What Is Your Health Insurance Rebate?
According to HHS, U.S. health insurance companies will pay approximately $1.1 billion in medical loss ratio (MLR) rebates in 2012. Many individuals received their rebate over the past weekend. My rebate was $211.18, which was nearly a 20% refund! What was yours?
According to HHS, Americans covered by insurance companies that failed to meet the MLR standard will receive an average rebate of $151 per family across all markets. The average rebate per family is expected to be $152 in the individual market, $174 in the small group market, and $135 in the large group market. Approximately 66.7 million consumers are insured by an insurance company that provides the required value for their premium dollars. This means that a large majority of consumers are insured by companies that meet or exceed the MLR standard: 62% of consumers in the individual market; 83% in the small group market; and 89% in the large group market.
Rebates must be paid by August 1, 2012.
The full press release is available at healthcare.gov. See below for some interesting charts and graphics.
Did you receive a rebate?
Appendix I: Total Rebates in All Markets for Consumers and Families, by State
Totals
State
|
Total Rebates
|
Total Consumers Benefiting from Rebates
|
Average Rebate per Family
|
|---|
*USA*
|
$1,101,372,250
|
12,760,266
|
$151
|
AK
|
$1,280,908
|
2,712
|
$622
|
AL
|
$4,220,331
|
13,556
|
$518
|
AR
|
$7,787,177
|
115,461
|
$114
|
AZ
|
$27,868,667
|
413,912
|
$118
|
CA
|
$73,905,280
|
1,877,186
|
$65
|
CO
|
$27,452,769
|
208,197
|
$227
|
CT
|
$12,949,130
|
137,452
|
$168
|
DC
|
$47,189,436
|
592,234
|
$157
|
DE
|
$1,846,989
|
5,639
|
$351
|
FL
|
$123,624,635
|
1,251,397
|
$168
|
GA
|
$19,764,771
|
243,813
|
$134
|
HI
|
$195,053
|
26,900
|
$15
|
IA
|
$1,469,276
|
28,042
|
$100
|
ID
|
$1,124,918
|
32,576
|
$70
|
IL
|
$61,802,411
|
299,544
|
$380
|
IN
|
$14,249,673
|
283,432
|
$99
|
KS
|
$4,139,506
|
67,512
|
$91
|
KY
|
$15,326,103
|
249,275
|
$114
|
LA
|
$4,111,975
|
75,493
|
$94
|
MA
|
$11,886,643
|
163,949
|
$140
|
MD
|
$27,882,606
|
141,129
|
$340
|
ME
|
$2,579,922
|
10,589
|
$463
|
MI
|
$13,908,262
|
113,995
|
$214
|
MN
|
$8,956,885
|
123,171
|
$160
|
MO
|
$60,664,564
|
587,654
|
$173
|
MS
|
$10,122,532
|
51,744
|
$329
|
MT
|
$2,607,244
|
25,353
|
$194
|
NC
|
$18,678,898
|
216,649
|
$158
|
ND
|
$10,160
|
4,229
|
$5
|
NE
|
$4,832,049
|
46,444
|
$215
|
NH
|
$77,507
|
16,023
|
$9
|
NJ
|
$7,670,066
|
44,998
|
$300
|
NM
|
$0
|
0
|
NV
|
$4,548,500
|
46,590
|
$180
|
NY
|
$86,526,642
|
1,001,476
|
$138
|
OH
|
$11,331,726
|
143,327
|
$139
|
OK
|
$20,296,875
|
263,404
|
$126
|
OR
|
$4,654,772
|
23,394
|
$368
|
PA
|
$51,588,303
|
575,551
|
$165
|
RI
|
$0
|
0
|
SC
|
$19,630,152
|
251,632
|
$131
|
SD
|
$47,948
|
1,370
|
$68
|
TN
|
$28,810,557
|
240,298
|
$201
|
TX
|
$166,975,840
|
1,516,721
|
$187
|
UT
|
$3,696,778
|
109,893
|
$85
|
VA
|
$43,127,639
|
686,738
|
$115
|
VT
|
$2,346,018
|
4,636
|
$807
|
WA
|
$594,031
|
7,681
|
$185
|
WI
|
$10,369,793
|
282,812
|
$76
|
WV
|
$2,703,790
|
16,434
|
$374
|
WY
|
$1,112,043
|
6,290
|
$350
|
Territories
|
Total Rebates
|
Total Consumers Benefiting from Rebates
|
Average Rebate per Family
|
|---|
GU
|
$15,394,953
|
46,390
|
$852
|
MP
|
$291,586
|
1,022
|
$782
|
PR
|
$5,508,831
|
58,648
|
$225
|
VI
|
$1,629,124
|
5,698
|
$462
|
Appendix II: Total Rebates by Market and State for Consumers and Families: Table shows state by state rebate data for the individual market, small group market, and large group market.
