Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
BLUE CROSS BLUE SHIELD ASSOCIATION
 
Employer identification number

13-5656874
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2017
Page 2

Schedule J (Form 990) 2017
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Scott P Serota
President, CEO & Board Member
(i)

(ii)
1,214,535
-------------
0
3,774,871
-------------
0
575,363
-------------
0
3,213,542
-------------
0
32,537
-------------
0
8,810,848
-------------
0
1,394,262
-------------
0
2Jennifer Atkins
VP, Network Solutions
(i)

(ii)
110,983
-------------
0
0
-------------
0
14,121
-------------
0
0
-------------
0
25,433
-------------
0
150,537
-------------
0
0
-------------
0
3William A Breskin
Sr. VP, Government Programs
(i)

(ii)
313,285
-------------
0
195,000
-------------
0
170,427
-------------
0
110,809
-------------
0
30,654
-------------
0
820,175
-------------
0
157,775
-------------
0
4Bhaskar Bulusu
VP, Enterprise Information
(i)

(ii)
231,117
-------------
0
65,000
-------------
0
19,998
-------------
0
10,717
-------------
0
60,803
-------------
0
387,635
-------------
0
0
-------------
0
5Maureen Cahill
SVP & Chief Human Res. Officer
(i)

(ii)
376,260
-------------
0
200,000
-------------
0
897
-------------
0
18,000
-------------
0
37,479
-------------
0
632,636
-------------
0
0
-------------
0
6John Cerisano
VP, Federal Relations
(i)

(ii)
262,276
-------------
0
104,000
-------------
0
73,101
-------------
0
63,165
-------------
0
49,683
-------------
0
552,225
-------------
0
55,101
-------------
0
7Teresa Clark
VP, Office of Clinical Affairs
(i)

(ii)
275,455
-------------
0
112,400
-------------
0
3,067
-------------
0
13,500
-------------
0
46,028
-------------
0
450,450
-------------
0
0
-------------
0
8Terry Cooney
VP Invest. & Nat Emp Ben Admin
(i)

(ii)
252,861
-------------
0
131,800
-------------
0
106,173
-------------
0
175,235
-------------
0
50,144
-------------
0
716,213
-------------
0
41,805
-------------
0
9Kathy Didawick
VP Congressional Communication
(i)

(ii)
323,049
-------------
0
106,000
-------------
0
62,009
-------------
0
96,187
-------------
0
42,545
-------------
0
629,790
-------------
0
0
-------------
0
10Robert Drelick
SR VP, Chief Information Offic
(i)

(ii)
189,710
-------------
0
0
-------------
0
45,704
-------------
0
4,442
-------------
0
41,776
-------------
0
281,632
-------------
0
0
-------------
0
11Alissa T Fox
SR VP, Policy & Representation
(i)

(ii)
480,353
-------------
0
325,000
-------------
0
973,051
-------------
0
8,100
-------------
0
23,196
-------------
0
1,809,700
-------------
0
0
-------------
0
12Paul Gerrard
VP, Strategic Communications
(i)

(ii)
274,290
-------------
0
110,000
-------------
0
1,161
-------------
0
15,822
-------------
0
46,397
-------------
0
447,670
-------------
0
0
-------------
0
13Kris O Haltmeyer
VP, Health Policy & Analysis
(i)

(ii)
275,005
-------------
0
115,000
-------------
0
77,177
-------------
0
74,462
-------------
0
37,839
-------------
0
579,483
-------------
0
0
-------------
0
14Justine Handelman
SVP, Policy and Representation
(i)

(ii)
367,118
-------------
0
115,000
-------------
0
62,590
-------------
0
66,538
-------------
0
28,061
-------------
0
639,307
-------------
0
0
-------------
0
15Trent T Haywood
SR VP & Chief Medical Officer
(i)

(ii)
421,862
-------------
0
220,000
-------------
0
18,000
-------------
0
16,200
-------------
0
47,726
-------------
0
723,788
-------------
0
0
-------------
0
16Kari J Hedges
SVP, National Programs
(i)

(ii)
322,188
-------------
0
185,100
-------------
0
119,480
-------------
0
71,897
-------------
0
47,220
-------------
0
745,885
-------------
0
0
-------------
0
17Mitchell J Helfand
VP, FINANCIAL OPERATIONS
(i)

(ii)
242,945
-------------
0
96,400
-------------
0
113,045
-------------
0
107,784
-------------
0
25,724
-------------
0
585,898
-------------
0
0
-------------
0
18Kim D Holland
VP, State Affairs
(i)

(ii)
246,109
-------------
0
90,000
-------------
0
18,000
-------------
0
16,974
-------------
0
37,751
-------------
0
408,834
-------------
0
0
-------------
0
19Mike Joyce
VP Chief Auditor & Compliance
(i)

