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Partnerships For A Healthier Oklahoma Annual Report 2004

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Page 1: Print annual report rev · 2009-11-14 · member claims and administrative costs. In 2004, we processed 11.8 million claims, totaling $800 million in claims paid. Rising membership

PartnershipsFor A

Healthier

Oklahoma

Annual Report2004

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From the Chairman, CEO and President

Lead

NNo one person or organization can do

it alone. But when people join forces for a

healthy cause, then great things can happen.As an

employee of Blue Cross and Blue Shield

of Oklahoma and its Family of Companies for

25 years and leader of the organization for the past

8 years, I believe one of our major strengths lies in

the partnerships we foster for the health of our

members – partnerships with employers, health

care providers and communities across the state.

As a not-for-profit and the state’s largest

private health insurer, Blue Cross and Blue Shield

of Oklahoma is uniquely positioned to work with

health care providers, employers, state agencies,

elected officials and communities to improve the

health of every Oklahoman. We take our charge

seriously and are committed to improving the

health of our members while helping to get the

most value for every health care dollar.

Rising health care costs continue to be a

primary concern. A major driver of

health care costs is the number of times

our citizens access the health care system.

Unfortunately, Oklahoma is not a healthy

state. That’s why it is important we continue to

implement disease management programs and

consumer-driven health care products that focus

on preventive health, the need to continue to

improve medical outcomes and encourage

members to live a higher quality of life.Through

disease management, our nurse managers

work with members, their physicians and other

health care organizations to manage chronic

illnesses. These innovative programs encourage

members to learn to manage their own health,

minimizing potential complications and reducing

medical costs through fewer visits to emergency

rooms and hospitals.

Health awareness and prevention continue to

be the keys to improving the health of Oklahoma

and ultimately slowing health care cost increases.

Blue Cross and Blue Shield of Oklahoma

programs address the state’s major health

concerns, affecting change to a healthier lifestyle

for even some of our youngest populations. Our

Childhood Obesity Prevention program educates

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“”

I believe that one of our major strengths lies in the partnerships we foster for the health of our members – partnerships with

employers, health care providers and communities across the state.RONALD F. KING

1adership

children and their families on the benefits of a healthy diet.

Our Caring Vans entered the fifth year of providing thousands

of immunizations to Oklahoma children in economically

disadvantaged areas. Our efforts to reduce the use of tobacco

continued with a new program, the Don’t Start Smoking

Storyboard Contest, an educational campaign for young students

to show other Oklahoma kids why they should never

start smoking.

We strengthened our ties throughout the state with

initiatives such as the 2004 Champions of Health jointly

sponsored by Blue Cross and Blue Shield of Oklahoma with the

Oklahoma State Department of Health, the Oklahoma Hospital

Association, the Oklahoma Osteopathic Association, and the

Oklahoma State Medical Association. Champions from around

the state were recognized for their commitment to improve

Oklahoma’s health status.

Efforts to improve health would not be possible without

healthy financials and the dedicated efforts of our associates.

We continue to serve more members cost effectively by

controlling our administrative and claims costs while

streamlining our processes. Our Special Investigations Unit

identified $3.3 million in savings this year in claims that would

have been paid if we were not actively pursuing inappropriate or

inaccurately filed claims. This unit serves as an advocate and

intermediary in helping to solve problems and educate members,

associates and health care providers on claims filing, coding

practices and billing procedures.

Blue Cross and Blue Shield of Oklahoma and its

Family of Companies membership levels remained

stable despite the downsizing of several large Oklahoma

companies. Contingency reserves rose to $208.6 million, which

represents 2.8 months of much needed risk protection for

member claims and administrative costs. In 2004, we

processed 11.8 million claims, totaling $800 million in claims

paid. Rising membership levels and the increasing cost

of health care demand that we continue to build strong

reserves to protect members and ensure our responsiveness

to their needs.

Our efforts to build service excellence and overall

strength resulted in receiving another top rating –

Excellent – from the national Blue Cross and Blue Shield

Association.The Brand Excellence Award is given annually

to only top performing Blue Plans and this is the Family of

Companies’ sixth time to be honored.

In the pages that follow, we will introduce you to

some very special people and programs – from members,

to physicians and community partners. The people you

are about to meet are a reflection of our commitment

to excellence.

