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National Labor Office

From generation to generation, Blue Cross and Blue Shield companies have worked hand in hand with organized labor to empower working Americans with secure and stable health coverage.  The Blue Cross and Blue Shield National Labor Office is labor’s liaison to our 36 companies, ensuring that Blue Cross and Blue Shield products and services meet working families’ healthcare needs.  Our companies serve more than 17 million unionized workers, retirees and their families–more than any other insurer.  As we mark our 50th year of dedicated service to organized labor, we are committed to remaining the top choice for America’s working families for years to come.

Pathway to Better Health

Blue Cross and Blue Shield companies across the country are partnering with patients, physicians, hospitals and the government to create a patient-centered care healthcare system that helps patients get healthy faster and stay healthy longer. Learn more.

Why Does Healthcare Cost So Much?

Healthcare spending in the United States is $2.9 trillion a year, straining the budgets of families, business and taxpayers alike.  Chronic medical conditions, an aging population and the increased cost of new medicines, procedures and technologies contribute to rising healthcare costs. 
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Calendar of Events

2016 Calendar of Events

3-5 National LERA Meeting ASSA/AEA (San Francisco, CA)
26-28 Consortium Sales Advantage Conference (Palm Springs, CA)
24-26 Made in America (Las Vegas, NV)
24-26 NCPERS Annual Legislative Conference (Washington, DC)
11-16 National Labor Management Conference (Hollywood, FL)
9-11 Consortium HealthCare Forum (Scottsdale, AZ)
21-24 NLO Labor/Management Healthcare Strategies Meeting (San Diego, CA)
21-23 SIIA Self-Insured Health Plan Executive Forum (New Orleans, LA)

See full 2016 calendar of events

Strategic Alliances

Unions and Blue companies continually seek innovative relationships to improve member health and lower cost. Through its strategic alliances*, the NLO facilitates best‑in‑class offerings to organized labor. 

  • AIM Specialty Health®, AIM is a national leader in specialty benefits management. Through an innovative approach, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.
  • BCS Financial Corporation- BCS Financial delivers financial and insurance solutions by engaging in strategic partnerships with Blue Cross and Blue Shield organizations and commercial market leaders.
  • Best Doctors - Founded in 1989 by Harvard Medical School physicians, Best Doctors works with the best five percent of doctors, ranked by impartial peer review, to help people get the right diagnosis and right treatment.   For further information, visit
  • Davis Vision, Inc. is a well-established national entity that has been providing comprehensive vision care services for over 44 years.  Learn more at
  • Epic Hearing - Bringing Affordable and Cost-Effective Hearing Care to Those Who Need It.  For more information, go to
  • EVIVE Health, Evive Health is a leading innovator in the design of personalized data-driven healthcare tools that make it easier for consumers to make better decisions regarding their care.
  • International Specialty Underwriters, International Specialty Underwriters, ISU, has provided exceptional service to the stop loss industry including underwriting, marketing, administration, and claims.
  • NASCO - For over 25 years, NASCO has partnered with Plans to provide the most efficient single-system claims processing solution for national, state, labor, large group, small group, individual and government programs.
  • New Directions Behavioral Health- New Directions offers a full range of behavioral healthcare products and services, making us the one source for all your behavioral health prevention and care needs.
  • Part D Advisors are one of the only solutions providers with the knowledge and industry relations necessary to expertly navigate every aspect ofthe Retiree Drug Subsidy (RDS) maze from beginning to end.
  • Teladoc: Provides 24/7/365 access to care anytime, anywhere; offers care at a fraction of the cost of urgent care and ER visits, saving everyone money; and uses the strictest quality processes and clinical protocols for our national network of U.S. board-certified physicians.
  • United Concordia’s mission is to be a national dental-care company providing dental benefit solutions that create the best value for our customers, providers, employees and the communities we serve.

*NLO strategic alliances do not sell Blue Cross and Blue Shield Branded products. Strategic alliances are not BCBSA partners or joint ventures. In addition, there is not an employer and employee or principal and agent relationship between BCBSA and any Strategic alliance, or their respective personnel. 


Newsletter Archive

Archives of the NLO newsletters. Send questions regarding the NLO newsletter to Marian Casarella.


Fall 2015

  • National Labor Office turns 50 years old
  • United Auto Workers (UAW) Ford employees lose nearly 2,000 pounds in nine weeks with Blue Cross® Blue Shield® of Michigan weight-loss challenge
  • Chicago Mayor Emanuel and Blue Cross and Blue Shield Of Illinois Announce Partnership To Support Divvy Bike Share System
  • Blue Cross and Blue Shield of Vermont and NASCO Begin Multi-Year Operating Platform Transition

Summer 2015

  • The NLO celebrates 50 years
  • The NLO welcomes Blue Cross and Blue Shield of Arizona as a new member
  • The NLO welcomes Tom Mandrola as a new board member
  • The 2015 BCBS Advanced Labor Studies Program at Rutgers University was a big success.
  • Arizona Fights Food Insecurity
  • HM Insurance - Better Manages Catastrophic Costs with Strong Communication, Education

Spring 2015

  • 2014 D.C. Labor Representatives of the Year
  • Quality and Efficient Health Care Fund - Lowering the Rate of Early Births in Nebraska
  • Feeding America Tampa Bay Receives Donation
  • The NLO Welcomes New West Coast Executive Director
  • The NLO Welcomes New Members to the Board of Directors
  • Make Noise About Hearing Care
  • Spring Planting Tips
  • The National Labor Office Welcomes BCS Financial as a Strategic Alliance


Winter 2014

Fall 2014

Summer 2014

Spring 2014


Winter 2013

Fall 2013

Summer 2013

Spring 2013

    Labor Resources