Blue Cross Blue Shield of North Dakota began as two separate pre-paid health care plans for hospital and physician services. Through a merger of the two companies in 1986, the creation of subsidiary Dental and Vision corporations, joint venture agreements and other affiliations with life insurance and financial investment companies, and the conversion to a nonprofit mutual insurance company, it has expanded its products and services.

Mayport Insurance of Mayville, Portland, and Hillsboro, North Dakota offers commercial lines of insurance.

Benefits for Success of Fargo, North Dakota offers employee benefits plans and services.