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:

D419791


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 0.94% $1,035,492,699 $1,035,492,699 $886,849,492 $877,950,045 84.79 %
2018 Total Individual Accident & Health 0.29% $95,175,955 $95,175,955 $73,272,524 $58,936,214 61.92 %
2018 Individual Comprehensive Medical Expense 0.41% $50,704,508 $50,704,508 $41,064,792 $26,831,193 52.92 %
2018 Individual Medicare Supplement 0.92% $40,252,224 $40,252,224 $29,300,703 $29,220,999 72.59 %
2018 Individual Long Term Care 0.06% $549,110 $549,110 $362,929 $362,929 66.09 %
2018 Individual Dental 1.15% $3,670,113 $3,670,113 $2,544,100 $2,521,093 68.69 %
2018 Total Group Accident & Health 1.18% $940,316,744 $940,316,744 $813,576,968 $819,013,831 87.10 %
2018 Group Comprehensive Medical Expense - Small Employer 1.04% $178,907,742 $178,907,742 $145,767,854 $157,091,011 87.81 %
2018 Group Comprehensive Medical Expense - Large Employer 1.46% $510,836,170 $510,836,170 $427,197,096 $420,226,394 82.26 %
2018 Group Comprehensive Medical Expense - Federal Employees 2.05% $239,456,507 $239,456,507 $231,828,758 $232,892,612 97.26 %
2018 Group Dental 0.65% $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 2.09% $1,153,454,317 $1,153,454,317 $923,081,659 $921,148,927 79.86 %
2017 Total Individual Accident & Health 1.44% $298,579,623 $298,579,623 $227,412,053 $220,571,678 73.87 %
2017 Individual Comprehensive Medical Expense 2.26% $251,166,521 $251,166,521 $193,929,654 $186,590,617 74.29 %
2017 Individual Medicare Supplement 1.98% $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 2.55% $3,985,746 $3,985,746 $2,810,167 $2,761,324 69.28 %
2017 Total Group Accident & Health 2.22% $854,874,694 $854,874,694 $695,669,606 $700,577,249 81.95 %
2017 Group Comprehensive Medical Expense - Small Employer 2.01% $175,022,669 $175,022,669 $129,552,063 $141,032,537 80.58 %
2017 Group Comprehensive Medical Expense - Large Employer 2.62% $436,206,928 $436,206,928 $346,982,220 $339,829,547 77.91 %
2017 Group Comprehensive Medical Expense - Federal Employees 3.93% $233,703,477 $233,703,477 $211,032,013 $211,657,809 90.57 %
2017 Group Dental 1.29% $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 1.92% $1,111,423,620 $1,111,423,620 $916,621,864 $908,863,874 81.77 %
2016 Total Individual Accident & Health 1.47% $316,215,948 $316,215,948 $279,635,675 $296,370,731 93.72 %
2016 Individual Comprehensive Medical Expense 2.16% $269,680,738 $269,680,738 $246,762,116 $263,626,990 97.76 %
2016 Individual Medicare Supplement 1.99% $41,738,552 $41,738,552 $29,734,909 $29,600,157 70.92 %
2016 Individual Long Term Care 0.13% $592,527 $592,527 $471,310 $471,310 79.54 %
2016 Individual Dental 2.66% $4,204,131 $4,204,131 $2,667,340 $2,672,274 63.56 %
2016 Total Group Accident & Health 2.19% $795,207,672 $795,207,672 $636,986,189 $612,493,143 77.02 %
2016 Group Comprehensive Medical Expense - Small Employer 1.88% $164,175,636 $164,175,636 $125,547,554 $128,132,449 78.05 %
2016 Group Comprehensive Medical Expense - Large Employer 2.60% $390,219,016 $390,219,016 $300,273,576 $293,615,156 75.24 %
2016 Group Comprehensive Medical Expense - Federal Employees 3.98% $226,748,040 $226,748,040 $200,298,318 $200,075,211 88.24 %
2016 Group Dental 1.30% $10,037,709 $10,037,709 $7,757,056 $7,608,466 75.80 %
2016 Group Stop Loss 0.31% $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.

Link to Enforcements Page


Complaint Index

Year Line Market Share Number of Complaints Complaint Index
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
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:

Effective Date: 07/30/2019

Comments:


Market Conduct

Date: 11/15/2010

BlueCrossKCOrderofDirector.pdf

Date: 09/23/2010

BlueCrossKCStipulation.pdf

Date: 07/07/2010

BCBSKCCoResp.pdf

Date: 08/06/2010

BCBSKCSuppCoResp.pdf

Date: 10/15/2010

Date: 07/30/2019

BCBSKC719.pdf


Financial Exams

Date: 01/02/2014

BCBSLtrOdr.pdf