Blue Cross and Blue Shield of Oklahoma and its Family

of Companies pledge to continue to make a healthy

difference in the lives of our members. In the coming

years, we will further develop partnerships and avenues

for Oklahomans to navigate the sometimes complex

health care system and access the best possible care in the

most efficient manner.Together, we will do great things for

the health of all Oklahomans.

Ronald F. King

Chairman, Chief Executive Officer and President

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Involveme

“ ”Our eating habits have changed drastically and we are

much more active. I can keep up with my kids now.MELISSA O’NEIL

CLAIMS EXAMINER

LOST 73 POUNDS

2

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Being an active and effective health care partner has led

Blue Cross and Blue Shield of Oklahoma to look outside the

traditional role of insurance and develop innovative programs that

encourage good health.We believe that an important part of our

job today is to help our members get well, stay healthy and manage

long-term or chronic health conditions which ultimately help

manage the rising cost of health care.

The “weight” for leading a healthier life is over for

Melissa O’Neil. Melissa lost 73 pounds this past year. Her

incentive was that she was turning 36-years-old and having

trouble breathing.

“Everything just clicked and I decided I wanted to lose the extra

weight, so I enrolled in Weight Watchers and started exercising.

It really is an easy program and became a habit pretty quickly for

me – watching what I eat and exercising,” says Melissa, a claims

examiner with Blue Cross and Blue Shield of Oklahoma for the

past three years.

Members of the Family of Companies receive discounts on

Weight Watchers memberships. Blue Cross and Blue Shield

of Oklahoma employees receive their first 15-week session free

of charge. Weight Watchers also hosts meetings on site several

times a day at Blue Cross and Blue Shield of Oklahoma offices in

Tulsa and Oklahoma City.

With two children, ages 12 and 14 years old, Melissa enjoys

being more active and plans to keep up the program even though

she has met her goal. “I used to be a real couch potato before and

we ate a lot of fast food. Our eating habits have changed drastically

and we are much more active. I can keep up with my kids now.”

Obesity has become a significant threat to the public’s health,

with 129 million of the 292 million Americans overweight or

obese. Oklahoma, unfortunately, is keeping pace with the rest of

the nation. Overweight children are at much greater risk for being

obese as adults.The numbers are growing. Nationally, 15 percent

of children ages 6 to 19 were overweight in 2000 compared to a 5

percent estimate in 1970.1

Blue Cross and Blue Shield of Oklahoma and its Family

of Companies recognizes its responsibility for helping

members lose those extra pounds and incorporates

wellness and fitness incentives into many of our

programs. WalkingWorkssm is a fitness program offering

low-cost pedometers and instructional materials for

individuals and for self-funded and fully-insured

employer groups. The Oklahoma Caring Foundation’s

Childhood Obesity program strives to help families

recognize the benefits of making healthy diet choices.

Increased awareness of the benefits of exercise and a

healthy diet can assist in reducing our “super sized” state.

In its fifth year of operation, our health

promotion programs identify members as early

as possible with chronic conditions such as

diabetes, asthma, congestive heart failure and coronary

artery disease. Highly skilled nurses coach members to

follow physicians’ treatment plans, encourage members

to meet their individual goals, and assist members

with other educational needs and measurement tools

necessary to be successful.

For Robbie Foster, Oklahoma City resident and long-

time member of Blue Cross and Blue Shield of Oklahoma,

the efforts made through the disease management program

brought her out of her denial about having diabetes.

“I was told in 1990 that I had diabetes, but I didn’t believe

it at the time because I wasn’t having any really bad symptoms.

“ ”I find it so refreshing to have my insurance

company involved in prevention. That phonecall really made a difference in my life.

ROBBIE FOSTER

OKLAHOMA CITY MEMBER OF THE

DIABETES DISEASE MANAGEMENT PROGRAMment

3

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Then it got worse and I started taking medication

– in secret because I was ashamed and thought I

had caused this to happen. A little more than a

year ago Blue Cross and Blue Shield of Oklahoma

sent me some literature in the mail and later

called to suggest I attend this class on diabetes.”

It was through education that Robbie learned

there was no reason for her guilt and that she

could control any further harmful effects through

proper monitoring and care. She reports she

has better control over her diabetes today and

checks her blood sugar levels regularly with the

glucose meter provided to her by Blue Cross and

Blue Shield of Oklahoma.

“It was just a real eye-opener to me

to realize that I didn’t have diabetes

because I was a bad person and that I could

change the course of what could happen. I find it

so refreshing to have my insurance company

involved in prevention. That phone call really

made a difference in my life.”

