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Fact Based List:
Medical Loss Ratios, 2018-2021 (Individual and Group Markets)
Submitted By Patty Jamison, Created 03/08/2023 - 15:24
- 2018: Individual Market - 75% | Group Market - 83%
- 2019: Individual Market - 80% | Group Market - 85%
- 2020: Individual Market - 78% | Group Market - 83%
- 2021: Individual Market - 88% | Group Market - 88%
Source: KFF, Health Insurer Financial Performance in 2021, February 28, 2023
Source URL: https://www.kff.org/medicare/issue-brief/health-insurer-fina...
Notes: This chart shows "simple" medical loss ratios (total claims as a share of total premiums) and differ from the definitions of MLR in the Affordable Care Act and CMS Medicaid Managed Care final rule, in that they are unadjusted for taxes, quality improvement, and other expenses