Not only are Caucasian men between the ages of 55 and 64 more likely to develop melanoma than women, they often have more aggressive forms of the disease, according to a new report from Blue Cross Blue Shield. Overall, rates of melanoma among its 41 million members are up about seven percent in the last four years.

Not only are men more likely to be diagnosed with melanoma, they’re also more likely to die from it, the health insurer’s report found.