BLUE CROSS BLUE SHIELD HEALTH PLAN

[ EIN: 04-1106240 | Plan No. 511 ]

Form 5500 filing classifies BLUE CROSS BLUE SHIELD HEALTH PLAN as a Health & Welfare plan, sponsored by BOSTON MUTUAL LIFE INSURANCE COMPANY. The plan is a Large Plan with 305 participants and total assets of $0 reported for the 2024 plan year.

Form 5500 filings provide transparency into participant counts, financial structure, and compliance reporting.

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Plan Sponsor: BOSTON MUTUAL LIFE INSURANCE COMPANY

Location: 120 ROYALL ST, CANTON, MA 02021

EIN: 041106240

Plan Number: 511

Plan Year: 2024

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 305

Total Assets: $0

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