-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GRHJvr0a1BD4QTv1lJMQ2Rvc8rIBkJAvBz0QSKAyiaNI+SfbfwhtFkRjvPOsLTZt tvgcfQkTzDUKkGSFKthGeQ== 0001466952-09-000003.txt : 20091203 0001466952-09-000003.hdr.sgml : 20091203 20091203115358 ACCESSION NUMBER: 0001466952-09-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20091203 DATE AS OF CHANGE: 20091203 EFFECTIVENESS DATE: 20091203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: International Plan Solutions, LLC CENTRAL INDEX KEY: 0001466952 IRS NUMBER: 270204996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-132574 FILM NUMBER: 091219431 BUSINESS ADDRESS: STREET 1: C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA STREET 2: 2401 S. 73RD ST. CITY: OMAHA STATE: NE ZIP: 68124 BUSINESS PHONE: 402-548-4666 MAIL ADDRESS: STREET 1: C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA STREET 2: 2401 S. 73RD ST. CITY: OMAHA STATE: NE ZIP: 68124 FORMER COMPANY: FORMER CONFORMED NAME: Blue International Solutions, LLC DATE OF NAME CHANGE: 20090623 D/A 1 primary_doc.xml X0603 D/A LIVE 0001466952 International Plan Solutions, LLC C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA 2401 S. 73RD ST. OMAHA NE 68124 402-548-4666 DELAWARE Blue International Solutions, LLC Limited Liability Company true 2009 Joseph P. Henry Independence Blue Cross 1901 Market Street Philadelphia PA 19103 Director Manager (effective until November 30, 2009) Lewis E. Trowbridge Blue Cross and Blue Shield of Nebraska 2401 S. 73rd St. Omaha NE 68124 Executive Officer Director Manager, Chairman, President and Secretary of International Plan Solutions, LLC Michael Mizeur Blue Cross Blue Shield of South Carolina Mail Code AA - 270, I-20 @ Alpine Road Columbia SC 29219-0001 Executive Officer Director Manager and Treasurer Yori Milo Premera Blue Cross 7001 220th Street SW Mountlake Terrace WA 98043 Director Manager Scott Beacham BSC Financial Corporation 2 Mid America Plaza, Suite 200 Oakbrook Terrace IL 60181 Director Manager Brett E. Painchaud Blue Cross Blue Shield of Massachusetts Landmark Center, 401 Park Drive Boston MA 02215 Director Manager James Modaff Blue Cross and Blue Shield of Florida 4800 Deerwood Campus Pkwy, Bld100 FL 8 Jacksonville FL 32246-8273 Director Manager Richard Morin Blue Cross Blue Shield of Rhode Island 444 Westminster Street Providence RI 02903 Director Manager Douglas Garrett Blue Cross Blue Shield of Mississippi 3545 Lakeland Drive Flowood MS 39232-9799 Director Manager David Gentile Blue Cross Blue Shield of Kansas City 2301 Main Street Kansas City MO 64108 Director Manager William Reed Blue Cross of Northeastern Pennsylvania 70 North Main Street Wilkes - Barre PA 18711-0302 Director Manager William Reineberg Capital Blue Cross 2500 Elmerton Avenue Harrisburg PA 17177-9799 Director Manager Peggy Scott Louisiana Health Services & Indemnity Co 5525 Reitz Avenue Baton Rouge LA 70809 Director Manager Christopher D. Butler Independence Blue Cross 1901 Market Street Philadelphia PA 19103 Director Manager (effective as of November 30, 2009) Pooled Investment Fund Other Investment Fund false Decline to Disclose 06 3C 3C.1 true 0001466952-09-000002 2009-06-26 true true true true The Issuer was formed to purchase and hold Series A Preferred Stock of Highway to Health, Inc., a Delaware corporation. 250000 Indefinite 44851869 Indefinite false 14 0 0 0 false International Plan Solutions, LLC /s/ Lewis E. Trowbridge Lewis E. Trowbridge Manager, Chairman, President and Secretary 2009-11-24 -----END PRIVACY-ENHANCED MESSAGE-----