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blue cross and blue shield of illinois is a health insurance company that provides millions of members across the state of illinois with comprehensive and affordable health plans. the illinois-based company is a licensed affiliate of the blue cross and blue shield association, which operates affiliate organizations in all 50 states. the association is one of the top five organizations who provides millions in contributions to lobby state and federal legislators and senators to enact legislation, which would be favorable for their member companies. in 2014, the association spent $17 million and was active involved in the affordable care act and legislation regarding medicare. the blue cross and blue shield association is engaging in a approach to environmental forces.
(a)- proactive
(b)- inactive
(c)- inactive
(d)- retroactive

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