Total Medical Loss Ratio (MLR) Rebates in All Markets for Consumers and Families
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
2024
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 1640091858 8558274 192 N/A
Alaska 0 0 0 N/A
Alabama 181950179 298339 610 N/A
Arkansas 33352224 90236 370 N/A
Arizona 10172912 56069 181 N/A
California 31167747 505843 62 N/A
Colorado 11596239 158406 73 N/A
Connecticut 1583672 1627 974 N/A
District of Columbia 65628 390 168 N/A
Delaware 74534 199 375 N/A
Florida 91197982 1239089 74 N/A
Georgia 24173251 527739 46 N/A
Hawaii 3738901 1658 2254 N/A
Iowa 7255919 43576 167 N/A
Idaho 1625416 29837 54 N/A
Illinois 4761075 79768 60 N/A
Indiana 66147241 242147 273 N/A
Kansas 6224665 7561 823 N/A
Kentucky 1684980 24425 69 N/A
Louisiana 130147819 307104 424 N/A
Massachusetts 75616534 380957 198 N/A
Maryland 33125162 314059 105 N/A
Maine 174838 462 379 N/A
Michigan 11718564 149814 78 N/A
Minnesota 0 0 0 N/A
Missouri 156356470 535511 292 N/A
Mississippi 3711031 14732 252 N/A
Montana 0 0 0 N/A
North Carolina 99695252 354047 282 N/A
North Dakota 0 0 0 N/A
Nebraska 5344361 97183 55 N/A
New Hampshire 8706576 80282 108 N/A
New Jersey 22827461 88770 257 N/A
New Mexico 5285688 12706 416 N/A
Nevada 32620323 218818 149 N/A
New York 8964289 356615 25 N/A
Ohio 78900931 307753 256 N/A
Oklahoma 88703731 126200 703 N/A
Oregon 0 0 0 N/A
Pennsylvania 55729203 411845 135 N/A
Rhode Island 0 0 0 N/A
South Carolina 138197855 399052 346 N/A
South Dakota 0 0 0 N/A
Tennessee 16054530 98972 162 N/A
Texas 126713875 432262 293 N/A
Utah 950864 5749 165 N/A
Virginia 43219764 358145 121 N/A
Vermont 0 0 0 N/A
Washington 926512 11050 84 N/A
Wisconsin 17672651 186402 95 N/A
West Virginia 0 0 0 N/A
Wyoming 1955005 2876 680 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2023
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 957594948 6119161 156 N/A
Alabama 39208598 52940 741 N/A
Alaska 0 0 0 N/A
Arizona 51167920 189873 269 N/A
Arkansas 65073213 272805 239 N/A
California 47939626 471352 102 N/A
Colorado 7063544 93498 76 N/A
Connecticut 4356418 32744 133 N/A
Delaware 362331 1974 184 N/A
District of Columbia 627731 1343 467 N/A
Florida 42878481 465575 92 N/A
Georgia 26232997 410025 64 N/A
Hawaii 2709400 1564 1732 N/A
Idaho 2472683 31320 79 N/A
Illinois 3854415 23392 165 N/A
Indiana 50554152 188580 268 N/A
Iowa 8994912 24512 367 N/A
Kansas 11146558 102177 109 N/A
Kentucky 17760586 71548 248 N/A
Louisiana 35676134 127877 279 N/A
Maine 0 0 0 N/A
Maryland 19375382 141521 137 N/A
Massachusetts 51599489 274029 188 N/A
Michigan 13594310 129247 105 N/A
Minnesota 0 0 0 N/A
Mississippi 19499955 246838 79 N/A
Missouri 88778572 449627 197 N/A
Montana 396843 5067 78 N/A
Nebraska 4335948 29698 146 N/A
Nevada 18069502 64504 280 N/A
New Hampshire 22829695 128482 178 N/A
