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|Mutual Legal Reserve Company|
|Industry||Managed health care|
|Headquarters||Blue Cross Blue Shield Tower|
Chicago, Illinois, US
|Paula Steiner, Chairman and CEO; Eric A. Feldstein Chief Financial Officer and Senior Vice President|
|Products||Health plans; group, disability, life insurance|
Number of employees
Health Care Service Corporation (HCSC) is a member owned health insurance company in the United States. HCSC was formerly known as Hospital Service Corporation and changed its name to Health Care Service Corporation in 1975. The company was founded in 1936 and is based in Chicago, Illinois with a network of offices in the United States. Health Care Service Corporation is the licensee of the Blue Cross and Blue Shield Association for 5 states. It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas.
HCSC is the 4th largest health insurer in the US overall and employs more than 22,000 people. It serves nearly 15 million members. HCSC offers group life, disability, and dental solutions, as well as a range of other individual solutions. The company also provides various care management and wellness resources.
Geographical area of operations
HCSC's membership was approximately 15.3 million as of June 30, 2018. HCSC's revenue continues to be concentrated in Illinois and Texas, accounting for 83% of premium for the full year 2017. The company's next largest state in terms of premiums is Oklahoma, accounting for approximately 9% of premium. 
As of 2014[update], HCSC was the country's largest nonpublic health insurer and the fourth-largest health insurer overall, with more than 14 million members. HCSC's membership was approximately 15.3 million at June 30, 2018. HCSC's revenue continues to be concentrated in Illinois and Texas, accounting for 83% of premium for the full year 2017. 
In 2010 HCSC nearly doubled its income to $1.09 billion, and began "a streak of billion-dollar profits for 4 straight years". Between 2009 and 2013, HCSC's five-year average of return on capital was 10.5%. During 2014 HCSC profits decreased "from medical losses and expenses associated with the company's aggressive addition of members sourced from ACA exchanges". Yet in 2015, Fitch Ratings assessed its financial strength still at 'A+' and gave it an 'A' for likelihood of default and senior unsecured rating. Finch stated that "lack of geographic diversification has historically kept HCSC out of the 'AA' rating category and that HCSC would be downgraded if it were no longer to market itself as a Blues plan.
HCSC reported a strong underwriting profit in 2017 after losses related to Affordable Care Act (ACA) exchange-sourced business in 2014 and 2015. The company reported annualized return on capital of greater than 40% through the first half of 2018, where achieving a high single-digit ROC would be consistent with Fitch's median guideline for the current rating category. An income tax benefit related to the enactment of the Tax Cuts and Jobs Act equal to $833 million contributed to the sizeable ROC ratio during the first half of 2018. Results are expected to moderate somewhat during the second half of 2018 as policyholders exhaust their deductibles and HCSC pays a greater percentage of claims.
- Fitch Ratings (February 17, 2015). "Fitch Affirms Health Care Service Corporation's Ratings". Reuters. Retrieved 25 May 2015.
- "Press Release". www.fitchratings.com.
- "Blue Cross parent boosts profit in second quarter". Crain's Chicago Business. Crain Communication, Inc. 3 September 2013. Retrieved 18 December 2014.
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