FARGO — North Dakota’s largest health insurer and a soon-to-be five-state health insurance enterprise based in Oregon have received the go-ahead to join forces. The North Dakota Insurance Department approved a “strategic affiliation” between Blue Cross Blue Shield of North Dakota and Cambia Health Solutions of Portland, BCBSND announced. Lacy Bergh was announced new market president for Blue Cross Blue Shield of North Dakota on Jan. 13, 2026. Contributed / BCBSNDFounded in 1940, Blue Cross Blue Shield of North Dakota serves more than 380,000 members. Blue Cross Blue Shield will continue to be governed by voting policyholders rather than investors, and its reserve funds and foundation resources will remain in North Dakota.