The change of control of Regence BlueCross BlueShield of Oregon, and LifeMap Assurance Company by Blue Cross and Blue Shield of North Carolina

Form A filing

The change of control of Regence BlueCross BlueShield of Oregon, Regence Health Maintenance of Oregon, Inc., Regence HMO Oregon and LifeMap Assurance Company by Blue Cross and Blue Shield of North Carolina

Filed with the Division of Financial Regulation of the State of Oregon, Dated: April 17, 2019

Form A filing exhibits and supplemental documents

• Document Index
• Cover Letter
• Exhibit B-1: Pre-Closing Organizational Chart of the Applicant and its Affiliates
• Exhibit B-2: Post-Closing Organizational Chart of the Applicant and its Affiliates
• Exhibit C-1: List of Members of the Board of Trustees and the Executive Officers of the applicant
• Exhibit E: List of Individuals from which the New Cambia Board will be Selected
• Exhibit F: Annual Statutory Financial Statements of the Applicant for the Periods Ending December 31 of each of 2014, 2015, 2016, 2017 and 2018