HCSC by the Numbers

Company

Financials

  • Total operating revenue: $34.5 billion (premium and premium equivalents for all HCSC business)
  • Statutory reserves: $9.5 billion (equals about $646 in reserves per member)

Financial Strength Ratings

  • Standard & Poor's: A+ (strong)
  • Moody's Investors Service: A1 (good)
  • A.M. Best Company: A (excellent)

Economic Impact

(Includes wages, taxes, benefits, real estate spend, state bond holdings and charitable contributions)

  • Illinois: $1.6 billion
  • Montana: $92 million
  • New Mexico: $155 million
  • Oklahoma: $206 million
  • Texas: $1.1 billion

Community Investments

  • More than 2.5 million children served through the Healthy Kids, Healthy Families® initiative in 2015 and more than 21 million health and wellness services provided to children and their families since it began in 2011
  • Provided nearly 128,000 free immunizations and other health services to children and adults in medically underserved areas through our Care Van® programs
  • More than 110,000 volunteer hours logged by our employees (25 percent increase from 2014), benefitting more than 1,600 organizations and resulting in more than $367,000 in matching grants to our nonprofit community partners
  • More than $882,000 donated by employees through annual giving campaigns (10 percent increase from 2014)
  • More than $182,000 donated to our employee relief fund, which provides short-term assistance to employees experiencing severe financial hardship (nearly 30 percent increase from 2014 total contributions). In 2015, 369 employees received funding.

The Civic 50

In 2016, HCSC received a number of prestigious awards and recognitions including being named to the Civic 50 for our community engagement initiatives that translate good intentions into sound business practices, and the Corporate Citizenship Award from the U.S. Chamber of Commerce for Best Health and Wellness Program – Enhancing Care for Children with Asthma.

The Enhancing Care for Children with Asthma Project

American Lung Association of the Upper Midwest

Health Care Service Corporation is taking on childhood asthma to help patients with asthma better manage their conditions and improve their quality of life. Through our partnership with the American Lung Association of the Upper Midwest, we work directly with health centers to improve the quality of care for children with asthma. We engage providers, community leaders and educators, resulting in improved long-term care outcomes. Overall, across participating clinics, we’re seeing a more than 50 percent reduction in hospitalizations and emergency-related visits on average for patients with asthma who benefited from this program. Additional highlights of the program:

  • Engaged 121 clinics across our five states
  • Reached an estimated 435,545 people
  • Conducted more than 1,615 community education and outreach activities
  • To learn more about our asthma initiatives, visit www.hcsc.com/taking-on-asthma.

Environmental Sustainability

In 2016, HCSC recycled 1,188 tons of paper resulting in:

  • 20,196 trees saved
  • 8,316,000 gallons of water saved
  • 71,280 pounds of pollutants eliminated
  • 3,564 cubic yards of landfill space saved
  • 451,440 gallons of oil saved
  • 4,752,000 kilowatts of electricity saved
  • 297,000 pounds of carbon dioxide absorbed

Diversity and Inclusion

  • No. 6 on Diversity MBA’s Best Places for Women and Diverse Managers to Work
  • Diversity MBA 50 Out Front: Best Places to Work for Women and Diverse Managers ranking in three categories
    • Workplace Inclusion and Retention
    • Accountability
    • Board Diversity
  • No. 12 on Forbes Where Top Millennials Most Want to Work in 2016
  • 2016 GI Jobs 2016 Military Friendly Employer®
  • People of color comprise 38 percent of HCSC’s workforce and more than 29 percent of our overall management
  • 59 percent of HCSC’s management are women
  • Our president and CEO and executive vice president are both women
  • Nine Business Resource Groups (BRG) with 37 chapters and more than 4,000 memberships across HCSC’s five Plan states. BRGs add value by creating a diverse and inclusive culture, supporting and contributing to business goals, enhancing community outreach efforts, strengthening our talent pipeline and helping us reach
  • new consumer markets.

