Arkansas Blue Cross and Blue Shield, founded in 1948, is a nonprofit organization. It is a mutual insurance business. The organization has a staff of more than 2,500 employees. Arkansas Blue Cross and Blue Shield operates several regional offices in Fayetteville, Fort Smith, Hot Springs, Little Rock, Jonesboro, Pine Bluff and Texarkana in Arkansas. The organization has various subsidiaries, such as the BlueAdvantage Administrators of Arkansas and Blue & You Foundation for a Healthier Arkansas. It offers sales, medical management and customer support services. In addition, Arkansas Blue Cross and Blue Shield is a member of the Blue Cross and Blue Shield Association, which is one of the largest health insurers in Arkansas.