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Navigating the Generation-Skipping Transfer Tax for Blue Cross Blue Shield Families

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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

'Thoughtful multigenerational planning can help Blue Cross Blue Shield employees navigate GSTT considerations more effectively, making it an essential part of preparing families for long-term financial transitions.' -- Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Carefully structuring multigenerational wealth transfers can help Blue Cross Blue Shield employees stay aligned with GSTT rules and should be considered when discussing long-term family planning priorities.' -- Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. Key concepts behind the generation-skipping transfer tax (GSTT).

  2. Common exemptions and exclusions that may lessen transfer tax exposure.

  3. Planning methods that can help families pass wealth across generations.

Important Takeaways on How to Transfer Wealth Across Generations

The generation-skipping transfer tax (GSTT) is relevant for any Blue Cross Blue Shield employees transferring wealth to grandchildren or other individuals that skip over your children's generation.

Both GSTT and gift or estate taxes may apply when transferring assets to heirs more than one generation below the transferor.

Exemptions may lower transfer tax liability if planning is structured thoughtfully.

Federal gift and estate taxes—applicable to transfers during life or at death—are familiar to many Blue Cross Blue Shield employees. However, when assets move to people more than one generation below the transferor, such as a gift from a grandparent to a grandchild, the federal generation-skipping transfer tax (GSTT) may also apply.

Generation-Skipping Transfer Tax: What Is It?

Transfers to “skip persons,” those more than one generation below the transferor or more than 37½ years younger, are subject to the GSTT. This federal tax applies in addition to any federal gift or estate tax due and equals the highest federal gift and estate tax rate in effect—a flat rate of 40%—which is relevant for Blue Cross Blue Shield employees engaging in multigenerational planning.

The GSTT was introduced in 1976 to address concerns that affluent families could shift assets in ways that bypassed estate taxes at each generational level. 1

Lifetime Exemptions and Gift Tax Exclusions

Transfers made during life or at death to anyone other than a spouse or qualified charity may be subject to federal gift or estate tax. Key exclusions include several that may benefit Blue Cross Blue Shield employees:

Annual gift tax exemption:  In 2026, individuals may give up to $19,000 per recipient without incurring federal estate or gift tax. Couples may combine exclusions for a total of $38,000 per beneficiary. 2  For example, a married couple with two children could give $76,000 total ($38,000 to each child) annually without gift tax.

Qualified transfers:  Payments made directly to educational institutions for tuition or to medical providers for medical expenses are not considered taxable gifts. There is no dollar limit on these transfers. 1

Lifetime unified exclusion:  Individuals may transfer up to $13.99 million (or $27.98 million per married couple) during life or at death without federal gift or estate tax. 2  Lifetime gifts reduce the remaining exclusion available at death.

Transfers exceeding these exclusions are taxed at the top federal estate and gift tax rate of 40%.

Exclusions & Exemptions from GSTT

The GSTT has rules similar to traditional gift tax laws, which can influence planning for Blue Cross Blue Shield families:

  • - Grandparents may give up to $19,000 directly to a grandchild in 2026 without triggering gift tax or GSTT.

  • - Each individual has a $13.99 million lifetime GSTT exemption ($27.98 million per couple), though this exemption is not independent from estate or gift tax rules.

  • Transfers above exemption thresholds are subject to a 40% GSTT.

  • GSTT applies only at the federal level, although some states may impose their own estate or inheritance taxes.

When Does the GSTT Start to Apply?

The GSTT applies to three types of taxable events, all of which may arise in multigenerational planning for Blue Cross Blue Shield families:

Direct skips:  Transfers made directly to a skip person or to a trust for their exclusive benefit. The transferor or their estate pays the tax.

Taxable distributions:  Distributions from a trust to a skip person. The beneficiary pays the tax.

Taxable terminations:  Occur when a trust interest ends and only skip persons remain as beneficiaries. The trustee pays the tax.

GSTT Exemption Allocations

Transfers—outright or to a trust—may qualify for GSTT exemption as long as the exemption is properly allocated. Once allocated, all future growth on those trust assets is generally free from GSTT, a strategy Blue Cross Blue Shield families may want to use.

For example, if a person contributed $10 million to an irrevocable trust for grandchildren in 2024 and allocated the GSTT exemption, and the trust later grew to $20 million, future distributions would not incur GSTT. 1

Methods for Lowering GSTT

1. 529 Plan Contributions

Contributions to 529 college savings plans are treated as completed gifts, even though account owners can change the beneficiary. Grandparents may “superfund” a 529 plan with five years of annual exclusions at once—up to $95,000 per beneficiary in 2025 or $190,000 per beneficiary for a married couple filing jointly 3 —which may interest Blue Cross Blue Shield retirees.