Ethics and Compliance

  • Received the 2016 World’s Most Ethical Companies® designation from the Ethisphere Institute. HCSC was one of 131 companies globally to receive the designation that is awarded to a limited number of companies that demonstrate through their programs, policies and actions that corporate integrity stands alongside operational factors as a key business driver.
  • Achieved the 16th consecutive Compliance Best Practice Award from Health Ethics Trust
  • Won Best Performance Support Solution for Ethics and Compliance training from the E-Learning Guild

Employees

  • Total HCSC employees: More than 21,000
  • Health plans:
    • Illinois: More than 9,900
    • Montana: More than 470
    • New Mexico: More than 1,250
    • Oklahoma: More than 900
    • Texas: More than 6,000
    • Wholly owned subsidiaries: Approximately 2,700

Providers

Networks

Medical (HCSC's five Blues plan total):

Nearly 233,000 network providers

  • Illinois: Nearly 83,000
  • Montana: Nearly 8,000
  • New Mexico: Nearly 14,400
  • Oklahoma: Nearly 15,600
  • Texas: Nearly 111,500

Nearly 3,800 network facilities

  • Illinois: Approximately 1,274
  • Montana: Approximately 221
  • New Mexico: Approximately 147
  • Oklahoma: Approximately 156
  • Texas: Approximately 1,985

Percentage of claims dollar paid in-network: 98.5 percent

Dental: More than 457,000 dental access points

Provider Phone Inquiries

  • Average number of hospital/physician phone inquiries per day: Approximately 39,000 (9.3 million annually)
  • Number of provider calls per day answered by a service rep: Approximately 36,000 (8.6 million calls annually)

Members

Membership 1

Membership2 Total: Nearly 15 million3 (nation's largest non-investor owned health insurer and fourth-largest overall)

By State:

  • Illinois: More than 8.2 million
  • Montana: More than 297,000
  • New Mexico: More than 463,000
  • Oklahoma: More than 768,000
  • Texas: More than 4.9 million

Retail Membership Health Services Highlights

From Jan. 1 to Dec. 31, 2016, HCSC has provided our retail members with access to more than 770,000 well care visits and approximately 336,000 biometric screenings. Following are some examples of the benefits received by those who purchased health insurance during 2016 open enrollment.

State
Well VisitsBiometric ScreeningsMammogramsBabies Delivered
Illinois
197,208
76,091
25,817
2,119
Montana
42,690
13,152
6,883
542
New Mexico
873
308
127
4
Oklahoma
138,662
49,408
16,477
1,464
Texas
391,043
197,304
51,285
 
HCSC Total
770,476
336,263
100,589
9,146

Member Loyalty Score

Members' likelihood to remain enrolled/recommend an HCSC health plan to others: 86 percent (4.3 percentage points higher than the competition)

Member Phone Inquiries

  • Average number of member phone inquiries per day: Approximately 52,000 (13.6 million annually)
  • Percentage of inquiries resolved in the first call: 69.1 percent
  • Satisfaction rate: 78 percent
  • Number of member calls per day answered by a service representative: Approximately 48,500 (12.7 million calls annually)

Claims

  • Average number of claims processed per day: Approximately 888,000 (230.8 million annually)
  • Average amount paid in claims per day: Approximately $306.9 million ($79.8 billion annually)
  • Percentage of claims paid in the first 14 days: 91.67 percent

Member Coverage

  • Financed preventive health and wellness services to more than 4.9 million members
  • Covered more than 3.7 million emergency room visits
  • Covered more than 49,000 premature babies and prenatal care for more than 180,000
  • Covered treatment for mental health conditions to nearly 1.5 million members with nearly 9.1 million office visits
  • Covered treatment for depression to more than 639,000 members with more than 4.6 million office visits
  • Covered treatment for Parkinson’s or Alzheimer’s for more than 173,000 members
  • Covered more than 4.3 million immunizations for more than 1.5 million members

Member Communications

  • Sign-ons for our member online service that allows access to health care information through a secured site: More than 16 million
  • Facebook members: More than 293,000
  • Twitter followers: More than 46,000
    (As of Dec. 31, 2016 unless otherwise stated)

View and Download the PDF version of HCSC By The Numbers 

1 Reflects Jan. 2017 totals.

2 Membership includes national employer plans, large local employer plans, small local employer plans, individual plans and government programs.