More than 65 years ago, Blue Cross Blue Shield of North Dakota (BCBSND) began as two separate pre-paid health care plans for hospital and physician services. The two companies merged in 1986 and, in 1998, converted to a not-for-profit mutual insurance company.

Blue Cross Blue Shield of North Dakota is a not-for-profit mutual company. It is the largest provider of health care coverage in North Dakota, serving more than 50 percent of the state's population. The BCBSND Board of Directors governs the operation of BCBSND. The 13-member board has eight consumer members and five health care provider members.

It is the mission of Blue Cross Blue Shield of North Dakota to provide the best value in health insurance to our members. Blue Cross Blue Shield of North Dakota is an independent and financially viable mutual insurance company working with its members and the health care community to build the next generation of health care financing.