For 83 years, Blue Cross and Blue Shield companies, lead by the Blue Cross and Blue Shield Association, have been leaders in healthcare coverage. Developed from a grassroots approach to financing hospital and physician services, we regulate the Blue brand, administer licenses, and help coordinate national programs to the Blue Cross and Blue Shield companies so they may provide local leadership and solutions to promote safe, high quality and affordable care. To learn more about the history of Blue Cross and Blue Shield companies and the Association, refer to the graph below.
History of the Blue Cross and Blue Shield System
Instructions for Using Timeline:
- To activate, click on the timeline and drag right or left.
- To scroll through each decade, click on the right or left side of the dark blue area.
- To scroll year by year, click on the right or left side of the light blue area.
- To reveal an event detail, click on the (+) circle and to close the detail, click on the (X).

