The Info List - Blue Cross And Blue Shield Association

Blue Cross Blue Shield Association
Blue Cross Blue Shield Association
(BCBSA) is a federation of 36 separate United States
United States
health insurance organizations and companies, providing health insurance in the United States
United States
to more than 106 million people.[2] Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948. The two organizations merged in 1982.


1 History 2 Current organization 3 Member companies 4 Details on specific organizations

4.1 Idaho 4.2 Pennsylvania

5 See also 6 References 7 External links

History[edit] Further information: History of insurance

Health care in the United States

Government Health Programs

Federal Employees Health Benefits Program Indian Health Service Medicaid
/ State Health Insurance Assistance Program (SHIP) Medicare Prescription Assistance (SPAP) Military Health System
Military Health System
/ TRICARE State Children's Health Insurance Program
State Children's Health Insurance Program
(CHIP) Program of All-Inclusive Care for the Elderly (PACE) Veterans Health Administration

Private health coverage

Consumer-driven health care

Flexible spending account (FSA) Health Reimbursement Account Health savings account (HSA)

High-deductible health plan (HDHP) Medical savings account (MSA)

Private Fee-For-Service (PFFS)

Health insurance
Health insurance
in the United States Managed care (CCP)

Exclusive provider organization (EPO) Health maintenance organization (HMO) Preferred provider organization (PPO)

Medical underwriting

Health care reform law

Emergency Medical Treatment and Active Labor Act (1986) Health Insurance Portability and Accountability Act
Health Insurance Portability and Accountability Act
(1996) Medicare Prescription Drug, Improvement, and Modernization Act
Medicare Prescription Drug, Improvement, and Modernization Act
(2003) Patient Safety and Quality Improvement Act
Patient Safety and Quality Improvement Act
(2005) Health Information Technology for Economic and Clinical Health Act (2009) Patient Protection and Affordable Care Act
Patient Protection and Affordable Care Act

State level reform

Dirigo Health (Maine) Massachusetts health care reform Oregon Health Plan SustiNet
(Connecticut) Vermont health care reform

Municipal health coverage

Fair Share Health Care Act (Maryland) Healthy Howard (Howard Co., Maryland) Healthy San Francisco Healthy Way LA My Health LA

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Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services.[3] Blue Cross is a name used by an association of health insurance plans throughout the United States. Its predecessor was developed by Justin Ford Kimball in 1929, while he was vice president of Baylor University's health care facilities in Dallas, Texas.[4] The first plan guaranteed teachers 21 days of hospital care for $6 a year, and was later extended to other employee groups in Dallas, and then nationally.[4] The American Hospital Association (AHA) adopted the Blue Cross symbol in 1939 as the emblem for plans meeting certain standards. In 1960, the AHA commission was superseded by the Blue Cross Association. Blue Cross severed its ties with the AHA in 1972. Blue Shield was developed by employers in lumber and mining camps of the Pacific Northwest to provide medical care by paying monthly fees to medical service bureaus composed of groups of physicians.[5][6] In 1939, the first official Blue Shield plan was founded in California. In 1948, the symbol was informally adopted by nine plans called the Associated Medical Care Plan, and was later renamed the National Association of Blue Shield Plans. In the 1960s the U.S. government chose to partner with Blue Cross and Blue Shield companies to administer Medicare.[6] In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS).[7] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. However, the Tax Reform Act of 1986 revoked the exemption, because the plans sold commercial-type insurance. They became 501(m) organizations, subject to federal taxation, but entitled to "special tax benefits"[8] under IRC 833.[9] In 1994, BCBS changed to allow its licensees to be for-profit corporations.[3] During 2010, Health Care Service Corporation, the parent company of BCBS in Texas, Oklahoma, New Mexico, Montana and Illinois, nearly doubled its income to $1.09 billion in 2010, and began four years of billion-dollar profits.[10] In the final spending bill for FY 2015 after much lobbying since 2010, nonprofit Blue Cross and Blue Shield plans continue to have special tax breaks that were understood to be threatened by the Affordable Care Act
Affordable Care Act
of 2010.[11] Current organization[edit] Blue Cross and Blue Shield insurance companies are licensees, independent of the association and traditionally of each other, offering insurance plans within defined regions under one or both of the association's brands. Blue Cross Blue Shield insurers offer some form of health insurance coverage in every U.S. state. They also act as administrators of Medicare in many states or regions of the U.S.[12] and provide coverage to state government employees as well as to the federal government employees under a nationwide option of the Federal Employees Health Benefits Program.[13] The association has its headquarters in the Michigan Plaza complex in the Chicago
Loop area of Chicago, Illinois.[14] Member companies[edit]

