Founded in 1932, Mountain State Blue Cross Blue Shield, also known as MSBCBS, is a health insurance company that maintains operations in more than 50 counties in West Virginia. It offers health insurance plans to various individuals, families, small businesses and large corporations. The agency employs a work force of over 800 people. It provides wellness benefits for medical-related services, such as mammography, well-child care, immunizations and disease-specific screening tests. Mountain State Blue Cross Blue Shield administers coverage to more than 400,000 individuals. It also offers health care coverage programs to provide people with protection against financial loss resulting from the expenses associated with illnesses and injuries. The agency is an affiliate of Highmark, which is one of the leading health insurers in Pennsylvania.