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Company Details
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY License Status :
Active
NAIC Number :
47171
Phone Number:
8163952222
Company Address:
P.O. Box 419169
Kansas City, MO 64108-2428
Description:
Health Maintenance Organization
License Number:
D419791
Date Admitted:
2001-03-12
Market Share
Link to Supplemental Data Page
| Year | Line | Market Share | Direct Premium Written | Direct Premium Earned | Direct Losses Paid | Direct Losses Incurred | Loss Ratio |
|---|---|---|---|---|---|---|---|
| 2023 | Total Accident & Health | 7.32% | $1,080,759,390 | $1,089,115,837 | $905,181,063 | $895,987,798 | 82.27 % |
| 2023 | Total Individual Accident & Health | 2.16% | $111,028,439 | $110,931,633 | $85,796,220 | $82,554,213 | 74.42 % |
| 2023 | Individual Comprehensive Medical Expense | 3.52% | $74,923,700 | $74,816,687 | $55,864,120 | $52,495,558 | 70.17 % |
| 2023 | Individual Medicare Supplement | 6.00% | $31,899,467 | $31,899,467 | $26,365,756 | $26,492,260 | 83.05 % |
| 2023 | Individual Long Term Care | 0.22% | $429,288 | $439,495 | $966,058 | $966,058 | N/A |
| 2023 | Individual Dental | 7.18% | $3,775,984 | $3,775,984 | $2,600,286 | $2,600,337 | 68.87 % |
| 2023 | Total Group Accident & Health | 10.08% | $969,730,951 | $978,184,204 | $819,384,843 | $813,433,585 | 83.16 % |
| 2023 | Group Comprehensive Medical Expense - Small Employer | 16.85% | $114,075,306 | $116,861,603 | $88,420,286 | $90,609,089 | 77.54 % |
| 2023 | Group Comprehensive Medical Expense - Large Employer | 21.08% | $517,150,452 | $517,994,255 | $405,736,399 | $395,799,911 | 76.41 % |
| 2023 | Group Comprehensive Medical Expense - Federal Employees | 35.50% | $324,955,662 | $329,778,815 | $314,490,202 | $316,273,039 | 95.90 % |
| 2023 | Group Dental | 3.81% | $12,319,836 | $12,319,836 | $9,786,293 | $9,799,883 | 79.55 % |
| 2023 | Group Limited Benefit | 0.40% | $1,229,695 | $1,229,695 | $951,663 | $951,663 | 77.39 % |
| 2021 | Total Accident & Health | 8.62% | $1,044,511,853 | $1,044,511,853 | $897,004,860 | $912,002,922 | 87.31 % |
| 2021 | Total Individual Accident & Health | 2.73% | $123,266,732 | $123,266,732 | $107,730,027 | $116,022,873 | 94.12 % |
| 2021 | Individual Comprehensive Medical Expense | 4.73% | $84,146,779 | $84,146,779 | $78,032,308 | $85,235,032 | N/A |
| 2021 | Individual Medicare Supplement | 6.02% | $34,988,276 | $34,988,276 | $26,592,917 | $27,623,285 | 78.95 % |
| 2021 | Individual Long Term Care | 0.23% | $479,080 | $479,080 | $513,802 | $513,802 | N/A |
| 2021 | Individual Dental | 7.84% | $3,652,597 | $3,652,597 | $2,591,000 | $2,650,754 | 72.57 % |
| 2021 | Total Group Accident & Health | 12.13% | $921,245,121 | $921,245,121 | $789,274,833 | $795,980,049 | 86.40 % |
| 2021 | Group Comprehensive Medical Expense - Small Employer | 18.97% | $167,705,675 | $167,705,675 | $141,201,918 | $146,900,074 | 87.59 % |
| 2021 | Group Comprehensive Medical Expense - Large Employer | 19.67% | $447,620,510 | $447,620,510 | $359,004,974 | $355,464,808 | 79.41 % |
| 2021 | Group Comprehensive Medical Expense - Federal Employees | 37.63% | $293,077,307 | $293,077,307 | $278,438,224 | $283,468,155 | 96.72 % |
| 2021 | Group Dental | 3.80% | $11,831,900 | $11,831,900 | $9,738,597 | $9,255,892 | 78.23 % |
| 2021 | Group Limited Benefit | 0.36% | $1,009,729 | $1,009,729 | $891,120 | $891,120 | 88.25 % |
Enforcements
The department has not taken enforcement action against this company in the past three years.
Complaint Index
| Year | Line | Market Share | Number of Complaints | Complaint Index |
|---|---|---|---|---|
| 2023 | Health | 10.44% | 148 | 65 |
| 2023 | Long-Term Care Insurance | 0.19% | 0 | 0 |
| 2023 | Medicare Supplement Insurance | 4.11% | 4 | 128 |
| 2022 | Health | 9.13% | 149 | 74 |
| 2022 | Long-Term Care Insurance | 0.20% | 0 | 0 |
| 2022 | Medicare Supplement Insurance | 4.36% | 5 | 155 |
| 2021 | Health | 9.47% | 179 | 77 |
| 2021 | Long-Term Care Insurance | 0.21% | 0 | 0 |
| 2021 | Medicare Supplement Insurance | 4.70% | 5 | 133 |
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.
Effective Date: 11/19/2001
Comments: 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.
Market Conduct
Date: 11/15/2010
BlueCrossKCOrderofDirector.pdf
Date: 09/23/2010
Date: 07/07/2010
Date: 08/06/2010
Date: 10/15/2010
Date: 07/30/2019
Date: 04/08/2020
Date: 09/27/2023
Date: 05/24/2024
Financial Exams
Date: 01/02/2014