There are 18.2 million people in the United

States who suffer from diabetes.While an estimated

13 million have been diagnosed, unfortunately, 5.2

million people (or nearly one-third) are unaware

that they have the disease.2 In Oklahoma, diabetes is

the fifth leading cause of death for adults 55 years of

age and older and the third leading cause for our

Native American and African American population.3

By working together we know we can

make a difference. Blue Cross and Blue Shield

of Oklahoma works with members’ physicians as

well as agencies such as the American Diabetes

Association, the American Lung Association and

the American Heart Association to ensure

members are provided the latest and most useful

information to manage their illnesses better.

Dr. Tobie Bresloff, endocrinologist with

Oklahoma Heart Institute in Tulsa, believes that

programs like those offered through Blue Cross

and Blue Shield of Oklahoma can make an impact

on the overwhelming effects of diabetes and other

chronic illnesses.

“I think these programs are wonderful

because they provide the information and

educational opportunities our patients

need, which as physicians we don’t have the time

to provide.A deeper understanding of the disease

can make it easier for the patient to see the

importance of taking certain steps in the process

of getting better.The more involved a patient is in

his own care, the better the outcomes are.”

More than 16,000 members of the Blue Cross

and Blue Shield of Oklahoma Family of Companies

participate in disease management programs that

educate members to take a more active role in

managing their own health and that help them

improve their quality of life.

Data collected indicate that, in addition to

having a measurable positive effect on the health

of our members, these programs have led to

declines in other costly health care expenditures

such as emergency room visits and hospital

admissions. Some $2.5 million in savings could be

traced to improvements in management of

diabetes, asthma and congestive heart failure in

2003 data analysis. The coronary artery disease

program is the newest program, having begun in

late 2003.

1 American Diabetes Association, 20042 U.S. Department of Health and Human Services, September 2003 3 Oklahoma Department of Health, State of the State’s Health 2004

“ ”The more involved a patient is in his

own care, the better the outcomes are.DR. TOBIE BRESLOFF

ENDOCRINOLOGIST

OKLAHOMA HEART INSTITUTE

4

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“ ”It’s a great way of helping both the company and

our employees to control health care expenses.LARRY WAGNER

SENIOR VICE PRESIDENT

BANK OF OKLAHOMA

Inno

Keeping health care costs down requires

an investment and commitment from

everyone – consumers, providers and insurers

alike. As employers and individuals continue to

balance their health benefits with the cost of those

benefits, Blue Cross and Blue Shield of Oklahoma

partners with employers and health care

providers to offer quality health plan options that

offer value.

A new consumer-driven Blue plan offers

employers the opportunity to raise the awareness

of health coverage costs while still providing

excellent benefits. Employees are given the health

and financial information, as well as the

responsibility to make informed decisions about

their health care. This can decrease their overall

out-of-pocket expenses.

Incentives for prevention and wellness

maximize the effectiveness of the employer and

employee contributions and expenses. Each

consumer-driven health plan is specifically

designed to fit the employer’s and employees’

health care needs, incorporating health care

reimbursement accounts, a health insurance plan

with a wide range of deductible and network

options, and online health information resources

to assist members in making the health care

decisions they face every day.

Bank of Oklahoma was one of the

first self-funded companies in the

state to offer employees this option.

According to Larry Wagner, senior

vice president and director of human

resources for BOk, the new plan

has been met with overwhelming

approval. More than 40 percent of

the 3,700 employees chose the plan

that gave them more flexibility and

responsibility for managing their

health care dollar.

“The response was excep-

tionally good and Blue Cross

and Blue Shield of Oklahoma

has been a great partner

through the whole process. I

believe there are some very attractive

components to the program that

allow our employees to make

decisions about their own health care spending.

“Blue Cross and Blue Shield of Oklahoma

provides the tools and support with online

medical information to help with those decisions.

It’s a great way of helping both the company and

our employees to control health care expenses.

It’s proven to be very cost effective and a win/win

situation for everyone.”

6

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The Family of Companies’ history reflects our focus on providing

affordable avenues for individuals and small companies. The

second account for our newly established health plan in 1940 was

the Tulsa Chamber of Commerce. Today almost 1,000 small

companies are covered through plans with the Oklahoma City

and Tulsa chambers.

