Insurance carrier · Plan year 2024 · Form 5500 Schedule A

Blue Cross Blue Shield

Blue Cross Blue Shield appeared on 110 contracts at 98 employer health plans in plan year 2024 filings, with $308M in earned premium, ranking #26 of 1,452 carriers. Its medical contracts covered 75,126 people. Employers reported broker commissions and fees of $4.1M on those contracts, 1.3% of premium.

Premium

$308M

$239M medical

Employers

110 contracts

People covered

75,126

medical contracts, year end

Broker pay

1.3%

$4.1M · U.S. median 3.8%

Coverage lines on its contracts: health (81), prescription drug (35), dental (34), PPO (22), vision (16), stop-loss (11).

Where it writes the most

Medical premium by employer state.

$95M

$62M

$39M

$9.3M

$9.1M

$8.2M

$5.6M

$2.4M

$2.3M

$2.3M

Largest clients

Employer plans reporting the most premium with this carrier.

Employer	Premium	Participants
Automobile Mechanics' Local No. 701 Union and Industry Welfare · Illinois	$68,440,839	6,506
Trustees Teamsters and Employers Welfare Trust · Missouri	$62,019,423	4,800
Board of Trustees of Central Texas Health and Benefit Fund · New Mexico	$33,458,951	3,978
Board of Trustees of Central Illinois Carpenters Health and Welfare Fu · Illinois	$27,415,585	2,110
Trustees of Ib of T Union Local 710 Health & Welfare Fund · Illinois	$22,758,237	1,700
The Board of Trustees of Central Laborers' Welfare Fund · Illinois	$11,656,955	1,833
Board of Trustees of Sheetmetal Workers Local 91 Health and Welfare PL · Illinois	$9,875,258	1,055
Board of Trustees of Operating Engineers Local 965 Health Benefit Plan · Illinois	$9,693,626	978
Board of Trustees, Texas Iron Workers' Health Benefit Fund · Texas	$8,775,045	1,675
Board of Trustees - Iron Workers Welfare Fund · Illinois	$4,606,855	796
Arkansas Farm Bureau Federation · Arkansas	$3,994,628	414
Board of Trustees of Laborers Local 231 Health & Welfare Plan · Illinois	$3,864,582	334
The Levingston Group LLC · Louisiana	$3,753,032	248
Board of Trustees of Sheet Metal Workers 49 Family Health Plan · New Mexico	$3,549,699	792
United-Johnson Brothers of Alabama LLC · Alabama	$3,247,842	506
Hwashin America Corporation · Alabama	$3,159,317	347
First Paragould Bankshares, Inc. · Arkansas	$2,748,190	243
Uftring Chevrolet, Inc · Illinois	$2,306,517	290
Valley Corporation · Nebraska	$2,291,621	153
Valluzzo Companies LLC · Louisiana	$1,893,011	228
Mayco International · Michigan	$1,795,936	1,908
Blackhawk Bank & Trust · Illinois	$1,786,855	217
Paradise Foods, Inc. Cafeteria Plan · Mississippi	$1,752,223	280
Aztec Well Servicing Company · New Mexico	$1,582,827	139
Dsi Security Services · Alabama	$1,577,418	237

Filed under 8 spellings, including Blue Cross Blue Shield; Bluecross Blueshield; Blue Cross/Blue Shield; Blue Cross, Blue Shield; BCBS; Blue Cross & Blue Shield; and others; this page adds them together.

Source: DOL Form 5500 Schedule A, plan year 2024; built October 24, 2026. One insurer's filed spellings (for example "Blue Cross Blue Shield", "BlueCross BlueShield" and "Blue Cross and Blue Shield" of the same state) are grouped on one page; different state plans stay separate.

How many employer health plans does Blue Cross Blue Shield insure?

Blue Cross Blue Shield was named on 110 insurance contracts at 98 employers with 100 or more participants in plan year 2024 filings, with $308,318,552 in earned premium and 75,126 people covered on medical contracts.

How much do brokers earn on Blue Cross Blue Shield contracts?

Employers reported $4,069,084 in broker commissions and fees on Blue Cross Blue Shield contracts, 1.3% of premium. The all-carrier median on fully insured medical plans is 3.8%.

Where is Blue Cross Blue Shield strongest?

By medical premium, its largest states are Illinois, Missouri, New Mexico.