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2025 Average Employee Count Data Collection Begins

Feb. 4, 2026

Applies to Fully Insured Small, Mid-Market and Large Groups

What you should know: Email solicitation for active and canceled Fully Insured groups with 15-250 employees begins this week. A letter will be mailed to groups without a valid email address. 

The Affordable Care Act set Medical Loss Ratio standards for health insurers. Blue Cross and Blue Shield of Oklahoma must report annually on whether the Small Group or Large Group market coverage we offer meets MLR standards. These standards require us to report annually whether coverage is in the Small or Large Group market segments of a state. Employers are asked to provide their 2025 Average Employee Count so we can accurately classify their coverage for the 2026 MLR reporting year. 

Next steps: The Regulatory Data widget on Blue Access for EmployersSM will be available beginning Feb. 9. Groups can enter their 2025 AEC information via the portal.

Blue Access for Employers is our preferred method of data entry. However, AEC information can also be submitted as a PDF version of the form. A group can call the dedicated phone number below to request the form. The completed form can be emailed, faxed or mailed to BCBSOK (details are on the form).

The broker (Primary Producer of Record or Delegated Producer with Maintenance Use) can also submit AEC information for their employer groups in Blue Access for Employers. 

If a group does not have their account set up in Blue Access for Employers, please encourage them to do so now. 

Get assistance:

  • Dedicated phone number for regulatory data assistance: Call 1-855-804-3635 Monday through Friday from 8 a.m. to 6 p.m. CT.
  • Blue Access for Employers help desk: Call 1-888-706-0583 Monday through Friday from 7 a.m. to 10 p.m. CT, or Saturday from 7 a.m. to 3:30 p.m. CT.