(ii)
232,110
-------------
0
100,000
-------------
0
42,335
-------------
0
92,757
-------------
0
48,676
-------------
0
515,878
-------------
0
8,101
-------------
0
20Nasir Khan
VP & Chief Technology Officer
(i)

(ii)
280,139
-------------
0
110,000
-------------
0
102,181
-------------
0
53,325
-------------
0
47,317
-------------
0
592,962
-------------
0
37,909
-------------
0
21Julie Lynn Koewler
VP, Brand Strategy
(i)

(ii)
149,702
-------------
0
0
-------------
0
20,368
-------------
0
718
-------------
0
28,967
-------------
0
199,755
-------------
0
0
-------------
0
22Robert J Kolodgy Jr
Executive VP & CFO
(i)

(ii)
580,710
-------------
0
355,000
-------------
0
32,741
-------------
0
18,000
-------------
0
37,014
-------------
0
1,023,465
-------------
0
0
-------------
0
23Brad Lubrant
VP, FINANCIAL SERVICES
(i)

(ii)
179,425
-------------
0
43,700
-------------
0
1,035
-------------
0
92,445
-------------
0
39,336
-------------
0
355,941
-------------
0
0
-------------
0
24Petar Naumovski
VP & Chief Info. Security Ofcr
(i)

(ii)
400,387
-------------
0
239,500
-------------
0
2,661
-------------
0
13,500
-------------
0
42,372
-------------
0
698,420
-------------
0
0
-------------
0
25William S Nehs
SR VP, Gen Counsel & Secretary
(i)

(ii)
427,117
-------------
0
235,000
-------------
0
2,868
-------------
0
18,000
-------------
0
42,881
-------------
0
725,866
-------------
0
0
-------------
0
26William O'Loughlin
VP & CIO Fed. Employee Program
(i)

(ii)
331,983
-------------
0
147,000
-------------
0
130,324
-------------
0
7,756
-------------
0
25,825
-------------
0
642,888
-------------
0
1,054
-------------
0
27Patrick Pope
VP, Dep Genl Coun Strat Co
(i)

(ii)
223,378
-------------
0
70,000
-------------
0
911
-------------
0
10,182
-------------
0
42,016
-------------
0
346,487
-------------
0
0
-------------
0
28Melissa Rotunno
VP, DEPUTY GEN. COUNSEL, BRAND
(i)

(ii)
207,193
-------------
0
56,000
-------------
0
5,000
-------------
0
5,402
-------------
0
42,293
-------------
0
315,888
-------------
0
0
-------------
0
29Maureen E Sullivan
Chief Strategy & Innov Officer
(i)

(ii)
405,473
-------------
0
213,000
-------------
0
145,297
-------------
0
28,160
-------------
0
35,880
-------------
0
827,810
-------------
0
0
-------------
0
30Mark Talluto
VP, Strategy and Analytics
(i)

(ii)
262,057
-------------
0
115,000
-------------
0
21,780
-------------
0
16,206
-------------
0
36,785
-------------
0
451,828
-------------
0
0
-------------
0
31Jennifer Vachon
Executive VP & Chief of Staff
(i)

(ii)
419,093
-------------
0
245,000
-------------
0
175,589
-------------
0
98,573
-------------
0
46,510
-------------
0
984,765
-------------
0
49,458
-------------
0
32Jody A Voss
VP Develop., Innovation & GPO
(i)

(ii)
264,897
-------------
0
110,000
-------------
0
78,469
-------------
0
47,325
-------------
0
20,758
-------------
0
521,449
-------------
0
0
-------------
0
33John Banta
ED, Venture Fund
(i)

(ii)
257,987
-------------
0
78,600
-------------
0
4,280
-------------
0
203,514
-------------
0
39,826
-------------
0
584,207
-------------
0
0
-------------
0
34Carole R Flamm
Executive Medical Director
(i)

(ii)
255,755
-------------
0
79,300
-------------
0
73,186
-------------
0
56,894
-------------
0
41,236
-------------
0
506,371
-------------
0
14,353
-------------
0
35Winfred D Lawrence Jr
ED, Enterprise Program
(i)

(ii)
223,362
-------------
0
63,900
-------------
0
56,617
-------------
0
94,970
-------------
0
14,084
-------------
0
452,933
-------------
0
20,337
-------------
0
36Steven Putziger
Exc Dir Brand Protect&Finance
(i)

(ii)
241,074
-------------
0
73,000
-------------
0
37,722
-------------
0
28,227
-------------
0
25,361
-------------
0
405,384
-------------
0
0
-------------
0
37David Yoder
ED, Integrated Care Mgmt
(i)

(ii)
240,212
-------------
0
122,300
-------------
0
19,656
-------------
0
18,000
-------------
0
36,282
-------------
0
436,450
-------------
0
0
-------------
0
Schedule J (Form 990) 2017
Page 3