New Jersey 26230380 117283 224 N/A
New Mexico 5122366 12020 426 N/A
New York 16294619 406682 40 N/A
North Carolina 3666733 45558 80 N/A
North Dakota 0 0 0 N/A
Ohio 14603331 155644 94 N/A
Oklahoma 5159765 34054 152 N/A
Oregon 0 0 0 N/A
Pennsylvania 126199653 545683 231 N/A
Rhode Island 493404 22747 22 N/A
South Carolina 23904771 120645 198 N/A
South Dakota 151 1 140 N/A
Tennessee 9736193 54772 178 N/A
Texas 9573874 98601 97 N/A
Utah 1025039 825 1243 N/A
Vermont 0 0 0 N/A
Virginia 40525451 298683 136 N/A
Washington 3368963 10986 307 N/A
West Virginia 0 0 0 N/A
Wisconsin 13801127 159632 86 N/A
Wyoming 1329734 3233 411 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2022
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 947413736 5789015 164 N/A
Alabama 9126655 14450 632 N/A
Alaska 0 0 0 N/A
Arizona 36994057 177401 209 N/A
Arkansas 62906262 238677 264 N/A
California 94204183 943804 100 N/A
Colorado 5200671 125356 41 N/A
Connecticut 6719739 24411 275 N/A
Delaware 480739 2040 236 N/A
District of Columbia 11405657 184068 62 N/A
Florida 40580057 453622 89 N/A
Georgia 7662660 14535 527 N/A
Hawaii 2344667 1313 1786 N/A
Idaho 3586318 35878 100 N/A
Illinois 4056738 8074 502 N/A
Indiana 19253656 175717 110 N/A
Iowa 1531481 20373 75 N/A
Kansas 18618627 70649 264 N/A
Kentucky 16556167 66961 247 N/A
Louisiana 20442626 73261 279 N/A
Maine 4238086 57475 74 N/A
Maryland 8971151 53801 167 N/A
Massachusetts 61416759 359240 171 N/A
Michigan 18177762 77546 234 N/A
Minnesota 130908 2381 55 N/A
Mississippi 10969586 151615 72 N/A
Missouri 36249457 252927 143 N/A
Montana 453948 4889 93 N/A
Nebraska 5562807 39595 140 N/A
Nevada 9302078 50400 185 N/A
New Hampshire 20429841 118804 172 N/A
New Jersey 20900314 201782 104 N/A
New Mexico 623757 11025 57 N/A
New York 18011406 410965 44 N/A
North Carolina 11273369 78689 143 N/A
North Dakota 0 0 0 N/A
Ohio 10906178 77977 140 N/A
Oklahoma 321089 4850 66 N/A
Oregon 0 0 0 N/A
Pennsylvania 221115539 600252 368 N/A
Rhode Island 0 0 0 N/A
South Carolina 20225034 66421 304 N/A
South Dakota 1891498 1772 1067 N/A
Tennessee 7121860 18411 387 N/A
Texas 6253176 23763 263 N/A
Utah 756029 1015 745 N/A
Vermont 0 0 0 N/A
Virginia 69713756 410486 170 N/A
Washington 12609967 44422 284 N/A
West Virginia 0 0 0 N/A
Wisconsin 7589929 34608 219 N/A
Wyoming 527496 3315 159 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2021
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 1030920844 6164906 167 N/A
Alabama 29675 361 82 N/A
Alaska 0 0 0 N/A
Arizona 43209556 200851 215 N/A
Arkansas 32964016 140276 235 N/A
California 105195477 866863 121 N/A
Colorado 18360442 121721 151 N/A
Connecticut 1851125 29615 63 N/A
Delaware 1350545 21959 62 N/A
District of Columbia 29491123 233110 127 N/A
Florida 21034568 191259 110 N/A
Georgia 5747961 19856 289 N/A
Hawaii 1725862 13184 131 N/A
