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Company Details for:
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY
Address
PO BOX 419169KANSAS CITY MO, 64141-6169
Phone
8163952222Market Share
Link to Supplemental Data Page
Accident & Health
| Year | Line | Market Share |
Num of Insureds |
Direct Prem Written |
Direct Prem Earned |
Div. Paid |
Direct Losses Paid |
Direct Losses Incurr |
Loss Ratio |
|---|---|---|---|---|---|---|---|---|---|
| 2012 | Total Accident & Health | 9.98% | 344,217 | $795,571,429 | $795,571,429 | $0 | $676,580,008 | $686,172,472 | 86.25% |
| 2012 | Total Individual Accident & Health | 5.93% | 71,041 | $141,843,555 | $141,843,555 | $0 | $110,746,480 | $108,120,809 | 76.23% |
| 2012 | Individual Comprehensive Medical Expense | 24.21% | 45,773 | $100,243,525 | $100,243,525 | $0 | $83,135,403 | $82,169,555 | 81.97% |
| 2012 | Individual Medicare Supplement | 8.67% | 14,255 | $37,485,805 | $37,485,805 | $0 | $25,218,326 | $23,525,582 | 62.76% |
| 2012 | Individual Long Term Care | 0.33% | 396 | $675,285 | $675,285 | $0 | $180,316 | $180,316 | 26.70% |
| 2012 | Individual Dental | 16.71% | 10,617 | $3,438,940 | $3,438,940 | $0 | $2,212,435 | $2,245,356 | 65.29% |
| 2012 | Total Group Accident & Health | 11.71% | 273,176 | $653,727,874 | $653,727,874 | $0 | $565,833,528 | $578,051,663 | 88.42% |
| 2012 | Group Comprehensive Medical Expense - Small Employer | 11.04% | 33,103 | $133,182,000 | $133,182,000 | $0 | $100,498,000 | $102,362,000 | 76.86% |
| 2012 | Group Comprehensive Medical Expense - Large Employer | 15.21% | 77,658 | $321,639,881 | $321,639,881 | $0 | $284,144,957 | $293,662,919 | 91.30% |
| 2012 | Group Comprehensive Medical Expense - Federal Employees | 35.32% | 29,338 | $171,156,584 | $171,156,584 | $0 | $158,972,832 | $158,717,277 | 92.73% |
| 2012 | Group Dental | 3.46% | 29,040 | $7,567,485 | $7,567,485 | $0 | $5,951,597 | $6,044,167 | 79.87% |
| 2012 | Group Stop Loss | 10.97% | 104,037 | $20,181,924 | $20,181,924 | $0 | $16,266,142 | $17,265,300 | 85.55% |
| 2011 | Total Accident & Health | 9.74% | 312,647 | $753,210,712 | $753,210,712 | $0 | $626,677,408 | $628,650,669 | 83.46% |
| 2011 | Total Individual Accident & Health | 5.91% | 68,285 | $132,849,929 | $132,849,929 | $0 | $107,656,510 | $109,162,113 | 82.17% |
| 2011 | Individual Comprehensive Medical Expense | 23.24% | 44,237 | $93,789,220 | $93,789,220 | $0 | $80,513,316 | $82,312,508 | 87.76% |
| 2011 | Individual Medicare Supplement | 9.03% | 14,154 | $35,299,637 | $35,299,637 | $0 | $25,085,505 | $24,782,133 | 70.21% |
| 2011 | Individual Long Term Care | 0.33% | 403 | $685,097 | $685,097 | $0 | $148,710 | $148,710 | 21.71% |
| 2011 | Individual Dental | 16.42% | 9,491 | $3,075,975 | $3,075,975 | $0 | $1,908,979 | $1,918,762 | 62.38% |
| 2011 | Total Group Accident & Health | 11.31% | 244,362 | $620,360,783 | $620,360,783 | $0 | $519,020,898 | $519,488,556 | 83.74% |
| 2011 | Group Comprehensive Medical Expense - Small Employer | 10.88% | 34,571 | $135,056,000 | $135,056,000 | $0 | $96,348,000 | $97,697,000 | 72.34% |
| 2011 | Group Comprehensive Medical Expense - Large Employer | 14.00% | 70,345 | $286,044,264 | $286,044,264 | $0 | $244,254,402 | $241,679,855 | 84.49% |
| 2011 | Group Comprehensive Medical Expense - Federal Employees | 37.21% | 29,257 | $175,590,991 | $175,590,991 | $0 | $154,069,772 | $154,879,953 | 88.20% |
| 2011 | Group Dental | 3.41% | 25,831 | $6,955,683 | $6,955,683 | $0 | $5,070,715 | $5,116,006 | 73.55% |
