Triple-S Management is Puerto Rico's to health insurance company with some 1.1 million members. The insurer operates through its Triple-S Salud (TSS) and Triple-S Advantage (TSA) subsidiaries -- licensees of the Blue Cross and Blue Shield Association -- to provide traditional managed care products (HMO and PPO), accident and disability coverage, and Medicare and Medicaid plans. Its Triple-S Vida subsidiary is Puerto Rico's leading provider of life insurance and its Triple-S Propiedad subsidiary offers property/casualty insurance including commercial and individual coverage. Triple-S Management insures more than half of the island's population.