Blue Cross and Blue Shield of Kansas provides health insurance to over 890,000 members across 103 of Kansas' 105 counties. In 2008, it processed over 20 million claims and paid over $1.8 billion in claims. Five federal health care reform proposals are currently under consideration by different congressional committees. Key concerns with the proposals include the creation of a government-run insurance plan, a weak individual mandate, and lack of cost containment measures. Federal reforms could increase average premium costs substantially without a strong individual mandate and other necessary provisions to encourage broad participation.