Idaho 2132681 38139 56 N/A
Illinois 2748070 7864 349 N/A
Indiana 679042 55425 12 N/A
Iowa 1137964 8121 140 N/A
Kansas 8863405 37462 237 N/A
Kentucky 9882629 75966 130 N/A
Louisiana 3385308 61869 55 N/A
Maine 20058766 51953 386 N/A
Maryland 53446981 228568 234 N/A
Massachusetts 47386629 452005 105 N/A
Michigan 25596877 117630 218 N/A
Minnesota 3365804 33324 101 N/A
Mississippi 11940572 93468 128 N/A
Missouri 40371558 183506 220 N/A
Montana 4907748 27197 180 N/A
Nebraska 3886750 23011 169 N/A
Nevada 2951144 14327 206 N/A
New Hampshire 26004242 113486 229 N/A
New Jersey 15750008 121177 130 N/A
New Mexico 8328400 28903 288 N/A
New York 11105650 240207 46 N/A
North Carolina 1578202 25607 62 N/A
North Dakota 0 0 0 N/A
Ohio 13380339 203354 66 N/A
Oklahoma 1454384 11622 125 N/A
Oregon 0 0 0 N/A
Pennsylvania 175696171 655133 268 N/A
Rhode Island 0 0 0 N/A
South Carolina 17131186 104011 165 N/A
South Dakota 1046947 1738 603 N/A
Tennessee 6576183 48250 136 N/A
Texas 68935441 602705 114 N/A
Utah 2044513 12100 169 N/A
Vermont 0 0 0 N/A
Virginia 146646508 514217 285 N/A
Washington 18891044 71569 264 N/A
West Virginia 76044 648 117 N/A
Wisconsin 12420452 59573 208 N/A
Wyoming 152851 1717 89 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2020
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 2006723525 9779938 205 N/A
Alabama 43807 670 65 N/A
Alaska 4213601 29444 143 N/A
Arizona 65641048 269463 244 N/A
Arkansas 11399411 149021 76 N/A
California 95372541 815593 117 N/A
Colorado 21554795 206020 105 N/A
Connecticut 806397 6309 128 N/A
Delaware 12952195 53431 242 N/A
District of Columbia 33971471 240209 141 N/A
Florida 220518186 1049726 210 N/A
Georgia 39185472 406642 96 N/A
Hawaii 3641401 33542 109 N/A
Idaho 2477493 14569 170 N/A
Illinois 62741140 390267 161 N/A
Indiana 1971249 76129 26 N/A
Iowa 28264892 138496 204 N/A
Kansas 14023024 29721 472 N/A
Kentucky 5386145 45728 118 N/A
Louisiana 9076650 77539 117 N/A
Maine 46666706 83127 561 N/A
Maryland 105861131 454183 233 N/A
Massachusetts 57986650 497201 117 N/A
Michigan 63517018 279163 228 N/A
Minnesota 33839312 118709 285 N/A
Mississippi 17317834 89813 193 N/A
Missouri 49284308 269783 183 N/A
Montana 9833331 19645 501 N/A
Nebraska 2771512 27466 101 N/A
Nevada 10443945 80946 129 N/A
New Hampshire 35953238 84407 426 N/A
New Jersey 34919073 354343 99 N/A
New Mexico 15387778 30995 496 N/A
New York 32589088 438583 74 N/A
North Carolina 1299712 28317 46 N/A
North Dakota 0 0 0 N/A
Ohio 16182787 207359 78 N/A
Oklahoma 11836898 156328 76 N/A
Oregon 200811 311 647 N/A
Pennsylvania 172178420 500691 344 N/A
Rhode Island 0 0 0 N/A
South Carolina 30387759 304009 100 N/A
South Dakota 953698 1876 508 N/A
Tennessee 67509740 357638 189 N/A
Texas 212577902 537232 396 N/A
Utah 6728863 25311 266 N/A
Vermont 0 0 0 N/A
Virginia 234575147 538380 436 N/A
