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    <Timestamp>2011-11-03T15:14:49-04:00</Timestamp>
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        <State>MD</State>
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      <DateSigned>2011-11-02</DateSigned>
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      <TotalRevenue>11560066</TotalRevenue>
      <TotalExpenses>10732647</TotalExpenses>
      <ExcessOrDeficitForYear>827419</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>2970419</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>2970419</TotalAdjustments>
      <ExcessOrDeficitPerFS>3797838</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14530485</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>2970419</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>2970419</RevenueNotRptdF990>
      <RevenueSubtotal>11560066</RevenueSubtotal>
      <TotalRevenuePerForm990>11560066</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10732647</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>10732647</ExpensesSubtotal>
      <TotalExpensesPerForm990>10732647</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X, ASC 740 Footnote</Identifier>
        <Explanation>The Trust accounts for uncertainty in income taxes under ASC 740-10-25, "Accounting for Uncertainty in Income Taxes," which reduces the diversity in practice associated with certain aspects of the recognition and measurement related to accounting for income taxes and requires an organization to recognize the tax benefit associated with tax positions taken for tax return purposes when it is more-likely-than-not that the position will be sustained. The Trust does not believe there are any unrecognized tax benefits that should be recorded. There were no interest or penalties recorded or included in the statement of changes in net assets available for retiree health benefits for the years ended December 31, 2010 and 2009. The Trust's fiscal years 2007 to the present remain open to examination by taxing authorities under conventional statutes of limitations.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PART VI, LINE 2</Identifier>
        <Explanation>CERTAIN MEMBERS OF THE NATIONAL EMPLOYEE BENEFITS COMMITTEE ("COMMITTEE") SERVE TOGETHER ON THE BOARD OF THE BLUE CROSS AND BLUE SHIELD ASSOCIATION. ALL MEMBERS OF THE COMMITTEE ARE EITHER EMPLOYEES OF THE BLUE CROSS AND BLUE SHIELD ASSOCIATION OR ONE OF THE MEMBER PLANS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, LINE 11</Identifier>
        <Explanation>Form 990's content and sources of information are reviewed by subject matter experts including, but not limited to, internal and external tax and accounting professionals and internal legal personnel, and the audited financial statements were presented to the Committee that serves as the governing body by the independent auditors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, 12C</Identifier>
        <Explanation>BCBSA maintains a comprehensive Code of Conduct and Compliance Program applicable to all employees and officers including those who either serve on the Committee (that governs and acts for the organization) or act on behalf of that Committee. In addition, all employees, officers, and directors (including those who serve on the Committee or act on its behalf) are required to complete an annual conflict of interest form. The BCBSA Chief Auditor and Compliance Officer is charged with investigating any allegations of non-compliance with the Code of Conduct, including any complaints reported through the anonymous hot-line maintained through an independent organization. The results of the Compliance Program's effectiveness are reported to the Audit Committee of The BCBSA Board of Directors on an annual basis. Failure to adhere to the Code of Conduct may result in disciplinary action, up to and including termination of employment. Moreover, Committee MEMBERS receive fiduciary training from the BCBSA Chief Employee Benefits Counsel regarding their fiduciary duties, including the ERISA fiduciary conflict of interest rules. BCBSA's Chief Employee Benefits Counsel also provides the Committee with an annual assessment of the organization's and the Committee's legal compliance, including compliance with ERISA. As employees of various Blue Plans, each Committee member not employed by BCBSA is subject to additional conflict of interest restriction under policies adopted by his or her Employer Plan.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, LINE 15 A AND B</Identifier>
        <Explanation>the organization does not require compensation policies as it does not compensate any officers, management officials or key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, LINE 19</Identifier>
        <Explanation>The governing documents and Form 990 are made available upon request to the Executive Director, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VII, SECTION A</Identifier>
        <Explanation>with the exception of the institutional trustee, all listed are members of an independent committee that supervises the trust.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 XI, Line 5</Identifier>
        <ReturnReference>Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Unrealized Gain - $2,970,419</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Blue Cross Blue Shield Association</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 North Michigan Ave</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60601</ZIPCode>
        </AddressUS>
        <EIN>135656874</EIN>
        <PrimaryActivities>Contrib.ER</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(4)</ExemptCodeSection>
        <PublicCharityStatus>n/a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WellPoint Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>120 Monument Circle</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46204</ZIPCode>
        </AddressUS>
        <EIN>113713086</EIN>
        <PrimaryActivity>Contrib.ER</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>c corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Blue Cross &amp; Blue Shield of NC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5901 Chapel Hill Road</AddressLine1>
          <City>Durham</City>
          <State>NC</State>
          <ZIPCode>27707</ZIPCode>
        </AddressUS>
        <EIN>560894904</EIN>
        <PrimaryActivity>Contrib.ER</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>c corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>The Regence Group</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 SW Market Street Suite 1500</AddressLine1>
          <City>Portland</City>
          <State>OR</State>
          <ZIPCode>97201</ZIPCode>
        </AddressUS>
        <EIN>931179316</EIN>
        <PrimaryActivity>Contrib.ER</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>c corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BlueCross BlueShield of Tennessee</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1 Cameron Hill Circle</AddressLine1>
          <City>Chattanooga</City>
          <State>TN</State>
          <ZIPCode>37402</ZIPCode>
        </AddressUS>
        <EIN>621624483</EIN>
        <PrimaryActivity>Contrib.ER</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>c corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Blue Cross and Blue Shield of Wyoming</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4000 House Avenue</AddressLine1>
          <City>Cheyenne</City>
          <State>WY</State>
          <ZIPCode>82001</ZIPCode>
        </AddressUS>
        <EIN>830231011</EIN>
        <PrimaryActivity>Contrib.ER</PrimaryActivity>
        <LegalDomicileState>WY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>c corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
    </IRS990ScheduleR>
  </ReturnData>
</Return>