Healthcare Provider Update: Healthcare Provider Information for Blue Cross Blue Shield Blue Cross Blue Shield (BCBS) operates as a federation of independent health insurance companies across the United States. Each individual organization under the BCBS umbrella serves specific geographical regions, offering a range of health insurance products and services, including individual and group health plans, dental and vision coverage, and more. Notable regional affiliates include Blue Cross Blue Shield of Illinois, Blue Cross Blue Shield of Texas, and Blue Cross Blue Shield of Florida, among others, facilitating comprehensive healthcare management and coverage options for millions of members nationwide. Healthcare Cost Increases in 2026 In 2026, significant increases in health insurance premiums are anticipated, particularly for plans available through the Affordable Care Act (ACA) marketplaces. Record hikes, as high as 66% in some states, are expected as a result of rising medical costs, the potential expiration of enhanced federal premium subsidies, and aggressive rate adjustments by major insurers like Blue Cross Blue Shield. The Kaiser Family Foundation warns that a staggering 92% of marketplace enrollees could see their out-of-pocket premiums surge by over 75% due to this confluence of factors, which will likely price many middle-income Americans out of affordable health coverage. Click here to learn more
'Blue Cross Blue Shield employees navigating concentrated stock positions should view strategies like collars as part of a broader wealth and tax planning discussion that requires careful coordination with qualified professionals.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'Blue Cross Blue Shield employees with significant stock holdings can benefit from understanding how thoughtful planning techniques provide both flexibility and time to make informed decisions about future diversification.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How an options collar can help manage concentrated stock positions without triggering immediate taxes.
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Key considerations for constructive sale treatment under Section 1259.
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Practical examples and alternatives for Blue Cross Blue Shield employees holding appreciated stock.
By Tyson Mavar, advisor at Wealth Enhancement
The Difficulty of Keeping Valuable Stock
Many Blue Cross Blue Shield employees hold highly valued company stock, which may have been built up over years of employment or from investments that performed better than expected. Leaving these shares without a hedge exposes them to downside risk if the stock price falls, but selling would create a significant capital gains tax liability.
One method of limiting potential losses without selling outright is an options collar. Even if the stock is not sold, certain hedging techniques can be treated as taxable sales under Section 1259 of the Internal Revenue Code, which governs 'constructive sales.'
The Operation of an Options Collar
A collar strategy combines shares already owned with two option positions:
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Put option: Purchasing a put option gives you the right to sell shares at a set strike price. For example, if you own stock at $100 and buy a $90 put, you can still sell at $90 even if the price falls further.
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Covered call: Selling a call requires selling at a higher strike price. For instance, selling a $120 call limits gains above $120.
When paired, the call premium can offset the put’s cost. This creates a range where downside is limited and upside is capped. Additionally, with careful planning, the collar can often be cost-neutral.
The Use of Collars by Investors
Blue Cross Blue Shield stockholders and others might use collars in the following cases:
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Concentrated positions: A large portion of wealth tied to one company.
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Market uncertainty: When downside management is needed but selling isn’t desirable.
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Estate and legacy planning: Preserving value while postponing capital gains.
The Problem of Constructive Sales
Section 1259 defines some hedges as constructive sales, including:
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- Short sales of stock you already own.
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- Contracts for future delivery of the stock.
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- Deep in-the-money calls and puts that eliminate both risk and reward.
If the IRS views a collar as removing nearly all economic exposure, it can be treated as a constructive sale, triggering immediate recognition of capital gains.
Collar Design to Steer Clear of Constructive Sales
To reduce the risk of Section 1259 issues, Blue Cross Blue Shield employees can structure collars with careful attention:
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- Keep strike prices wide enough to allow both risk and reward.
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- Use out-of-the-money calls and puts rather than in-the-money options.
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- Roll collars forward instead of holding outdated positions.
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- Document investment intent with an advisor.
An Example
Suppose you hold $2 million in stock purchased years ago for $200,000. Selling outright could result in over $400,000 in federal taxes, depending on your state.
Instead, you might sell calls at 120% of the stock’s value and purchase puts at 80%. In this design:
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- Losses are limited to 20%.
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- Gains are capped above 120%.
