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

The correct answer is: The Blue Cross and Blue Shield Association is engaging in a proactive approach to environmental forces.

Explanation:

A proactive approach refers to prevent negative situations before they have a chance to occur. For that reason, the Blue Cross and Blue Shield Association provides millions in contributions to lobby state and federal legislators and senators to enact legislation. The Association cannot permit the approval of laws that prejudices them as a company; on the contrary, they must guarantee that their company is shielded from environmental forces that can affect the company's profit. The majority of multimillion-dollar companies influence the decisions made by government legislators.

Note: Environmental forces are external factors that may affect a company's profit.

the secretary of state, appointed by the president with the advice and consent of the senate, is the president's chief foreign affairs adviser. the secretary carries out the president's foreign policies through the state department and the foreign service of the united states.