Schedule J (Form 990) 2017
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
FORM 990, SCHEDULE J, PART I, LINE 1A As an organization serving a system of locally based independent Plans offering health insurance in all 50 States, DC and Puerto Rico, the Association's officers are expected to maintain an unusually demanding travel schedule. Accordingly, a committee of the Association's Board comprised of independent Plan executives has established CEO travel policies designed to assure the organization is able to meet his travel commitments, including travel to underserved regional destinations. These policies include the use of charter aircraft and first class travel on scheduled commercial flights under certain limited circumstances. The Association has designed a comprehensive financial and service relocation program to assist relocating employees and new hires with the relocation process. The Association may provide a tax gross up on all or part of a relocating employees taxable relocation expenses in order to assist the relocating employee or new hire for negative tax consequences due to relocation expenses. The expenses are reimbursed and included in taxable compensation, if applicable, in accordance with the Associations policy. To facilitate business meetings with visiting Plan officials and others and to foster social interaction serving the interests of the Association and to foster their good health, the Association reimburses a luncheon club membership for officers. The expenses are reimbursed and included in taxable compensation, if applicable, in accordance with the Associations policy.
FORM 990, SCHEDULE J, PART I, LINE 3 The compensation of the CEO and the continued retention of his services are approved each year by a committee of the Associations Board comprised of independent Plan executives. That committee acts after deliberations based upon advice from a qualified independent compensation consulting firm. The consultants advice and those deliberations include a review of the results of the independent consultants research regarding compensation paid by other organizations for officers serving in capacities comparable to that of the Associations CEO. Each year this committees decisions are reported to the full Board during a regularly scheduled meeting. The Board deliberates on both matters. Extension of the period of the CEOs service requires action by the full Board. The compensation determinations of the committee stand approved unless the Board exercises its inherent prerogative to modify the committees compensation decisions. The same committee of independent Plan executives annually receives the CEOs recommendations regarding the compensation to be paid to the officers. As with the CEOs compensation, the deliberations of this committee and its decisions to approve or modify the CEOs recommendation are based upon the results of an independent consultants market research regarding comparable officer pay and the independent consultants advice.
FORM 990, SCHEDULE J, PART I, LINE 4 As required by the instructions to Form 990, Schedule J, Part II, a hypothetical SERP accrual was calculated for each reportable person who was eligible to participate in that program. The accrual amounts were determined using the Association's best estimate of the accrual using the methodology specified in the instructions to Schedule J. Because vested accruals under the SERP are currently taxed based on a different methodology and the instructions to Schedule J specify that amounts reported in columns B(i) through B(iii) should not be reported again in column C or D, the amount of imputed SERP income reported in column B(iii) was subtracted in each case and the balance of the hypothetical accrual was included in column C for the applicable reportable persons as follows: Scott P Serota - 1,286,632 William A Breskin - 36,434 John Cerisano - 11,336 Terry Cooney - 82,493 KATHY RIPLEY DIDAWICK - 39,427 KRIS O HALTMEYER - 25,087 JUSTINE HANDELMAN - 27,723 KARI J HEDGES - 28,142 MITCHELL J HELFAND - 12,220 MIKE JOYCE - 35,288 JENNIFER VACHON - 52,164 JODY A VOSS - 2,221 STEVEN PUTZIGER - 50 The combined total of imputed SERP included in column C: $1,639,219.
FORM 990, SCHEDULE J, PART I, LINE 7 The Association maintains an Association wide annual performance bonus program that assures a portion of employees annual compensation is contingent upon the attainment of pre-approved organizational performance goals, as weighted by the performance measurement process that evaluates each individual employees efforts. Officers, like all employees, are eligible to participate in this program. The performance goals and the budget for this bonus program are approved each year by the Associations Board based upon recommendations from a Board committee consisting of independent Plan executives. Moreover, the performance assessment judgments and the approval of actual payouts require approval by that committee. The CEO AND AN EXECUTIVE DIRECTOR also participate in a Long Term Incentive Bonus program. As with the regular performance bonus program, payouts under the Long Term Incentive Program reflect the extent to which pre-established performance goals are reached. However, unlike the annual performance bonus program, the Long Term Incentive program operates on a multi-year cycle to assure that the CEO AND EXECUTIVE DIRECTOR haVE incentives that look beyond the immediate year. This program, the performance measurements and the assessment of the achievement of those goals and the resulting payout amounts are all approved by the same Board committee described above and reported to the full Board. The committees deliberations regarding the establishment of the program, the selection of the performance factors and assessment of performance all include consultation and recommendation from a qualified independent compensation consultant based upon a market study of comparable programs for comparable executives.
Schedule J (Form 990) 2017
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