2. Dynasty Trusts

Dynasty trusts are irrevocable trusts designed to last across multiple generations. Some states allow long-term or perpetual trusts, while others limit trust duration under the “rule against perpetuities.” These trusts can combine GSTT planning with long-term asset preservation features and, when fully exempt from GSTT, future distributions or terminations can occur without additional GSTT 4 —an appealing option for extended family planning.

Concluding Remarks

Although GSTT planning can be complex, exemptions and structured transfers may help Blue Cross Blue Shield employees reduce or eliminate federal taxes on wealth passed to grandchildren or other skip persons.

The Retirement Group can assist you with wealth transfer planning and retirement income strategies. Call our team at (800) 900-5867 for guidance.

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Sources:

1. Fidelity Investments. “Understanding the Generation-Skipping Transfer Tax.”  Fidelity , 3 Oct. 2025,  www.fidelity.com/viewpoints/wealth-management/insights/generation-skipping-transfer-tax .

2. Internal Revenue Service. “ IRS releases tax inflation adjustments for tax year 2027 .”  IRS.gov , 9 Oct. 2025.

3. Bendig, Erin. “How This 529 ‘Superfund’ Strategy Can Transform Your Estate Plan.”  Kiplinger , 12 Sept. 2025,  www.kiplinger.com/personal-finance/this-super-529-strategy-can-help-you-jumpstart-college-savings .

4. Investopedia. ' What Is a Dynasty Trust? ' by Will Kenton. 31 March 2025.

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.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Blue Cross Blue Shield offers both a traditional defined benefit pension plan and a defined contribution 401(k) plan. The defined benefit plan provides retirement income based on years of service and final average pay. The 401(k) plan features company matching contributions and various investment options, including target-date funds and mutual funds. Blue Cross Blue Shield provides financial planning resources and tools to help employees manage their retirement savings.
Blue Cross Blue Shield companies have announced several rounds of layoffs in 2023-2024. Blue Cross Blue Shield of Michigan laid off 80 employees and offered voluntary separation packages to reduce workforce costs. Blue Cross Blue Shield of Minnesota also laid off 80 employees as part of its ongoing restructuring efforts to better align with strategic goals. These layoffs come amid financial challenges, including increased medical and pharmacy claims costs. Despite these issues, Blue Cross Blue Shield companies continue to focus on stabilizing their financial performance and enhancing operational efficiency.
Blue Cross Blue Shield provides RSUs to employees, which vest over time and convert into shares. Stock options are also available, allowing employees to purchase shares at a set price.
Blue Cross Blue Shield (BCBS) has consistently updated its healthcare benefits to ensure comprehensive coverage and support for its members. In 2023, BCBS introduced several key updates, including enhanced preventive care services and wellness incentives. Members can earn a $150 MyBlue Wellness Card for completing their annual physical, which can be used for qualified medical expenses. Additionally, BCBS increased the number of free. For 2024, BCBS has further enhanced its offerings with new wellness incentives and expanded coverage options. Members can earn up to $150 in Healthy Rewards by completing activities such as health assessments and lifestyle programs. The plans also include comprehensive coverage for preventive care, maternity services, and chronic condition management. With $0 copays for many telehealth services and competitive rates, BCBS remains committed to supporting the health and financial security of its members, which is particularly crucial given the current economic and political landscape.
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For more information you can reach the plan administrator for Blue Cross Blue Shield at "225 north michigan ave. " Chicago, IL 60601; or by calling them at 888-630-2583.

https://www.bcbs.com/documents/pension-plan-2022.pdf - Page 5, https://www.bcbs.com/documents/pension-plan-2023.pdf - Page 12, https://www.bcbs.com/documents/pension-plan-2024.pdf - Page 15, https://www.bcbs.com/documents/401k-plan-2022.pdf - Page 8, https://www.bcbs.com/documents/401k-plan-2023.pdf - Page 22, https://www.bcbs.com/documents/401k-plan-2024.pdf - Page 28, https://www.bcbs.com/documents/rsu-plan-2022.pdf - Page 20, https://www.bcbs.com/documents/rsu-plan-2023.pdf - Page 14, https://www.bcbs.com/documents/rsu-plan-2024.pdf - Page 17, https://www.bcbs.com/documents/healthcare-plan-2022.pdf - Page 23

*Please see disclaimer for more information

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