Founded in 1933, Blue Cross and Blue Shield of North Carolina, also known as BCBSNC, delivers health care products and services to more than 3 million members. The agency manages operations in Durham and Winston-Salem in North Carolina. It employs a staff of over 4,500 people. Blue Cross and Blue Shield of North Carolina offers life, dental, long-term care and disability insurance products. The agency also provides Blue Extras value-added programs. It manages the Blue Cross and Blue Shield of North Carolina Foundation, which is a private organization. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.