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
2015 Total Accident & Health 10.92% 422,066 $1,004,335,536 $1,004,335,536 $0 $884,293,813 $892,975,32788.91%
2015 Total Individual Accident & Health 8.65% 85,769 $261,060,509 $261,060,509 $0 $260,583,730 $260,514,41299.79%
2015 Individual Comprehensive Medical Expense 16.58% 51,542 $215,986,358 $215,986,358 $0 $227,817,593 $227,249,109105.21%
2015 Individual Medicare Supplement 8.25% 14,806 $40,466,010 $40,466,010 $0 $29,821,469 $30,281,14074.83%
2015 Individual Long Term Care 0.27% 370 $612,862 $612,862 $0 $363,844 $363,84459.37%
2015 Individual Dental 13.45% 19,051 $3,995,279 $3,995,279 $0 $2,580,824 $2,620,31965.59%
2015 Total Group Accident & Health 12.03% 336,297 $743,275,027 $743,275,027 $0 $623,710,083 $632,460,91585.09%
2015 Group Comprehensive Medical Expense - Small Employer 14.19% 33,679 $162,008,501 $162,008,501 $0 $119,230,042 $122,041,03975.33%
2015 Group Comprehensive Medical Expense - Large Employer 14.93% 70,967 $299,710,273 $299,710,273 $0 $248,528,445 $250,852,30283.70%
2015 Group Comprehensive Medical Expense - Federal Employees 35.51% 30,892 $221,900,009 $221,900,009 $0 $195,383,329 $198,559,31789.48%
2015 Group Dental 4.65% 29,389 $11,432,596 $11,432,596 $0 $8,726,425 $8,832,66577.26%
2015 Group Stop Loss 14.54% 171,370 $48,223,648 $48,223,648 $0 $51,841,842 $52,175,592108.20%
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%

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
2015 Medicare Supplement Insurance 5.80% 2 21
2015 Health 10.39% 227 57
2015 Long-term care insurance 0.25% 0 0
2014 Health 10.14% 182 65
2014 Long-term care insurance 0.27% 0 0
2014 Medicare Supplement Insurance 5.83% 4 45
2013 Long-term care insurance 0.28% 0 0
2013 Medicare Supplement Insurance 5.82% 4 41
2013 Health 9.85% 175 69

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