Tracey Rider, with Consumer Credit Counseling Services in

Oklahoma City, knows how difficult it can be to find quality

health care insurance at an affordable price for employees of a

small company. Faced with high premiums that continued

to escalate, the not-for-profit agency was searching for a new

insurance plan about three years ago when they read about

a new Blue Cross and Blue Shield of Oklahoma product called

Chamber Choice.

“With Chamber Choice we were able to be covered under a

much larger umbrella that allowed us to keep our premiums at a

tolerable level. By pooling together as a group, we help everyone

by spreading the risk that helps to lower the cost.

“We are happy to be a part of Chamber Choice. It allows us to

provide the kind of benefit to employees that, as a small non-

profit, we would not otherwise be able to afford.”

The Family of Companies serves as one source for all

insurance needs offering a wide range of benefit plans for

groups and individuals including:

BlueLincs HMO, a group health maintenanceorganization plan

BlueChoice PPO®, and BluePreferred® PPO,group preferred provider organization plans

Blue Traditional®, a traditional health benefit planfor groups

BlueOptions® PPO, a reduced-premium grouphealth plan with three provider networks

HSA Blue, a high-deductible group health insuranceplan coupled with a tax-free health savings account

Health Check HSA, a high-deductible individualhealth insurance plan coupled with a tax-free healthsavings account

Health Check Select Care and Children’sMajor Medical, an individual health plan forindividuals birth through age 64

Plan 65 and Blue Plan65 Select, individualMedicare supplemental insurance for Oklahomansage 65 and older

Health Reimbursement Accounts (HRAs),employer-funded plans for employer groups

Dental – Individual and group plans with newlyexpanded coverage for restorative services

Life, Disability, Critical Illness, OccupationalAccident – through Member Service Life InsuranceCompany, a wholly owned subsidiary of Blue Crossand Blue Shield of Oklahoma

Auto, Home, Property and Other PersonalInsurance – through GHS Property and CasualtyInsurance, a wholly owned subsidiary of Blue Crossand Blue Shield of Oklahoma

BlueWorks – a certified workplace medical plan forcost-effective workers’ compensation programs

“ ”With Chamber Choice we were able to be covered under a much larger

umbrella that allowed us to keep our premiums at a tolerable level.TRACEY RIDER

OKLAHOMA CITY

CONSUMER CREDIT COUNSELING SERVICES

novation 7

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Com“ ”Poor health habits have economic costs,

human costs and business repercussions.2005 STATE OF THE STATE’S HEALTH REPORT

OKLAHOMA STATE BOARD OF HEALTH

D-F+

In an annual report card onOklahoma’s health, the statefailed to make the grade:

8

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The Family of Companies’ efforts to increase awareness

of health issues grew in 2004 as new community

initiatives were developed throughout the state. Blue Cross and

Blue Shield of Oklahoma addresses the educational and human

enrichment needs of Oklahoma communities – particularly those

of our youth, the indigent and the uninsured.

An understanding of the cause of rising costs and the role

consumers play is essential in controlling rising health care

costs. Rodd Wellington, a high school government teacher

from Vanoss Public Schools, understands the role consumers have

in improving Oklahoma’s health. He put it to the “test” recently

at the area rural community school of 500 students located near

Ada, Oklahoma.

“We read that Oklahoma

had received so many ‘Fs’

on the state’s health report

card this year and decided

we wanted to do some-

thing to change it. My

high school civics classes were

challenged to come up with

research and programming to

present to the younger grades

about smoking,” Wellington

explained.

Students contacted Blue Cross

and Blue Shield of Oklahoma about the Don’t Start program

and requested that “Blaze,” the program’s mascot, attend and be a

part of their presentations to the elementary students. The

program is co-sponsored by the American Lung Association,

Cox Communications and the Oklahoma State Department

of Education.

“I think the high school students who did the research and

made the presentations got as much out of the assignments as the

kids who attended.We had one young man say he quit smoking

after researching the statistics and seeing the effects of smoking.

Blaze was a big hit with the younger children.”

Involvement within Oklahoma communities moves our

educational efforts into action. More than one in four

Oklahoma children under the age of two are not fully

immunized against catastrophic diseases and The Oklahoma

Caring Van Program seeks to impact and change those statistics.

Working with a licensed nurse from the Health Department,

the program administers free immunizations to children in

licensed child care centers and homes, schools and public

locations throughout the state.

