BLUE CROSS AND BLUE SHIELD OF KANSAS CITY

Company Details for:

BLUE CROSS AND BLUE SHIELD OF KANSAS CITY

Address

2301 MAIN STREET
KANSAS CITY MO, 64108

Phone

8163952222


Market Share

Link to Supplemental Data Page
Accident & Health
YearLine Market
Share
Num of
Insureds
Direct
Prem
Written
Direct
Prem
Earned
Div.
Paid
Direct
Losses
Paid
Direct
Losses
Incurr
Loss
Ratio
2014 Total Accident & Health 10.55% 414,278 $903,384,734 $903,384,734 $0 $834,782,240 $839,191,80892.89%
2014 Total Individual Accident & Health 8.02% 77,288 $212,966,406 $212,966,406 $0 $219,453,963 $218,068,687102.40%
2014 Individual Comprehensive Medical Expense 18.43% 51,293 $169,153,814 $169,153,814 $0 $188,469,296 $186,467,006110.24%
2014 Individual Medicare Supplement 8.17% 14,777 $39,378,954 $39,378,954 $0 $28,400,104 $29,019,91173.69%
2014 Individual Long Term Care 0.30% 386 $647,266 $647,266 $0 $264,863 $264,86340.92%
2014 Individual Dental 12.17% 10,832 $3,786,372 $3,786,372 $0 $2,319,700 $2,316,90761.19%
2014 Total Group Accident & Health 11.68% 336,990 $690,418,328 $690,418,328 $0 $615,328,277 $621,123,12189.96%
2014 Group Comprehensive Medical Expense - Small Employer 15.25% 38,625 $174,218,502 $174,218,502 $0 $137,326,868 $141,283,83081.10%
2014 Group Comprehensive Medical Expense - Large Employer 13.55% 62,418 $271,736,668 $271,736,668 $0 $234,792,372 $230,669,67184.89%
2014 Group Comprehensive Medical Expense - Federal Employees 35.16% 30,077 $191,790,148 $191,790,148 $0 $182,865,375 $182,902,64295.37%
2014 Group Dental 4.68% 38,434 $10,868,745 $10,868,745 $0 $8,120,316 $8,148,59974.97%
2014 Group Stop Loss 14.83% 167,436 $41,804,265 $41,804,265 $0 $52,223,346 $58,118,379139.02%
2013 Total Accident & Health 9.95% 361,827 $808,986,770 $808,986,770 $0 $711,887,513 $705,378,17487.19%
2013 Total Individual Accident & Health 6.21% 73,173 $149,473,672 $149,473,672 $0 $115,940,412 $115,688,72977.40%
2013 Individual Comprehensive Medical Expense 24.53% 47,244 $107,589,899 $107,589,899 $0 $87,478,178 $87,148,22881.00%
2013 Individual Medicare Supplement 8.25% 14,508 $37,534,216 $37,534,216 $0 $25,850,976 $25,947,34069.13%
2013 Individual Long Term Care 0.31% 389 $644,133 $644,133 $0 $235,799 $235,79936.61%
2013 Individual Dental 14.05% 11,032 $3,705,424 $3,705,424 $0 $2,375,459 $2,357,36263.62%
2013 Total Group Accident & Health 11.52% 288,654 $659,513,098 $659,513,098 $0 $595,947,101 $589,689,44589.41%
2013 Group Comprehensive Medical Expense - Small Employer 12.90% 37,179 $159,875,886 $159,875,886 $0 $126,397,032 $129,156,42080.79%
2013 Group Comprehensive Medical Expense - Large Employer 13.81% 65,940 $283,156,346 $283,156,346 $0 $254,632,725 $241,660,27085.35%
2013 Group Comprehensive Medical Expense - Federal Employees 34.77% 29,662 $177,284,941 $177,284,941 $0 $167,585,070 $167,951,77394.74%
2013 Group Dental 4.52% 36,713 $9,939,630 $9,939,630 $0 $7,720,479 $7,798,64978.46%
2013 Group Stop Loss 12.49% 119,160 $29,256,295 $29,256,295 $0 $39,611,795 $43,122,333147.40%
2012 Total Accident & Health 9.98% 344,217 $795,571,429 $795,571,429 $0 $676,580,008 $686,172,47286.25%
2012 Total Individual Accident & Health 5.93% 71,041 $141,843,555 $141,843,555 $0 $110,746,480 $108,120,80976.23%
2012 Individual Comprehensive Medical Expense 24.21% 45,773 $100,243,525 $100,243,525 $0 $83,135,403 $82,169,55581.97%
2012 Individual Medicare Supplement 8.67% 14,255 $37,485,805 $37,485,805 $0 $25,218,326 $23,525,58262.76%
2012 Individual Long Term Care 0.33% 396 $675,285 $675,285 $0 $180,316 $180,31626.70%
2012 Individual Dental 16.71% 10,617 $3,438,940 $3,438,940 $0 $2,212,435 $2,245,35665.29%
2012 Total Group Accident & Health 11.71% 273,176 $653,727,874 $653,727,874 $0 $565,833,528 $578,051,66388.42%
2012 Group Comprehensive Medical Expense - Small Employer 11.04% 33,103 $133,182,000 $133,182,000 $0 $100,498,000 $102,362,00076.86%
2012 Group Comprehensive Medical Expense - Large Employer 15.21% 77,658 $321,639,881 $321,639,881 $0 $284,144,957 $293,662,91991.30%
2012 Group Comprehensive Medical Expense - Federal Employees 35.32% 29,338 $171,156,584 $171,156,584 $0 $158,972,832 $158,717,27792.73%
2012 Group Dental 3.46% 29,040 $7,567,485 $7,567,485 $0 $5,951,597 $6,044,16779.87%
2012 Group Stop Loss 10.97% 104,037 $20,181,924 $20,181,924 $0 $16,266,142 $17,265,30085.55%


Enforcements

The department has not taken enforcement action against this company in the past three years.
Link to Enforcements Page


Complaint Index

Link to Complaint Index Page
YearLineMarket
Share
Number of
Complaints
Complaint
Index
2014 Medicare Supplement Insurance 5.83% 4 45
2014 Health 10.14% 182 65
2014 Long-term care insurance 0.27% 0 0
2013 Long-term care insurance 0.28% 0 0
2013 Medicare Supplement Insurance 5.82% 4 41
2013 Health 9.85% 175 69
2012 Long-term care insurance 0.29% 0 0
2012 Medicare Supplement Insurance 5.82% 4 40
2012 Health 10.46% 165 59


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: 01/02/2014
PDF File Link