2024 marked BCS’s 75th year in business as the only entity owned, governed, and capitalized by all Blue Plans. Through those 75 years, our mission has remained constant – to Make Blue Stronger. Today, all Plans face challenges with affordability, access, and increasing competition. Our purpose is to turn these market challenges into growth opportunities for the Blues by delivering Blue-owned solutions that harness their collective scale, power, and innovative spirit.

We delivered on that purpose in 2024. Launching our innovative Gene Therapy Stop Loss and Reinsurance solutions helped Plans demonstrate market leadership while protecting and growing their fully insured and self-funded business. It leverages the scale of 15 Blue Plans and the capabilities of the Synergie Medication Collective. We expanded the number of Blue Plans distributing our supplemental health solutions, enabling them to protect and grow their core group business. Our longstanding partnership with GeoBlue provides market-leading global solutions, strengthening the Blues’ reach and competitive position.

While creating strategic value through new and innovative solutions, we also delivered strong financial performance for our shareholders. Gross Written Premium grew 14% to $988M, generating an operating income of $20M, representing a 5.3% return on equity. These results allow us to continually invest in the innovation and growth needed to support our Blue mission.

This success doesn’t happen without our most valuable resource: a creative, talented, and motivated team that lives our values and delivers results. We feel good that our voluntary turnover rate is below the national average, and we’ve been able to recruit for growth successfully. This shows that our people are excited about what we do and the culture we’ve created.

The challenges and threats facing the Blues are opportunities for us to serve and grow. We believe we’re well-positioned to turn market challenges into Blue growth and innovation opportunities. We will continue to deliver new solutions that leverage the Blues’ collective strength for the Blues’ collective success. Making Blue Stronger – it’s what we do.

Yours in health,