Washington 48849645 113497 430 N/A
West Virginia 0 0 0 N/A
Wisconsin 50020790 121272 412 N/A
Wyoming 3809511 26837 142 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2019
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 2458764169 11225633 219 N/A
Alabama 53454 782 68 N/A
Alaska 14608271 31471 464 N/A
Arizona 89335042 250992 356 N/A
Arkansas 14568401 188689 77 N/A
California 111290349 1266485 88 N/A
Colorado 19295497 161248 120 N/A
Connecticut 51497 981 53 N/A
Delaware 21584336 53350 405 N/A
District of Columbia 31821569 105238 302 N/A
Florida 246252312 1094565 225 N/A
Georgia 86737877 289774 299 N/A
Hawaii 2919947 21090 138 N/A
Idaho 279235 9561 29 N/A
Illinois 132427486 437631 303 N/A
Indiana 2088034 83852 25 N/A
Iowa 25335314 92036 275 N/A
Kansas 24618299 40260 611 N/A
Kentucky 407121 3479 117 N/A
Louisiana 14347143 110431 130 N/A
Maine 19933657 70993 281 N/A
Maryland 76119651 497714 153 N/A
Massachusetts 51643293 475787 109 N/A
Michigan 59743985 326779 183 N/A
Minnesota 42167584 95837 440 N/A
Mississippi 37388648 108885 343 N/A
Missouri 192765761 345312 558 N/A
Montana 15169863 29135 521 N/A
Nebraska 1999458 33321 60 N/A
Nevada 14383246 124203 116 N/A
New Hampshire 23046305 88610 260 N/A
New Jersey 24931324 385376 65 N/A
New Mexico 15201557 32436 469 N/A
New York 29510228 433758 68 N/A
North Carolina 4844756 510985 9 N/A
North Dakota 0 0 0 N/A
Ohio 7376503 58574 126 N/A
Oklahoma 88920276 305740 291 N/A
Oregon 276976 3192 87 N/A
Pennsylvania 166262469 438532 379 N/A
Rhode Island 0 0 0 N/A
South Carolina 37744075 307670 123 N/A
South Dakota 814462 3029 269 N/A
Tennessee 129303855 386910 334 N/A
Texas 278969190 776058 359 N/A
Utah 7901895 58160 136 N/A
Vermont 54756 1831 30 N/A
Virginia 162676818 617655 263 N/A
Washington 45520424 292175 156 N/A
West Virginia 0 0 0 N/A
Wisconsin 86071972 175062 492 N/A
Wyoming 0 0 0 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2018
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 1370265255 8924643 154 N/A
Alabama 26348 490 54 N/A
Alaska 5885625 19019 309 N/A
Arizona 99535043 139065 716 N/A
Arkansas 16226275 147415 110 N/A
California 89538302 1007064 89 N/A
Colorado 19425443 153791 126 N/A
Connecticut 20891 1062 20 N/A
Delaware 8261424 38251 216 N/A
District of Columbia 31804452 107939 295 N/A
Florida 107406822 1102427 97 N/A
Georgia 65648241 209802 313 N/A
Hawaii 277110 701 395 N/A
Idaho 140221 1181 119 N/A
Illinois 19560851 145881 134 N/A
Indiana 5392696 89544 60 N/A
Iowa 2402990 51116 47 N/A
Kansas 27210671 25175 1081 N/A
Kentucky 44505 363 123 N/A
Louisiana 10105345 74315 136 N/A
Maine 0 0 0 N/A
Maryland 59369470 522126 114 N/A
Massachusetts 48775291 263727 185 N/A
Michigan 19993937 191621 104 N/A
Minnesota 50249199 91064 552 N/A
Mississippi 35078651 95552 367 N/A
Missouri 52067788 226223 230 N/A
Montana 528294 2960 178 N/A