Total Rebates by Market and State for Consumers and Families:
Individual Market
| State | Individual Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| *USA* |
$393,877,421 |
4,122,682 |
$152 |
| AK |
$0 |
0 |
$0 |
| AL |
$3,189,860 |
8,718 |
$582 |
| AR |
$533,645 |
12,406 |
$75 |
| AZ |
$12,692,460 |
218,153 |
$97 |
| CA |
$20,506,850 |
956,514 |
$30 |
| CO |
$3,062,448 |
109,460 |
$44 |
| CT |
$3,989,874 |
47,990 |
$124 |
| DC |
$151,721 |
1,908 |
$103 |
| DE |
$963,002 |
2,948 |
$461 |
| FL |
$47,257,109 |
308,944 |
$240 |
| GA |
$2,889,653 |
85,442 |
$51 |
| HI |
$0 |
0 |
$0 |
| IA |
$0 |
0 |
$0 |
| ID |
$144,303 |
1,083 |
$323 |
| IL |
$7,794,746 |
60,787 |
$199 |
| IN |
$2,838,374 |
42,320 |
$128 |
| KS |
$3,535,948 |
54,763 |
$101 |
| KY |
$232,937 |
2,830 |
$150 |
| LA |
$2,858,378 |
23,866 |
$193 |
| MA |
$226,702 |
2,487 |
$116 |
| MD |
$12,102,203 |
38,696 |
$496 |
| ME |
$0 |
0 |
$0 |
| MI |
$11,872,643 |
99,919 |
$205 |
| MN |
$494,492 |
30,512 |
$38 |
| MO |
$16,329,386 |
181,007 |
$139 |
| MS |
$6,133,419 |
15,789 |
$651 |
| MT |
$1,685,051 |
16,825 |
$203 |
| NC |
$3,111,464 |
26,185 |
$218 |
| ND |
$10,160 |
4,229 |
$5 |
| NE |
$3,704,559 |
29,827 |
$267 |
| NH |
$0 |
0 |
$0 |
| NJ |
$114,290 |
4,430 |
$25 |
| NM |
$0 |
0 |
$0 |
| NV |
$721,052 |
9,744 |
$115 |
| NY |
$6,048,297 |
83,541 |
$90 |
| OH |
$8,195,193 |
130,898 |
$106 |
| OK |
$6,602,858 |
104,568 |
$110 |
| OR |
$2,630,847 |
13,528 |
$360 |
| PA |
$20,677,286 |
133,264 |
$238 |
| RI |
$0 |
0 |
$0 |
| SC |
$15,277,769 |
105,043 |
$227 |
| SD |
$47,948 |
1,370 |
$68 |
| TN |
$18,445,730 |
140,962 |
$207 |
| TX |
$134,482,051 |
657,993 |
$356 |
| UT |
$2,741,795 |
47,358 |
$145 |
| VA |
$5,006,309 |
265,149 |
$32 |
| VT |
$0 |
0 |
$0 |
| WA |
$432,333 |
4,939 |
$161 |
| WI |
$649,028 |
19,759 |
$63 |
| WV |
$2,268,826 |
10,305 |
$383 |
| WY |
$932,840 |
5,201 |
$356 |
| Territories | Small Group Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| GU |
$0 |
0 |
$0 |
| MP |
$291,586 |
1,022 |
$782 |
| PR |
$0 |
0 |
$0 |
| VI |
$0 |
0 |
$0 |
Small Group Market
| State | Small Group Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| *USA* |
$321,116,259 |
3,295,798 |
$174 |
| AK |
$1,280,908 |
2,712 |
$622 |
| AL |
$1,030,471 |
4,838 |
$387 |
| AR |
$5,666,923 |
81,139 |
$120 |
| AZ |
$8,852,429 |
126,619 |
$131 |
| CA |
$42,256,439 |
336,121 |
$206 |
| CO |
$653,254 |
2,916 |
$403 |
| CT |
$459,952 |
4,283 |
$162 |
| DC |
$9,156,289 |
83,599 |
$186 |
| DE |
$0 |
0 |
$0 |
| FL |
$50,713,189 |
476,010 |
$190 |
| GA |
$1,754,466 |
4,614 |
$811 |
| HI |
$0 |
0 |
$0 |
| IA |
$1,469,276 |
28,042 |
$100 |
| ID |
$980,615 |
31,493 |
$63 |
| IL |
$47,391,579 |
164,372 |
$551 |
| IN |
$9,243,360 |
232,887 |
$78 |
| KS |
$603,559 |
12,749 |
$58 |
| KY |
$4,119,316 |
34,007 |
$207 |
| LA |
$0 |
0 |
$0 |
| MA |
$9,210,815 |
143,469 |
$130 |
| MD |
$2,281,663 |
13,333 |
$310 |
| ME |
$0 |
0 |
$0 |
| MI |
$2,035,619 |
14,076 |
$293 |
| MN |
$0 |
0 |
$0 |
| MO |
$38,424,482 |
240,893 |
$276 |
| MS |
$951,898 |
