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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 64141-6169
Description:
Health Maintenance Organization
License Number:
D1239240
Date Admitted:
2001-03-12
Market Share
Link to Supplemental Data Page
| Year | Line | Market Share | Direct Premium Earned | Direct Premium Written | Direct Losses Paid | Direct Losses Incurred | Loss Ratio |
|---|---|---|---|---|---|---|---|
| 2018 | Total Accident & Health | 1.93% | $1,035,492,699 | $1,035,492,699 | $886,849,492 | $877,950,045 | 84.79 % |
| 2018 | Total Individual Accident & Health | 0.58% | $95,175,955 | $95,175,955 | $73,272,524 | $58,936,214 | 61.92 % |
| 2018 | Individual Comprehensive Medical Expense | 0.84% | $50,704,508 | $50,704,508 | $41,064,792 | $26,831,193 | 52.92 % |
| 2018 | Individual Medicare Supplement | 1.93% | $40,252,224 | $40,252,224 | $29,300,703 | $29,220,999 | 72.59 % |
| 2018 | Individual Long Term Care | 0.13% | $549,110 | $549,110 | $362,929 | $362,929 | 66.09 % |
| 2018 | Individual Dental | 2.40% | $3,670,113 | $3,670,113 | $2,544,100 | $2,521,093 | 68.69 % |
| 2018 | Total Group Accident & Health | 2.43% | $940,316,744 | $940,316,744 | $813,576,968 | $819,013,831 | 87.10 % |
| 2018 | Group Comprehensive Medical Expense - Small Employer | 2.13% | $178,907,742 | $178,907,742 | $145,767,854 | $157,091,011 | 87.81 % |
| 2018 | Group Comprehensive Medical Expense - Large Employer | 3.02% | $510,836,170 | $510,836,170 | $427,197,096 | $420,226,394 | 82.26 % |
| 2018 | Group Comprehensive Medical Expense - Federal Employees | 4.27% | $239,456,507 | $239,456,507 | $231,828,758 | $232,892,612 | 97.26 % |
| 2018 | Group Dental | 1.32% | $11,090,779 | $11,090,779 | $8,763,850 | $8,784,404 | 79.20 % |
| 2018 | Group Limited Benefit | 0.01% | $25,546 | $25,546 | $19,410 | $19,410 | 75.98 % |
| 2017 | Total Accident & Health | 2.15% | $1,153,454,317 | $1,153,454,317 | $923,081,659 | $921,148,927 | 79.86 % |
| 2017 | Total Individual Accident & Health | 1.47% | $298,579,623 | $298,579,623 | $227,412,053 | $220,571,678 | 73.87 % |
| 2017 | Individual Comprehensive Medical Expense | 2.32% | $251,166,521 | $251,166,521 | $193,929,654 | $186,590,617 | 74.29 % |
| 2017 | Individual Medicare Supplement | 2.09% | $42,863,827 | $42,863,827 | $30,222,878 | $30,770,383 | 71.79 % |
| 2017 | Individual Long Term Care | 0.13% | $563,529 | $563,529 | $449,354 | $449,354 | 79.74 % |
| 2017 | Individual Dental | 2.66% | $3,985,746 | $3,985,746 | $2,810,167 | $2,761,324 | 69.28 % |
| 2017 | Total Group Accident & Health | 2.28% | $854,874,694 | $854,874,694 | $695,669,606 | $700,577,249 | 81.95 % |
| 2017 | Group Comprehensive Medical Expense - Small Employer | 2.05% | $175,022,669 | $175,022,669 | $129,552,063 | $141,032,537 | 80.58 % |
| 2017 | Group Comprehensive Medical Expense - Large Employer | 2.69% | $436,206,928 | $436,206,928 | $346,982,220 | $339,829,547 | 77.91 % |
| 2017 | Group Comprehensive Medical Expense - Federal Employees | 4.10% | $233,703,477 | $233,703,477 | $211,032,013 | $211,657,809 | 90.57 % |
| 2017 | Group Dental | 1.31% | $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 |
| 2016 | Total Accident & Health | 1.97% | $1,111,423,620 | $1,111,423,620 | $916,621,864 | $908,863,874 | 81.77 % |
| 2016 | Total Individual Accident & Health | 1.50% | $316,215,948 | $316,215,948 | $279,635,675 | $296,370,731 | 93.72 % |
| 2016 | Individual Comprehensive Medical Expense | 2.21% | $269,680,738 | $269,680,738 | $246,762,116 | $263,626,990 | 97.76 % |
| 2016 | Individual Medicare Supplement | 2.09% | $41,738,552 | $41,738,552 | $29,734,909 | $29,600,157 | 70.92 % |
| 2016 | Individual Long Term Care | 0.14% | $592,527 | $592,527 | $471,310 | $471,310 | 79.54 % |
| 2016 | Individual Dental | 2.77% | $4,204,131 | $4,204,131 | $2,667,340 | $2,672,274 | 63.56 % |
| 2016 | Total Group Accident & Health | 2.25% | $795,207,672 | $795,207,672 | $636,986,189 | $612,493,143 | 77.02 % |
| 2016 | Group Comprehensive Medical Expense - Small Employer | 1.92% | $164,175,636 | $164,175,636 | $125,547,554 | $128,132,449 | 78.05 % |
| 2016 | Group Comprehensive Medical Expense - Large Employer | 2.67% | $390,219,016 | $390,219,016 | $300,273,576 | $293,615,156 | 75.24 % |
| 2016 | Group Comprehensive Medical Expense - Federal Employees | 4.14% | $226,748,040 | $226,748,040 | $200,298,318 | $200,075,211 | 88.24 % |
| 2016 | Group Dental | 1.33% | $10,037,709 | $10,037,709 | $7,757,056 | $7,608,466 | 75.80 % |
| 2016 | Group Stop Loss | 0.32% | $4,027,271 | $4,027,271 | $3,109,685 | $-16,938,139 | -420.59 % |
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 |
|---|---|---|---|---|
| 2018 | Long-Term Care Insurance | 0.23% | 0 | 0 |
| 2018 | Medicare Supplement Insurance | 5.40% | 2 | 24 |
| 2018 | Health | 6.63% | 274 | 93 |
| 2017 | Health | 6.63% | 274 | 93 |
| 2017 | Long-Term Care Insurance | 0.23% | 0 | 0 |
| 2017 | Medicare Supplement Insurance | 5.40% | 2 | 24 |
| 2016 | Health | 6.31% | 263 | 88 |
| 2016 | Long-Term Care Insurance | 0.24% | 0 | 0 |
| 2016 | Medicare Supplement Insurance | 5.46% | 2 | 23 |
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: 01/02/2014
Comments:
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.
Effective Date: 11/15/2010
Comments:
Effective Date: 09/23/2010
Comments:
Effective Date: 07/07/2010
Comments:
Effective Date: 08/06/2010
Comments:
Effective Date: 10/15/2010
Comments:
Market Conduct
Date: 11/15/2010
BlueCrossKCOrderofDirector.pdf
Date: 09/23/2010
Date: 07/07/2010
Date: 08/06/2010
Date: 10/15/2010
Financial Exams
Date: 01/02/2014