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BlueCross By the Numbers

BlueCross BlueShield of Tennessee is a mission-driven, not-for-profit health plan founded in 1945. Today, we serve 3.5 million people across the state and around the country.

Here are a few fast facts about BlueCross:

How BlueCross performs

Learn more about our corporate performance, community impact, and diversity efforts by downloading our annual reports.

In 2018, we used 85 cents from every premium dollar to pay for our members’ medical needs.

BlueCross spent 85 cents from each premium dollar to pay for members' care.

Read more about how we used members’ premium dollars in 2018.

We’re a taxpaying not-for-profit, which allows us to earn lower margins but also brings a responsibility to maintain strong reserves.

Over the past five years, BlueCross has averaged a 2.1% margin.
Over the past five years, BlueCross has averaged a 2.1% margin.

Our 3.5 million members want and expect us to perform well operationally and financially. They want to know we have the financial means to cover health care claims regardless of the economy’s ups and downs. We’ve built our reserves over seven decades to provide peace of mind to our members.

As a mission-driven not-for-profit, we have a unique ability to earn smaller profit margins – averaging 2.1 percent over the past five years – and a responsibility to maintain healthy reserves. This is especially important because we don’t have access to capital markets and cannot raise funds on an as-needed basis.

The Tennessee Department of Commerce and Insurance requires that we maintain $2 billion in reserves to ensure BlueCross and its subsidiaries could pay all claims and sustain business, even in case of emergency, disaster or cyclical downturn of business. We have an additional $1 billion in unassigned reserves.

  • $267 – the amount BlueCross holds per member in total 
  • 88 – the number of days that BlueCross’ minimum required reserves could cover members’ claims
  • 60 – the number of days that BlueCross’ total reserves could cover members’ claims

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