Publicly traded companies

Anthem Inc

Anthem BlueCross and BlueShield[15]

Colorado Connecticut Georgia Indiana Kentucky Maine Missouri (excluding 30 counties in the Kansas City area) Nevada New Hampshire Ohio Virginia (excluding the Northern Virginia suburbs of Washington, D.C.) Wisconsin

Anthem Blue Cross
Anthem Blue Cross
(California)[15] Blue Cross Blue Shield of Georgia[15] Empire BlueCross BlueShield (New York)[15]

Triple-S Management Corporation
Triple-S Management Corporation
(BlueCross & BlueShield Puerto Rico)

Multi-state private companies


District of Columbia Maryland Parts of Virginia

Health Care Service Corporation

BlueCross BlueShield of Illinois BlueCross BlueShield of Montana BlueCross BlueShield of New Mexico BlueCross BlueShield of Oklahoma BlueCross BlueShield of Texas


BlueCross BlueShield (Western and Northeastern Pennsylvania) Highmark
BlueShield (Eastern & Central Pennsylvania) Highmark
BlueCross Blue Shield Delaware (Delaware) Highmark
BlueCross BlueShield West Virginia (formerly Mountain State Blue Cross Blue Shield) (West Virginia)


Premera BlueCross BlueShield of Alaska Premera BlueCross (Washington)

Cambia Health Solutions

Regence BlueShield of Idaho Regence Blue Cross Blue Shield of Oregon Regence BlueCross BlueShield of Utah Regence BlueShield (Washington)

Wellmark Blue Cross Blue Shield

Iowa South Dakota

Single-state or regional companies

Blue Cross and Blue Shield of Alabama BlueCross BlueShield of Arizona Arkansas BlueCross BlueShield Blue Shield of California BlueCross BlueShield of Florida (branded as Florida Blue)[16] Hawaii Medical Service Association Blue Cross of Idaho BlueCross BlueShield of Kansas BlueCross BlueShield of Louisiana Blue Cross Blue Shield of Massachusetts Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Minnesota Blue Cross Blue Shield of Mississippi Blue Cross and Blue Shield of Kansas City Blue Cross Blue Shield of Nebraska Horizon Blue Cross Blue Shield of New Jersey Excellus BlueCross BlueShield
Excellus BlueCross BlueShield
(Central New York, Rochester and Utica/Watertown) BlueShield of Northeastern New York (A division of HealthNow New York Inc.) BlueCross BlueShield of Western New York (A division of HealthNow New York Inc.) Blue Cross Blue Shield of North Carolina Blue Cross Blue Shield of North Dakota Blue Cross of Northeastern Pennsylvania Capital Blue Cross (Central Pennsylvania) Independence Blue Cross (Philadelphia, Southeastern Pennsylvania) Blue Cross Blue Shield of Rhode Island Blue Cross Blue Shield of South Carolina BlueCross BlueShield of Tennessee BlueCross BlueShield of the U.S. Virgin Islands BlueCross BlueShield of Vermont BlueCross BlueShield of Wyoming

Companies outside of the United States

BlueCross BlueShield of Costa Rica BlueCross BlueShield of Panama BlueCross BlueShield of Uruguay

Details on specific organizations[edit]

This section needs expansion. You can help by adding to it. (August 2009)

