FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1567648
1. AMHP Holdings Corp. Political Action Committee (AmeriHealth Caritas PAC)
200 Stevens DrivePhiladelphia, PA 19113
Email: acpac@amerihealthcaritas.com
2. Date: 01/27/2022
3. FEC Committee ID #: C00804096 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00450056INDEPENDENCE BLUE CROSS LLC PAC
1901 MARKET STREET
PHILADELPHIA, Pennsylvania 19103
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00194746
BLUEPAC - BLUE CROSS BLUE SHIELD ASSOC
1310 G STREET NW
WASHINGTON, DC 20005
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00503003
BLUECROSS BLUESHIELD OF TENNESSEE INC
1 CAMERON HILL CIRCLE
CHATTANOOGA, Tennessee 37402
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00651265
LOUISIANA HEALTH SERVICE & INDEMNITY C
5525 REITZ AVENUE
BATON ROUGE, Louisiana 70809
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00639245
HORIZON HEALTHCARE SERVICES, INC.-HORI
THREE PENN PLAZA EAST
PP-11G
NEWARK, New Jersey 07105
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00084061
BLUE CROSS BLUE SHIELD OF MICHIGAN PAC
232 S. CAPITOL
MC L10A
LANSING, Michigan 48933
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00161141
GUIDEWELL MUTUAL HOLDING CORPORATION P
4800 DEERWOOD CAMPUS PARKWAY
DC3-4
JACKSONVILLE, Florida 32246
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00197202
BLUE CROSS AND BLUE SHIELD OF KANSAS,
1133 SW TOPEKA BLVD.
CC:855 - B3
TOPEKA, Kansas 66629
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00215202
HEALTHY GOVERNMENT COMMITTEE-THE POLIT
P.O. BOX 13466
PHOENIX, Arizona 85002
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00276311
BLUE CROSS AND BLUE SHIELD OF NEBRASKA
1919 AKSARBEN DRIVE PO BOX 3248
OMAHA, Nebraska 681800001
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00286922
CAREFIRST BLUECROSS BLUESHIELD ASSOCIA
10455 MILL RUN CIRCLE
OWINGS MILL, Maryland 21117
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00301358
BLUE CROSS AND BLUE SHIELD OF KANSAS C
2301 MAIN STREET
KANSAS CITY, Missouri 64108
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00302844
HIGHMARK PAC OF HIGHMARK INC.
1800 CENTER STREET
CAMP HILL, Pennsylvania 17089
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00312223
BLUE CROSS AND BLUE SHIELD OF NORTH CA
P.O. BOX 2291
DURHAM, North Carolina 27702
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00340364
BLUE SHIELD OF CALIFORNIA PAC (SHIELD
601 12TH STREET
OAKLAND, California 94607
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00342022
WELLMARK, INC. PAC (WELLPAC)
1331 GRAND AVENUE
STA. 5W570
DES MOINES, Iowa 50309
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00406850
BLUE CROSS BLUE SHIELD OF SOUTH CAROLI
INTERSTATE 20 AT ALPINE ROAD
COLUMBIA, South Carolina 29214
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00409227
PREMERA BLUE CROSS POLITICAL ACTION CO
7001 220TH STREET SW
MS 355
MOUNTLAKE TERRACE, Washington 98043
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00457242
BLUE CROSS BLUE SHIELD OF ALABAMA PAC
2 NORTH JACKSON STREET
SUITE 202
MONTGOMERY, Alabama 361043821
Affiliated Relationship Code: Affiliated Committee
AMHP Holdings Corp.
200 Stevens Drive
Philadelphia, Pennsylvania 19102
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Michael Burgoyne200 Stevens Drive
Philadelphia, PA 19102
Title: Treasurer
Phone # (215) 937-8875
Treasurer:
Michael Burgoyne200 Stevens Drive
Philadelphia, Pennsylvania 19102
Title: Treasurer
Phone # (215) 937-8875
Designated Agent(s):
Banks or Depositories
Citizens Bank, N.A.1515 Market St.
Philadelphia, Pennsylvania 19102