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Company Details
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY License Status :
Active
NAIC Number :
47171
Phone Number:
816-395-2794
Company Address:
P.O. BOX 419169
KANSAS CITY, MO 64141-6169
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 |
|---|---|---|---|---|---|---|---|
| 2019 | Total Accident & Health | 1.77% | $1,053,360,252 | $1,053,360,252 | $884,135,841 | $886,180,494 | 84.13 % |
| 2019 | Total Individual Accident & Health | 0.47% | $84,291,047 | $84,291,047 | $62,777,181 | $64,465,062 | 76.48 % |
| 2019 | Individual Comprehensive Medical Expense | 0.88% | $42,284,919 | $42,284,919 | $31,472,202 | $31,983,145 | 75.64 % |
| 2019 | Individual Medicare Supplement | 1.62% | $37,911,805 | $37,911,805 | $28,345,078 | $29,512,919 | 77.85 % |
| 2019 | Individual Long Term Care | 0.12% | $528,588 | $528,588 | $529,425 | $529,425 | N/A |
| 2019 | Individual Dental | 2.04% | $3,565,735 | $3,565,735 | $2,430,476 | $2,439,573 | 68.42 % |
| 2019 | Total Group Accident & Health | 2.31% | $969,069,205 | $969,069,205 | $821,358,660 | $821,715,432 | 84.79 % |
| 2019 | Group Comprehensive Medical Expense - Small Employer | 2.16% | $156,616,379 | $156,616,379 | $122,360,997 | $132,884,189 | 84.85 % |
| 2019 | Group Comprehensive Medical Expense - Large Employer | 2.80% | $544,952,746 | $544,952,746 | $444,745,057 | $432,074,700 | 79.29 % |
| 2019 | Group Comprehensive Medical Expense - Federal Employees | 3.92% | $253,915,931 | $253,915,931 | $243,900,860 | $246,190,933 | 96.96 % |
| 2019 | Group Dental | 1.24% | $13,234,773 | $13,234,773 | $10,068,482 | $10,282,346 | 77.69 % |
| 2019 | Group Limited Benefit | 0.05% | $349,376 | $349,376 | $283,264 | $283,264 | 81.08 % |
| 2018 | Total Accident & Health | 1.79% | $1,035,492,699 | $1,035,492,699 | $886,849,492 | $877,950,045 | 84.79 % |
| 2018 | Total Individual Accident & Health | 0.54% | $95,175,955 | $95,175,955 | $73,272,524 | $58,936,214 | 61.92 % |
| 2018 | Individual Comprehensive Medical Expense | 0.81% | $50,704,508 | $50,704,508 | $41,064,792 | $26,831,193 | 52.92 % |
| 2018 | Individual Medicare Supplement | 1.74% | $40,252,224 | $40,252,224 | $29,300,703 | $29,220,999 | 72.59 % |
| 2018 | Individual Long Term Care | 0.12% | $549,110 | $549,110 | $362,929 | $362,929 | 66.09 % |
| 2018 | Individual Dental | 2.21% | $3,670,113 | $3,670,113 | $2,544,100 | $2,521,093 | 68.69 % |
| 2018 | Total Group Accident & Health | 2.27% | $940,316,744 | $940,316,744 | $813,576,968 | $819,013,831 | 87.10 % |
| 2018 | Group Comprehensive Medical Expense - Small Employer | 2.00% | $178,907,742 | $178,907,742 | $145,767,854 | $157,091,011 | 87.81 % |
| 2018 | Group Comprehensive Medical Expense - Large Employer | 2.82% | $510,836,170 | $510,836,170 | $427,197,096 | $420,226,394 | 82.26 % |
| 2018 | Group Comprehensive Medical Expense - Federal Employees | 3.94% | $239,456,507 | $239,456,507 | $231,828,758 | $232,892,612 | 97.26 % |
| 2018 | Group Dental | 1.24% | $11,090,779 | $11,090,779 | $8,763,850 | $8,784,404 | 79.20 % |
| 2018 | Group Limited Benefit | 0.00% | $25,546 | $25,546 | $19,410 | $19,410 | 75.98 % |
| 2017 | Total Accident & Health | 1.98% | $1,153,454,317 | $1,153,454,317 | $923,081,659 | $921,148,927 | 79.86 % |
| 2017 | Total Individual Accident & Health | 1.35% | $298,579,623 | $298,579,623 | $227,412,053 | $220,571,678 | 73.87 % |
| 2017 | Individual Comprehensive Medical Expense | 2.16% | $251,166,521 | $251,166,521 | $193,929,654 | $186,590,617 | 74.29 % |
| 2017 | Individual Medicare Supplement | 1.87% | $42,863,827 | $42,863,827 | $30,222,878 | $30,770,383 | 71.79 % |
| 2017 | Individual Long Term Care | 0.12% | $563,529 | $563,529 | $449,354 | $449,354 | 79.74 % |
| 2017 | Individual Dental | 2.45% | $3,985,746 | $3,985,746 | $2,810,167 | $2,761,324 | 69.28 % |
| 2017 | Total Group Accident & Health | 2.14% | $854,874,694 | $854,874,694 | $695,669,606 | $700,577,249 | 81.95 % |
| 2017 | Group Comprehensive Medical Expense - Small Employer | 1.92% | $175,022,669 | $175,022,669 | $129,552,063 | $141,032,537 | 80.58 % |
| 2017 | Group Comprehensive Medical Expense - Large Employer | 2.53% | $436,206,928 | $436,206,928 | $346,982,220 | $339,829,547 | 77.91 % |
| 2017 | Group Comprehensive Medical Expense - Federal Employees | 3.79% | $233,703,477 | $233,703,477 | $211,032,013 | $211,657,809 | 90.57 % |
| 2017 | Group Dental | 1.24% | $9,941,288 | $9,941,288 | $8,098,765 | $8,052,811 | 81.00 % |
| 2017 | Group Stop Loss | 0.00% | $332 | $332 | $4,545 | $4,545 | N/A |
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 |
|---|---|---|---|---|
| 2019 | Long-Term Care Insurance | 0.22% | 0 | 0 |
| 2019 | Medicare Supplement Insurance | 4.82% | 3 | 45 |
| 2019 | Health | 8.39% | 254 | 78 |
| 2018 | Health | 6.29% | 279 | 108 |
| 2018 | Long-Term Care Insurance | 0.22% | 0 | 0 |
| 2018 | Medicare Supplement Insurance | 5.18% | 1 | 13 |
| 2017 | Health | 6.63% | 274 | 93 |
| 2017 | Long-Term Care Insurance | 0.23% | 0 | 0 |
| 2017 | Medicare Supplement Insurance | 5.40% | 2 | 24 |
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
Financial Exams
Date: 01/02/2014