The Mobile Health Screening Unit, a joint project of

Blue Cross and Blue Shield of Oklahoma and the 246

Oklahoma Lions Clubs, has performed health screenings for

more than 42,000 Oklahomans since the project began

five years ago.

Blue Cross and Blue Shield of Oklahoma continued to

strengthen its ties with local communities with the 2004

Champions of Health awards. Champions from across the

state were recognized for their efforts to improve

Oklahoma’s health. Dr. Gordon H. Deckert from

Oklahoma City was recognized as the Champion of

Health for his sustained leadership on state public health

issues. Others were cited for their achievements in

categories ranging from professional health to rural health

to media health Champions. Ten champions were

recognized at the inaugural event.

Blue Cross and Blue Shield of Oklahoma also works to

strengthen Oklahoma’s communities through involvement

with United Way. Together, associates contributed more

than $500,000 to United Way agencies in northeastern and

central Oklahoma.mmunity

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Exce‘85 ‘86 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04

700

600

500

400

300

200

100

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ions

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olla

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Mem

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$220$200$180$160$140$120$100

$80$60$40$20

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Audited Consolidated Balance Sheet (as of December 31, 2004)

2004 2003 AssetsCash and Investments ..........................................................$298,338,275 ......$243,895,911 Premiums and Other Receivables ............................................223,759,330 ........220,813,545 Property and Equipment..........................................................34,093,834..........33,369,989 Pre-payments and Other Assets..................................................42,585,697..........47,618,363 Total Assets ........................................................................598,777,136 ........545,697,808

Liabilities and Net WorthReserve for Unpaid Claims Liability ........................................$145,401,709 ......$149,648,296 Unearned Premiums ............................................................172,993,928 ........156,975,054 Accounts Payable and Other Liabilities ........................................77,312,161..........86,460,036 Total Liabilities ....................................................................395,707,798 ........393,083,386 Reserve for Protection of Members ..........................................208,558,403 ........156,010,573 Accumulated Other Comprehensive Income (Loss) ........................(5,489,065) ..........(3,396,151)Total Liabilities and Net Worth ................................................598,777,136 ........545,697,808

Financials

Comparison of Financial Highlights – Consolidated2004 2003

Premium income........................................................$1,067,153,607....$1,063,872,682 Benefit costs........................................................................853,587,582 ........865,421,352 Gain (loss) to reserves for the protection of member benefits ............52,547,830..........33,601,700 Contingency reserves ........................................................208,558,403 ........156,010,573

Contingency Reserves and Membership

10

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cellence

Blue Cross and Blue Shield of Oklahoma received its sixth

Brand Excellence Award from the national Blue Cross and

Blue Shield Association. The award is given annually to

select Blue Plans for brand awareness, purchase interest

and member experience.

Pictured above (from left): Amanda Weatherford, Customer ServiceRepresentative, member advocacy; Lisa Wassom, Manager, Custom Group Services, customer service; Ron King, Chairman, CEO and President;Christi Switzer, Claims Examiner, Oklahoma accounts; Bruce Casavan,Claims Examiner, Oklahoma accounts; and Pam Miller, Supervisor,BlueLincs claims.

11

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John C. Coffey, FACHE, President Emeritus, OklahomaHospital Association, Oklahoma CityRobert A. Funk, Chairman, CEO and Founder, ExpressServices, Inc., Oklahoma CityJeanette L. Gamba, President and CEO, Jordan Associates,Oklahoma CityDianne B. Gasbarra, M.D., Pulmonologist; Staff Member,Mercy Hospital and Deaconess Hospital, Oklahoma CityMichael P. Johnson, Senior Vice President of StrategicServices and Administration,Williams,TulsaLaura A. Kenny, CEO and President, Ryzome Consulting,Inc.,TulsaRonald F. King, Chairman, CEO and President, Blue Crossand Blue Shield of OklahomaDavid L. Kyle, Chairman, President and CEO, ONEOK,Inc.,TulsaMarc S. Milsten, M.D., Urologist, Urologic Specialists ofOklahoma; Staff Member, Hillcrest Medical Center,SouthCrest Hospital, St. John Medical Center and SaintFrancis Hospital,TulsaJoseph H. Neely, Senior Vice President, Saint Francis Hospital atBroken Arrow/Regional Outreach, Broken ArrowRussell M. Perry, Owner, Perry Publishing & BroadcastingCompany, Oklahoma CityJohn W. Phillips, M.D., Private Practice; General Surgeon,St. John Medical Center; Clinical Professor or Surgery,University of Oklahoma,TulsaDavid E. Rainbolt, CEO, BancFirst Corporation,Oklahoma City

