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How we’ve grown

We’ve built a solid foundation reinforced by diversifies experiences and proven results.


  • Blue Cross Association is created and forms the first national Blue company, Health Service, Inc. (HSI), a life insurance company


  • Blue Shield Association is created and forms a similar national Blue entity, Medical Indemnity of America (MIA), a property and casualty insurance company
  • HSI and MIA merge operations, becoming known as HSI-MIA


  • HSI-MIA issues the first national Blue hospital contracts for the automotive and telecom industries, creating national account standards for the Blue System


  • HSI-MIA pioneers vision, dental, and chiropractic benefits for national accounts


  • BCS Financial Corporation (BCS) is created to own HSI-MIA
  • HSI is renamed BCS Life Insurance Company (BCSL) and MIA is renamed BCS Insurance Company (BCSI)


  • BCS develops BCBS Organ and Bone Marrow Transplant Pool
  • BCS launches Group Universal Life program for Blue employees
  • BCS forms BCBS Professional Liability Program, utilizing Plans’ Liability Insurance Company
  • BCS underwrites healthcare coverage for the 1984 and 1988 U.S. Olympic Teams


  • BCS creates Medical Stop Loss insurance program
  • BCS begins administering Plan Investment Fund
  • BCS introduces Agent Errors & Omissions program


  • BCS develops industry-leading limited benefit program EssentialCare
  • BCSL becomes 4 Ever Life Insurance Company and is awarded two special purpose BCBS underwriting licenses
  • BCS invests in, and begins underwriting, GeoBlue international healthcare
  • BCS launches Ancilyze, an ancillary optimization service


  • BCS creates 4 Ever Life International Limited to expand GeoBlue availability
  • BCS launches BCS Re, a segregated-cell captive
  • BCS invests in LifeSecure Insurance Company to advance ancillary growth strategy
  • BCS introduces new Cyber Liability solutions