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Governance
Hundreds of thousands of people depend on us to provide affordable health insurance. As a not-for-profit mutual insurance company, our members expect us to manage our business with their best interests in mind.
Delivering member value
- As a nonprofit, member-owned organization, we strive to bring value to our members through ongoing efforts to challenge the cost of health care.
- Robust audits to ensure accurate, timely and effective claims processing
- Enhanced payment integrity program to ensure claims are paid according to medical necessity
- A targeted cost per member, per month to ensure responsible stewardship of member premiums
- Responsible investment model that prioritizes innovation, services and support for our members
Board independence and diversity
- Independent board made up of nine to 15 members
- A mix of consumer-driven member directors and health providers
- Directors elected through annual voting process involving BCBSND voting members
- Targeted recruiting for female and minority candidates
High ethical and compliance standards
In a highly regulated and complicated industry, we have mechanisms in place to achieve high standards in operations:
- Audit team reporting directly to the board of directors
- Protocols for working with risk-mitigated vendors
- Dedication to information security, data protection and privacy
- Environmental, social and governance council created in 2022
- Provider Special Investigations Unit to ensure accurate claims, while monitoring for fraud, waste and abuse
