July 30, 2014 4:18 PM ET

Insurance

Company Overview of California Physicians' Service, Inc.

Company Overview

California Physicians' Service, Inc., doing business as Blue Shield of California, operates a not-for-profit health plan for customers in commercial, individual, and government markets in California. It allows its members to access health care through health, life, dental, vision, and medical care insurance products. The company also provides health care service plans. It serves customers through its agents. California Physicians' Service, Inc. was founded in 1938 and is based in San Francisco, California.

50 Beale Street

San Francisco, CA 94105-1808

United States

Founded in 1938

Phone:

415-229-5000

Fax:

415-229-5070

Key Executives for California Physicians' Service, Inc.

Chief Executive Officer
Age: 47
Chief Financial Officer and Senior Vice President
Age: 58
Chief Executive of Individual
Chief Executive Officer of Blue Shield of California Foundation and President of Blue Shield of California Foundation
Chief Technology Officer and Vice President
Compensation as of Fiscal Year 2014.

California Physicians' Service, Inc. Key Developments

Class Action Claims Blue Shield of California Improperly Denies Cosmetic Surgery Coverage

A class action lawsuit alleges Blue Shield of California is violating state law by denying claims for reconstructive surgery. The lawsuit claims California law requires health plans to cover reconstructive cosmetic surgery if the surgery returns a patient who suffers a disfigurement or deformity to normal appearance. The lawsuit alleges California Physicians' Service, which does business as Blue Shield of California, denies claims for such surgeries on the basis that they are not medically necessary if they do not resolve a significant functional problem. The complaint claims state law requires decisions regarding whether surgery would return a patient to normal appearance to be made by a reconstructive surgeon. The lawsuit was filed by a woman who was denied coverage for a mammoplasty and a blepharoplasty.

Blue Shield of California Renews Agreement with Healthways to Provide Silversneakers(R) Fitness Program

Blue Shield of California announced it has renewed its agreement with Healthways to continue offering the award-winning SilverSneakers(R) Fitness Program to eligible members in California. The renewal follows a recent announcement that Blue Shield has agreed to provide Healthways MeYou Health-branded social well-being improvement solutions to support their Wellvolution health and wellness program. SilverSneakers, the nation's leading exercise program designed exclusively for older adults, has been available to members of select Blue Shield of California plans since 2009. With this extension, members of eligible Blue Shield of California Medicare Advantage and Medicare Supplement plans will continue to enjoy the benefits of the SilverSneakers program. The effectiveness of the program is evidenced through Blue Shield of California and SilverSneakers member surveys.

Blue Shield of California Appoints Melissa Welch as Vice President for Clinical Sales and Innovation Support

Melissa Welch, MD, MPH, has joined Blue Shield of California as vice president for clinical sales and innovation support. Welch will lead a team of medical directors and other staff supporting Blue Shield’s Markets division. She will also serve as clinical liaison between the Markets and Health Quality and Affordability teams. Most recently as head of regional care management operations and strategy at Aetna. She also served as Aetna’s West Region medical director, Chief Medical Officer for San Francisco’s Community Health Network, executive medical director at the Health Plan of San Mateo and as principal and founder of a diversity training curriculum for health professionals.

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Recent Private Companies Transactions

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Merger/Acquisition
January 7, 2014
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