Fact Based List:

Gross Margins per Enrollee, 2018-2021 (Individual and Group Markets)

Submitted by Patty Jamison on Wed, 03/08/2023 - 15:27


  1. 2018: Individual Market - $1,515 | Group Market - $912
  2. 2019: Individual Market - $1,167 | Group Market - $832
  3. 2020: Individual Market - $1,317 | Group Market - $958
  4. 2021: Individual Market - $745 | Group Market - $689

Notes: Gross margins per enrollee are the amount by which total premium income exceeds total claims costs, divided by the number of enrollees. Gross margins include administrative costs, tax liability, and profits.
Source: KFF, Health Insurer Financial Performance in 2021, February 28, 2023
Source URL: https://www.kff.org/medicare/issue-brief/health-insurer-fina...



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