vision | 6,848 | $1.1M | — |
| ComPsych Corporation | Employee Assistance Program | 3,800 | $60K | — |
| Federal Insurance Company | AD&D Business Travel Accident | 3,781 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,524 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Blue Cross Blue Shield of Massachusetts, Inc.
- Sponsor EIN
- 04-1045815
- Plan number
- 512
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 04-1045815 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Blue Cross and Blue Shield of Massachusetts, Inc. Employee Savings Plan
- Type
- 401(k) plan
- Participants
- 5,553
About this data
Source: Blue Cross Blue Shield of Massachusetts, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Blue Cross Blue Shield of Massachusetts, Inc..