Form 5500 · Employee benefit plan · PHILADELPHIA, PA
INDEPENDENCE BLUE CROSS, LLC
INDEPENDENCE BLUE CROSS, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Coverage is written through AH HMO, INC., PA EARLY RET and 11 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-3867722 · plan 510 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AH HMO, INC., PA EARLY RET | Health | 26 | December | $0 |
| DEARBORN NATIONAL LIFE INSURANCE CO. | Life | 2,221 | December | $0 |
| INDEPENDENCE BLUE CROSS EARLY RET VISION | Health, Vision | 247 | December | $0 |
| HIGHMARK BLUE SHIELD | Health | 696 | December | $0 |
| INDEPENDENCE BLUE CROSS EARLY RETIREE DRUG | Health | 247 | December | $0 |
| INDEPENDENCE BLUE CROSS RETIREE VISION | Health, Vision | 173 | December | $0 |
| INDEPENDENCE BLUE CROSS RETIREE RX | Health | 173 | December | $0 |
| KEYSTONE HEALTH PLAN EAST KEYSTONE 65 | Health | 90 | December | $0 |
| KEYSTONE HEALTH PLAN EAST EARLY RETIREE | Health | 118 | December | $0 |
| PERSONAL CHOICE 65 | Health | 71 | December | $0 |
| PERSONAL CHOICE PRE 65 | Health | 129 | December | $0 |
| INDEPENDENCE BLUE CROSS RETIREE MEDICAL | Health, Vision | 698 | December | $0 |
Questions
What insurance carrier does INDEPENDENCE BLUE CROSS, LLC use?
INDEPENDENCE BLUE CROSS, LLC's benefit plan is written through AH HMO, INC., PA EARLY RET, among 12 disclosed carriers.
When does INDEPENDENCE BLUE CROSS, LLC's group plan renew?
The most recent Schedule A policy period for INDEPENDENCE BLUE CROSS, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from INDEPENDENCE BLUE CROSS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.