James P. Riemer, D.O., Family Practice Physician, Doctor’sMedical Center; Chief of Staff, Pawnee Municipal HospitalGary L.Trennepohl, Ph.D., President Oklahoma StateUniversity – Tulsa

Advisory Board MemberGerald E. Gustafson, M.D., FACS, Retired General Surgeon,Tulsa

Corporate LeadershipRonald F. King, Chairman, CEO and PresidentJerry L. Hudson, Executive Vice President,Internal OperationsC.Wyndham Kidd, Jr., Executive Vice President, InternalOperations and Chief Financial OfficerMichael A. Rhoads, Executive Vice President, Subsidiariesand External Operations

Group Vice PresidentsLyndle Ellis, BlueLincs HMO and Member Service LifeInsurance CompanyMark R. Graham,Administrative ServicesJacqueline Haglund, General Counsel and CorporateCompliance OfficerNequita K. Hanna, Benefits AdministrationRodney L. Huey, M.D., Corporate Medical DirectorBert Marshall, GHS Property and Casualty InsuranceCompany, Public AffairsLisa Putt, MarketingJerry D. Scherer, Chief Information Officer

John C. Coffey Robert A. Funk Jeanette L.Gamba

Dianne B.Gasbarra, M.D.

Michael P.Johnson

Laura A. Kenny Ronald F. King David L. Kyle Marc S. Milsten,M.D.

Joseph H. Neely

Russell M. Perry John W. Phillips,M.D.

David E.Rainbolt

James P. Riemer,D.O.

.Gary L.Trennepohl,Ph.D

Board of Directors

12

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AAs the great Depression and the Dust Bowl came to a close in 1939, a group of Oklahoma physicians and community leaders

began to investigate prepaid hospital coverage, a unique service at the time. On March 15, 1940 the Group Hospital Services

of Oklahoma opened its doors in Tulsa.TheTulsa World called the new health plan for Oklahomans “an experiment of the greatest

meaning and importance.”Within the first year of operation there were 15,000 members and the Plan was growing at a rate

of about 1,000 members a month.

Today, as the state’s oldest and largest private health insurer, Blue Cross and Blue Shield of Oklahoma and its Family

of Companies provide benefit plans for 835,240 policyholders.

With offices in Tulsa and Oklahoma City, Blue Cross and Blue Shield of Oklahoma is an independent, not-for-profit

corporation doing business under a mutual corporation, Group Health Service of Oklahoma, Inc.The organization is managed

by a board of directors comprised of Oklahoma business leaders and health care providers, and employs 1,250 associates.

Blue Cross and Blue Shield of Oklahoma is a member of the Blue Cross and Blue Shield Association, a trade national

organization made up of 40 independent plans committed to providing affordable health insurance. The association

administers the licensing program for the use of the Blue Cross and Blue Shield symbols and administers certain national

standards and regulations.

GHS Holding Company, Inc. is a wholly owned enterprise of Blue Cross and Blue Shield of Oklahoma. It is the parent

company of the Plan’s subsidiaries:

Member Service Life Insurance Company BlueLincs HMO

GHS Property and Casualty Insurance Company GHS General Insurance Agency

The Oklahoma Caring Foundation, Inc.

Our MissionThe mission of the Family of Companies is to provide competitive health plans,insurance productsand financial services, which deliver value, access to quality health care, and service excellence.

We will create customer satisfaction in all phases of our operation.

Our health plans will be built on long-term, mutually beneficial provider networks andreimbursement systems.

We will operate in a fiscally responsible manner by assuring the financial strength necessary tomeet contingencies as well as new business requirements.

Core ValuesLeadership – We exercise creativity and ingenuity in serving our members, providers, and community.

Integrity – We maintain the highest ethical standards.

Commitment – Our associates are our most valuable resource and our members are our greatest asset.

Respect – We respect and recognize the dignity of our associates and our members.

Accountability – Our decisions are based on sound business concepts.

About Blue Cross and Blue Shield of Oklahoma Family of Companies

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www.bcbsok.com

® Registered Marks Blue Cross and Blue Shield Association © 2005, Blue Cross and Blue Shield of OklahomaA Member of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.

10.495 (4/05)

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