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Health Care Service Corporation (HCSC)

Health Care Service Corporation

90Score
★★★☆☆3.7

Customer satisfaction · 17.0M members

AM Best: A+ (Superior)(2025)

HCSC is the largest customer-owned (mutual) health insurer in the US, operating Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. With an AM Best A+ (Superior) rating, profits are reinvested for members rather than distributed to shareholders.

Overall Score

90/100

Founded

1936

Headquarters

Chicago, Illinois

Type

private
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Key Metrics

Am Best Rating

A+ (Superior)

Network Size

BCBS network across 5 states

Structure

Customer-owned (mutual), not publicly traded

Editorial Ratings

AM Best: A+ (Superior)(2025)

Rating: A+ (Superior) (max: A++ (Superior))

90AM

Coverage Highlights

  • ✓Largest customer-owned (mutual) health insurer in the US
  • ✓Operates BCBS plans in Illinois, Montana, New Mexico, Oklahoma, and Texas
  • ✓Profits reinvested for members (not-for-profit structure)
  • ✓Superior AM Best financial strength rating (A+)
  • ✓Comprehensive product line from individual to large employer

Pros

  • ✓Customer-owned structure means profits benefit members, not shareholders
  • ✓BCBS brand provides strong provider network access
  • ✓Superior AM Best financial strength rating
  • ✓Stable, conservative management

Cons

  • ✗Limited to 5 states (Illinois, Montana, New Mexico, Oklahoma, Texas)
  • ✗Less innovation in digital tools compared to larger competitors
  • ✗Less national visibility

Frequently Asked Questions

What makes HCSC different from other insurers?

HCSC is the largest customer-owned (mutual) health insurer in the US. Unlike publicly traded competitors, HCSC reinvests profits for members rather than distributing them to shareholders.

Which states does HCSC operate in?

HCSC operates Blue Cross Blue Shield plans in five states: Illinois, Montana, New Mexico, Oklahoma, and Texas.

What is HCSC's financial strength rating?

HCSC holds an AM Best Financial Strength Rating of A+ (Superior), the second-highest possible rating.

Quick Summary

InsurerHealth Care Service Corporation (HCSC)
Country🇺🇸 United States
Overall Score90/100
Satisfaction3.7/5
Members17.0M
Typeprivate
Founded1936

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