Idaho[edit] Blue Cross of Idaho and Regence[17] BlueShield of Idaho are separate companies and compete throughout the state. Pennsylvania[edit] Though historically "Blue Cross" was used for hospital coverage while "Blue Shield" was used for medical coverage,[18] today that split only exists for traditional health insurance plans in Pennsylvania. Two independent companies operate in central Pennsylvania, Highmark
Blue Shield (Pittsburgh) and Capital Blue Cross (Central Pennsylvania) . In southeastern Pennsylvania, Independence Blue Cross (Philadelphia) has a joint marketing agreement with Highmark
Blue Shield (Pittsburgh) for their separate hospital and medical plans. However, Independence Blue Cross, like most of its sister Blue Cross-Blue Shield companies, cover most of their customers under managed care plans such as HMOs and PPOs which provide hospital and medical care in one policy. See also[edit]

portal Companies portal

Blue Cross Canada


^ a b c d e f g "Form 990: Return of Organization Exempt from Income Tax". Blue Cross and Blue Shield Association. Guidestar. December 31, 2014. ^ " Blue Cross Blue Shield Association
Blue Cross Blue Shield Association
- Supporting the 36 Independent, Locally Operated Blue Cross and Blue Shield Companies - BCBS.com". bcbs.com.  ^ a b Coordinated Issue Paper – Blue Cross Blue Shield/Health Insurance; Life Insurance: Conversion of nonprofit corporations. 4 June 2008) Archived 6 May 2009 at the Wayback Machine. ^ a b Justin Ford Kimball from the Handbook of Texas
Handbook of Texas
Online. Retrieved August 31, 2009.[dead link] ^ " Health Care Service Corporation
Health Care Service Corporation
(HCSC) – Who We Are". www.hcsc.com. Retrieved 2017-01-06.  ^ a b Marc Lichtenstein (n.d.). "Health Insurance From Invention to Innovation: A History of the Blue Cross and Blue Shield Companies". Blue Cross and Blue Shield Association.  ^ "History of Blue Cross and Blue Shield Association – 1980s". Blue Cross and Blue Shield Association. Archived from the original on September 26, 2009.  ^ "Nonprofit Health Inc.: Overview of issues in the protection of nonprofit assets - Blue Cross: 501(m)". Consumers Union. 1 January 2008. Retrieved 18 December 2014. As of January 1, 1987, the federal government removed the full tax-exempt status of BCBS plans and instead created a special tax class for BCBS organizations, Internal Revenue Code ("I.R.C.") 5833. That I.R.C. category subjected BCBS plans to federal taxation but recognized the unique role BCBS plans play, unlike commercial for-profit insurers, and entitled it to special tax benefits.  ^ 26 USC § 833 – Treatment of Blue Cross and Blue Shield organizations, etc. Title 26 – Internal Revenue Code U.S. Code LII / Legal Information Institute law.cornell.edu. Retrieved on 2013-09-05. ^ "Blue Cross parent boosts profit in second quarter". Crain's Chicago Business. Crain Communication, Inc. 3 September 2013. Retrieved 18 December 2014.  ^ Pear, Robert (December 14, 2014). "In Final Spending Bill, Salty Food and Belching Cows Are Winners". NY times. Retrieved December 18, 2014.  ^ Health Insurance Facts Smarter Consumers of Healthcare. Health Harbor. Retrieved on 2013-09-05. ^ "Insurance Programs". United States
United States
Office of Personal Management. Archived from the original on 2011-06-11.  ^ "Contact Us". Blue Cross and Blue Shield Association. Archived from the original on January 10, 2007. Retrieved December 23, 2009.  ^ a b c d "Contact Us". anthem.com. Retrieved 6 September 2016.  ^ "Florida Blue – New Name of BlueCross and BlueShield of Florida" (Press release). PRNewswire. April 2, 2012. Retrieved April 27, 2012.  ^ The Regence Group ^ "Blue Cross and Blue Shield, A Historical Compilation" (PDF). Consumer Union. 

External links[edit] Media related to Blue Cross Blue Shield Association
Blue Cross Blue Shield Association
at Wikimedia Commons