Highmark (as Highmark Blue Cross Blue Shield in western and northeastern Pennsylvania and Highmark Blue Shield in central Pennsylvania) serves nearly 4 million members through the company’s health care benefits business and hundreds of thousands of additional members through the BlueCard® program. Highmark Blue Cross Blue Shield is the market leader in commercial market share, and through its affiliated Blue companies has strong Medicare Advantage market share as well. Through its affiliated Blue companies, Highmark is the largest and highest-rated Medicare Advantage program in Pennsylvania, and all of Highmark’s Medicare Advantage plans have received a Centers for Medicare & Medicaid Services STARS quality rating of 4+ out of 5.0 STARS. In western Pennsylvania, its unaided brand awareness, brand preference and overall brand rating are significantly higher than its closest competitor.