10,838 |
$150 |
| MT |
$922,193 |
8,528 |
$180 |
| NC |
$894,587 |
66,311 |
$21 |
| ND |
$0 |
0 |
$0 |
| NE |
$1,127,491 |
16,617 |
$131 |
| NH |
$0 |
0 |
$0 |
| NJ |
$0 |
0 |
$0 |
| NM |
$0 |
0 |
$0 |
| NV |
$3,445,694 |
27,187 |
$225 |
| NY |
$3,663,077 |
7,958 |
$632 |
| OH |
$3,136,533 |
12,429 |
$783 |
| OK |
$13,282,727 |
118,029 |
$170 |
| OR |
$1,209,614 |
7,359 |
$282 |
| PA |
$345,698 |
3,991 |
$200 |
| RI |
$0 |
0 |
$0 |
| SC |
$4,297,790 |
145,401 |
$53 |
| SD |
$0 |
0 |
$0 |
| TN |
$3,251,333 |
46,106 |
$125 |
| TX |
$14,307,687 |
351,754 |
$65 |
| UT |
$97,392 |
33,534 |
$7 |
| VA |
$22,125,579 |
236,171 |
$181 |
| VT |
$0 |
0 |
$0 |
| WA |
$0 |
0 |
$0 |
| WI |
$2,948,238 |
122,516 |
$48 |
| WV |
$434,964 |
6,130 |
$334 |
| WY |
$179,203 |
1,089 |
$319 |
| Territories | Small Group Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| GU |
$3,997,788 |
12,018 |
$1,167 |
| MP |
$0 |
0 |
$0 |
| PR |
$1,283,046 |
17,966 |
$191 |
| VI |
$1,629,124 |
5,698 |
$462 |
Large Group Market
| State | Large Group Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| *USA* |
$386,378,570 |
5,341,787 |
$135 |
| AK |
$0 |
0 |
$0 |
| AL |
$0 |
0 |
$0 |
| AR |
$1,586,610 |
21,916 |
$114 |
| AZ |
$6,323,778 |
69,140 |
$170 |
| CA |
$11,141,991 |
584,551 |
$43 |
| CO |
$23,737,066 |
95,821 |
$475 |
| CT |
$8,499,305 |
85,179 |
$202 |
| DC |
$37,881,427 |
506,727 |
$152 |
| DE |
$883,987 |
2,691 |
$278 |
| FL |
$25,654,337 |
466,444 |
$94 |
| GA |
$15,120,652 |
153,757 |
$172 |
| HI |
$195,053 |
26,900 |
$15 |
| IA |
$0 |
0 |
$0 |
| ID |
$0 |
0 |
$0 |
| IL |
$6,616,086 |
74,385 |
$176 |
| IN |
$2,167,939 |
8,225 |
$503 |
| KS |
$0 |
0 |
$0 |
| KY |
$10,973,850 |
212,439 |
$97 |
| LA |
$1,253,598 |
51,627 |
$43 |
| MA |
$2,449,125 |
17,993 |
$203 |
| MD |
$13,498,740 |
89,100 |
$268 |
| ME |
$2,579,922 |
10,589 |
$463 |
| MI |
$0 |
0 |
$0 |
| MN |
$8,462,393 |
92,660 |
$197 |
| MO |
$5,910,696 |
165,755 |
$63 |
| MS |
$3,037,215 |
25,117 |
$202 |
| MT |
$0 |
0 |
$0 |
| NC |
$14,672,847 |
124,153 |
$237 |
| ND |
$0 |
0 |
$0 |
| NE |
$0 |
0 |
$0 |
| NH |
$77,507 |
16,023 |
$9 |
| NJ |
$7,555,776 |
40,568 |
$359 |
| NM |
$0 |
0 |
$0 |
| NV |
$381,755 |
9,660 |
$105 |
| NY |
$76,815,268 |
909,977 |
$139 |
| OH |
$0 |
0 |
$0 |
| OK |
$411,290 |
40,807 |
$18 |
| OR |
$814,312 |
2,507 |
$777 |
| PA |
$30,565,319 |
438,296 |
$137 |
| RI |
$0 |
0 |
$0 |
| SC |
$54,594 |
1,188 |
$85 |
| SD |
$0 |
0 |
$0 |
| TN |
$7,113,493 |
53,230 |
$253 |
| TX |
$18,186,102 |
506,974 |
$61 |
| UT |
$857,591 |
29,001 |
$81 |
| VA |
$15,995,751 |
185,417 |
$167 |
| VT |
$2,346,018 |
4,636 |
$807 |
| WA |
$161,698 |
2,742 |
$303 |
| WI |
$6,772,527 |
140,537 |
$104 |
| WV |
$0 |
0 |
$0 |
| WY |
$0 |
0 |
$0 |
| Territories | Small Group Market
Rebates | Enrollees Benefiting from Rebates | Avg Rebate
per
Family |
|---|
| GU |
$11,397,165 |
34,372 |
$779 |
| MP |
$0 |
0 |
$0 |
| PR |
$4,225,785 |
40,682 |
$238 |
| VI |
$0 |
0 |
$0 |
Source: Healthcare.gov
Note: This should not be taken as legal or tax advice.