| 2011 | Group Stop Loss | 9.67% | 84,358 | $16,713,845 | $16,713,845 | $0 | $19,278,009 | $20,115,742 | 120.35% |
| 2010 | Total Accident & Health | 9.92% | 304,232 | $752,893,467 | $752,893,467 | $0 | $625,139,355 | $635,003,288 | 84.34% |
| 2010 | Total Individual Accident & Health | 5.65% | 66,201 | $130,560,756 | $130,560,756 | $0 | $96,027,603 | $96,214,477 | 73.69% |
| 2010 | Individual Comprehensive Medical Expense | 23.20% | 43,115 | $93,681,157 | $93,681,157 | $0 | $69,973,105 | $69,858,252 | 74.57% |
| 2010 | Individual Medicare Supplement | 9.38% | 14,041 | $33,370,562 | $33,370,562 | $0 | $24,049,336 | $24,201,852 | 72.52% |
| 2010 | Individual Long Term Care | 0.35% | 411 | $710,978 | $710,978 | $0 | $153,814 | $153,814 | 21.63% |
| 2010 | Individual Dental | 17.08% | 8,634 | $2,798,059 | $2,798,059 | $0 | $1,851,348 | $2,000,559 | 71.50% |
| 2010 | Total Group Accident & Health | 11.79% | 238,031 | $622,332,711 | $622,332,711 | $0 | $529,111,752 | $538,788,811 | 86.58% |
| 2010 | Group Comprehensive Medical Expense - Small Employer | 10.09% | 29,336 | $118,038,000 | $118,038,000 | $0 | $85,062,000 | $92,031,000 | 77.97% |
| 2010 | Group Comprehensive Medical Expense - Large Employer | 13.28% | 66,301 | $265,886,928 | $265,886,928 | $0 | $224,946,952 | $222,884,022 | 83.83% |
| 2010 | Group Comprehensive Medical Expense - Federal Employees | 45.07% | 39,768 | $219,868,083 | $219,868,083 | $0 | $202,824,076 | $206,397,082 | 93.87% |
| 2010 | Group Dental | 3.23% | 24,416 | $6,445,555 | $6,445,555 | $0 | $4,624,177 | $4,752,912 | 73.74% |
| 2010 | Group Stop Loss | 8.14% | 78,210 | $12,094,145 | $12,094,145 | $0 | $11,654,547 | $12,723,795 | 105.21% |
Enforcements
The department action has not taken enforcement action against this company in the past three years.
Link to Enforcements Page
Link to Enforcements Page
Complaint Index
Link to Complaint Index Page
| Year | Line | Market Share |
Number of Complaints | Complaint Index |
|---|---|---|---|---|
| 2012 | Long-term care insurance | 0.29% | 0 | 0 |
| 2012 | Medicare Supplement Insurance | 5.82% | 4 | 40 |
| 2012 | Health | 10.46% | 165 | 59 |
| 2011 | Medicare Supplement Insurance | 5.78% | 4 | 38 |
| 2011 | HMO's | 0.00% | 6 | 9999 |
| 2011 | Long-term care insurance | 0.30% | 0 | 0 |
| 2011 | Health | 10.23% | 165 | 53 |
| 2010 | Long-term care insurance | 0.31% | 1 | 145 |
| 2010 | Health | 15.71% | 173 | 31 |
| 2010 | Medicare Supplement Insurance | 5.69% | 7 | 59 |
| 2010 | HMO's | 0.51% | 5 | 275 |
Company Changes
- Effective Date: 04/01/2001
- Comments: BMA SelectCare merged with and into Blue Cross BlueShield of Kansas City.
- Effective Date: 04/01/2001
- Comments: TriSource Healthcare, Inc. d/b/a Blue Advantage merged with and into BlueCross BlueShield of Kansas City.
- Form A Proposed acquisition of control of:Healthy Alliance Life Insurance Co., HMO Missouri Inc. and HealthLink HMO Inc. wholly owned subsidiaries of RightChoice Managed Care Inc. d/b/a Blue Cross & Blue Shield of Missouri and Alliance Blue Cross and Blue Shield by WellPoint Health Networks Inc.
- Form A Date Filed: 11/19/2001
- Form A Hearing Dates: 12/19/2001
- Form A Order Date: 01/16/2002 - Approved
- Form A Filing
Market Conduct
- Date: 11/15/2010
- Pdf Links
- Document
- Date: 09/23/2010
- Pdf Links
- Stipulation
- Date: 07/07/2010
- Pdf Links
- Company Response
- Date: 08/06/2010
- Pdf Links
- Company Response
- Date: 10/15/2010
- Pdf Links
Financial Exams
- Date: 01/09/2009
- PDF File Link