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- The position retains risk and reward, so it generally avoids being classified as a constructive sale.
This approach can provide time to manage sales across multiple tax years or to wait for a more favorable tax environment.
Considerations
Blue Cross Blue Shield employees considering collars should note:
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Liquidity: Large-cap companies usually have strong options markets.
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Rolling: Positions can be extended as expiration approaches.
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Alternatives: Other hedging tools include donor-advised funds, charitable remainder trusts, gifting strategies, or exchange funds.
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Advisory guidance: Given the complexity of constructive sale rules, consulting tax and legal professionals is critical.
The Bottom Line
Options collars can help Blue Cross Blue Shield employees preserve the value of appreciated stock while limiting downside and postponing taxable events. This strategy allows time for thoughtful diversification while maintaining both risk and opportunity. However, collars must be carefully designed to reduce the chance of triggering constructive sale treatment under the Internal Revenue Code.
Disclaimer: This material is for educational purposes only. Alternative investments may not be suitable for all investors and involve special risks such as leveraging the investment, potential adverse market forces, regulatory changes, and potential illiquidity. Investing involves risk, including possible loss of principal. Always consult your tax professional before making decisions, as tax laws are complex and subject to change.
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Sources:
1. United States Congress. 26 U.S. Code §1259 - Constructive Sales Treatment for Appreciated Financial Positions. Cornell Law School, Legal Information Institute, 5 Aug. 1997, amended 4 Oct. 2004. https://www.law.cornell.edu/uscode/text/26/1259.
2. Internal Revenue Service. Revenue Ruling 2003-7, 2003-1 C.B. 363. 2003. https://www.irs.gov/pub/irs-drop/rr-03-7.pdf.
3. Options Industry Council (OIC). Options Strategies Quick Guide. The Options Clearing Corporation, 2021. https://www.optionseducation.org/getattachment/007fe864-029a-490d-8dc1-3b58bd558f64/options-strategies-quick-guide.pdf?lang=en-US
4. Internal Revenue Service. 2024 Instructions for Form 5227, Split-Interest Trust Information Return. 26 Nov. 2024. https://www.irs.gov/pub/irs-pdf/i5227.pdf
What type of retirement savings plan does Blue Cross Blue Shield offer to its employees?
Blue Cross Blue Shield offers a 401(k) retirement savings plan to help employees save for their future.
How can employees of Blue Cross Blue Shield enroll in the 401(k) plan?
Employees can enroll in the Blue Cross Blue Shield 401(k) plan by completing the enrollment process through the company’s HR portal.
Does Blue Cross Blue Shield provide any matching contributions to the 401(k) plan?
Yes, Blue Cross Blue Shield offers a matching contribution to the 401(k) plan, which helps employees maximize their retirement savings.
What is the eligibility requirement for employees to participate in Blue Cross Blue Shield's 401(k) plan?
Employees are typically eligible to participate in Blue Cross Blue Shield's 401(k) plan after completing a specified period of service, as outlined in the plan documents.
Can employees of Blue Cross Blue Shield change their contribution percentage to the 401(k) plan?
Yes, employees can change their contribution percentage to the Blue Cross Blue Shield 401(k) plan at any time, subject to the plan's guidelines.
What investment options are available in Blue Cross Blue Shield's 401(k) plan?
Blue Cross Blue Shield offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.
Is there a vesting schedule for the employer match in Blue Cross Blue Shield's 401(k) plan?
Yes, Blue Cross Blue Shield has a vesting schedule for employer matching contributions, which determines when employees gain full ownership of those funds.
How can employees access their 401(k) account information at Blue Cross Blue Shield?
Employees can access their 401(k) account information through the online portal provided by Blue Cross Blue Shield’s retirement plan administrator.
Are there any fees associated with Blue Cross Blue Shield's 401(k) plan?
Yes, there may be administrative fees associated with the Blue Cross Blue Shield 401(k) plan, which are disclosed in the plan documents.
What happens to an employee's 401(k) balance if they leave Blue Cross Blue Shield?
If an employee leaves Blue Cross Blue Shield, they have several options for their 401(k) balance, including rolling it over to another retirement account or leaving it in the Blue Cross Blue Shield plan if permitted.



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