Our History

Ever since Triple-S was established, it has been our commitment to make people feel safe and secure. We are in the business of protecting lives, contributing to the well-being and quality of life of the communities we serve.

Concerned with the need to provide better access to healthcare, a group of visionary physicians and dentists establish Seguros de Servicios de Salud.

1959

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Blue Cross and Blue Shield Association selects Triple-S, Inc. as its exclusive Blue Shield licensee in Puerto Rico.

1965

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Triple-S, Inc. manages Medicare Part B in Puerto Rico once Medicare is created.

1966

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Triple-S enters the life insurance market to complement its managed care offerings and creates Seguros de Vida Triple-S.

1984

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As part of a diversification strategy, the company enters the property and casualty insurance market and establishes Seguros Triple-S.

1988

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Triple-S is awarded a contract to provide services to the Puerto Rico Health Reform.

1995

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Stockholders create Triple-S Management Corporation (TSM), a holding company, to facilitate the growth and diversification of the business.

1999

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Triple-S, Inc. begins its participation in the Medicare Advantage segment.

2005

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TSM acquires Great American Life Assurance Company of Puerto Rico (GA Life) and after its merger with Seguros de Vida Triple-S, it becomes Triple-S Vida, the leading life insurance company in Puerto Rico.

2006

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TSM is the first Puerto Rican managed care company to become a public company trading its shares in the New York Stock Exchange, under the symbol GTS (Grupo Triple-S).

2007

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Grupo Triple-S celebrates its 50th anniversary and renews its corporate identity.


Triple-S Salud, Inc. completes the purchase of certain managed care assets of La Cruz Azul de Puerto Rico and is awarded the Blue Cross license, thereby becoming in the Blue Cross Blue Shield Association licensee of Puerto Rico and the US Virgin Islands.

2009

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TSM acquires American Health Medicare, a Medicare Advantage services provider over than 40,000 members.

2011

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Triple-S Salud creates Blue Cross Blue Shield of the U.S. Virgin Islands and enters the USVI market to offer health insurance products to the commercial segment.

2012

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Triple-S Salud is selected as administrator for all the regions of the Puerto Rico Government Health Plan.


The corporation lays the foundation for its expansion to international markets through Triple-S Vida’s acquisition of Atlantic Southern Insurance Company (ASICO), with headquarters in Puerto Rico and operations in the US Virgin Islands, British Virgin Islands, Anguilla and Costa Rica.

2013

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ASICO is rebranded as Triple-S Blue and its expansion into Latin America starts with the launch of the BCBS Costa Rica brand.


The brands of AHM and Triple-S Salud Medicare Advantage division are consolidated and rebranded as Triple-S Advantage.

2014

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Triple-S Foundation was established in 2017 as a non-profit organization in order to extend the community outreach efforts made by Triple-S, respond to the needs Puerto Rico faced in the aftermath of Hurricane María, and channel the aid received from the Blue Cross Blue Shield Association to address this historic disaster. Aligned to Triple-S's vision of treating the individual in a comprehensive manner and addressing the social factors that affect the health of Puerto Ricans.


Triple-S Salud obtains accreditation from URAC, a healthcare designation that demonstrates the highest commitment to quality. This is the first time that a local health plan has obtained this accreditation.

2017

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Triple-S was selected as one of the insurance carriers offering a new healthcare model to the government plan Vital, without regions.

2018

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Faithful to the vision of its founders, Triple-S on its 60th anniversary celebration continues to care for the people of Puerto Rico, protecting what is most important to them: life, health and property. In addition, aligned with social responsibility and community efforts, Triple-S is committed to address two social determinants of health: food insufficiency and emotional well-being.

2019

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Triple-S advances in innovation through the healthcare industry by launching for the first time in Puerto Rico a MasterCard for the Triple-S Advantage business line. This product achieves a great solution for the members because it combines the traditional plan medical card with a prepaid card for supplementary benefits used at participating merchants.

2020

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Triple-S Management reaches an agreement to merge with GuideWell, a Florida Blue’s parent company. Both companies are members of BlueCross BlueShield Association and share their mission, values and commitment to ensure access to quality health care for the diverse communities they served up.

2021

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Triple-S is acquired by GuideWell, parent company of Florida Blue. This historic transaction will join forces between both companies to tackle the barriers that prevent many individuals and families from receiving a high quality and affordable healthcare in Puerto Rico, Florida and beyond.

2022

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