Triple-S Management Corporation (TSM) is the leading managed care company in Puerto Rico. With approximately one million customers, it Reaches 30% of Puerto Rico's population. In Addition to its core managed care business, TSM complementary Operates two Businesses in life, and property and casualty insurance. Since 1965, Triple-S, Inc. has been an independent licensee of the Blue Cross and Blue Shield Association, holding the exclusive rights to the Blue Cross and Blue Shield name and trademark in Puerto Rico. This valuable Provides its Members with access to the Blue Card network in the U.S. It is the only managed care company That Serves All Market Sectors in Puerto Rico and is one of The Most Recognized brands locally. It Holds over 90% customer retention in corporate accounts. For four consecutive years, ranked by federal employees as the # 1 managed care plan, among all plans serving the federal government nationwide. Over 90% of all claims are processed electronically.