Blue Cross and Blue Shield of Alabama posted a net loss of $3.2 million in 2025.
The insurer saw its profit fall to $18 million in 2024 after posting $368.6 million in net income in 2023, according to financial data filed with the National Association of Insurance Commissioners.
BCBS Alabama reported total assets of $6.2 billion at the end 2025, with capital and surplus of $3.6 billion. Medicare was the company’s largest line of business by direct premiums written at $1.5 billion, followed by the Federal Employees Health Benefits program at $1.2 billion, Medicare supplement at $207.7 million, dental at $158.7 million, and vision at $15 million.
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