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Small Business Employee Benefits and HR Blog

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.


health insurance rebate chart resized 600

Total Rebates by Market and State for Consumers and Families:  

Individual Market

StateIndividual Market
Rebates
Enrollees Benefiting from RebatesAvg 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
TerritoriesSmall Group Market
Rebates
Enrollees Benefiting from RebatesAvg Rebate
per
Family
GU $0 0 $0
MP $291,586 1,022 $782
PR $0 0 $0
VI $0 0 $0

Small Group Market

StateSmall Group Market
Rebates
Enrollees Benefiting from RebatesAvg 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
TerritoriesSmall Group Market
Rebates
Enrollees Benefiting from RebatesAvg 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

StateLarge Group Market
Rebates
Enrollees Benefiting from RebatesAvg 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
TerritoriesSmall Group Market
Rebates
Enrollees Benefiting from RebatesAvg 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

defined-contribution-health-benefits

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