Regence BlueShield paid $2.17 billion for member health care in Washington in 2025
SEATTLE – Regence BlueShield paid $2.17 billion in health care for its fully insured members in 2025, or $4,834 per member (excluding the impact of reinsurance), according to unaudited figures filed today with the Washington Office of the Insurance Commissioner.
Health care costs per member with comprehensive coverage increased over 15% from 2024 and continue accelerating at rates higher than historical norms. The rise in claims costs continues to be driven by significant increases in cost of care and prescription drugs. Regence grew its membership, ending 2025 serving 1.58 million people, including self-funded and BlueCard® members.
On total revenue of $2.38 billion, Regence had an operating loss of nearly 8% and despite investment income, a net loss of 3.1%. Although 2025 saw a slight increase in membership and positive investment returns, the loss is largely due to increasing health care costs. The company’s capital reserves remain appropriate, ensuring stable health care coverage and the ability to pay member claims. As a tax-paying, not-for-profit health plan, this critical safety net is Regence’s only source of funds for investing in new solutions to address health care challenges, meet the changing needs of consumers and pay higher than expected medical costs.
“As health care costs continue to rise at unprecedented rates, our commitment to the people we serve has never been stronger,” said Michael Cole, president of Regence BlueShield. “Our financial stability allows us to invest in innovative solutions that directly address affordability challenges for the nearly 1.6 million Washingtonians who depend on us for access to high-quality care.”
Regence incurred approximately $33.9 million in federal and state income taxes and fees in 2025.
Community impact
Founded in 1917, Regence and its affiliated companies employ more than 1,600 people across Washington, and the company is committed to investing in the communities it serves. Together with its corporate foundation and employees, Regence contributed more than $2 million to benefit Washington nonprofit organizations, and employees donated nearly 6,800 volunteer hours in 2025.
About Regence BlueShield
Regence BlueShield has served Washingtonians in select counties for over a century and now provides nearly 1.6 million people with comprehensive health insurance solutions. As a taxpaying, nonprofit independent licensee of the Blue Cross and Blue Shield Association, Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. For more information, regence.com or facebook.com/regenceblueshieldwa.