Nebraska 827045 45641 18 N/A
Nevada 8680429 65980 132 N/A
New Hampshire 27088031 127617 212 N/A
New Jersey 15568469 97780 159 N/A
New Mexico 14180935 34468 411 N/A
New York 24041704 449222 54 N/A
North Carolina 9874567 537983 18 N/A
North Dakota 0 0 0 N/A
Ohio 4656274 25442 183 N/A
Oklahoma 16000483 291073 55 N/A
Oregon 0 0 0 N/A
Pennsylvania 129984697 487734 267 N/A
Rhode Island 0 0 0 N/A
South Carolina 6701642 98565 68 N/A
South Dakota 0 0 0 N/A
Tennessee 61406473 334273 184 N/A
Texas 91875636 680961 135 N/A
Utah 8778764 49316 178 N/A
Vermont 0 0 0 N/A
Virginia 149564650 515567 290 N/A
Washington 3696911 220975 17 N/A
West Virginia 1373859 3777 364 N/A
Wisconsin 20988802 150396 140 N/A
Wyoming 0 0 0 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2017
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 706735126 5960498 119 N/A
Alabama 206196 5061 41 N/A
Alaska 0 0 0 N/A
Arizona 27576292 157020 176 N/A
Arkansas 1944299 12870 151 N/A
California 97386263 919608 106 N/A
Colorado 7475523 70758 106 N/A
Connecticut 48929 1154 42 N/A
Delaware 6551746 37324 176 N/A
District of Columbia 26601653 93420 285 N/A
Florida 86231898 679522 127 N/A
Georgia 29380080 403707 73 N/A
Hawaii 314241 818 384 N/A
Idaho 64430 2021 32 N/A
Illinois 14554527 118385 123 N/A
Indiana 1499908 74991 20 N/A
Iowa 2468147 17473 141 N/A
Kansas 3695019 23526 157 N/A
Kentucky 26253 923 28 N/A
Louisiana 314880 61158 5 N/A
Maine 0 0 0 N/A
Maryland 75754059 552175 137 N/A
Massachusetts 31895756 208749 153 N/A
Michigan 55651722 392288 142 N/A
Minnesota 19659847 41034 479 N/A
Mississippi 10466683 91084 115 N/A
Missouri 45538433 298071 153 N/A
Montana 116211 1102 105 N/A
Nebraska 69737 1665 42 N/A
Nevada 6451083 43778 147 N/A
New Hampshire 8064209 34995 230 N/A
New Jersey 14368862 94341 152 N/A
New Mexico 4513998 32498 139 N/A
New York 25961536 445849 58 N/A
North Carolina 4355031 112738 39 N/A
North Dakota 64550 794 81 N/A
Ohio 4706404 26186 180 N/A
Oklahoma 2434273 33380 73 N/A
Oregon 96757 636 152 N/A
Pennsylvania 30734528 416910 74 N/A
Rhode Island 0 0 0 N/A
South Carolina 453504 41437 11 N/A
South Dakota 0 0 0 N/A
Tennessee 10634459 100638 106 N/A
Texas 7813406 54851 142 N/A
Utah 3722184 27957 133 N/A
Vermont 0 0 0 N/A
Virginia 35342998 210094 168 N/A
Washington 0 0 0 N/A
West Virginia 1207286 6840 177 N/A
Wisconsin 317325 10671 30 N/A
Wyoming 0 0 0 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2016
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 446883579 3950234 113 N/A
Alabama 1082961 5792 187 N/A
Alaska 0 0 0 N/A
Arizona 7614255 28391 268 N/A
Arkansas 3405615 68758 50 N/A
California 17296405 30945 559 N/A
Colorado 3490011 84019 42 N/A
Connecticut 0 0 0 N/A
Delaware 38315 6908 6 N/A
District of Columbia 17283050 96771 179 N/A
Florida 70055092 673907 104 N/A
Georgia 20138857 361248 56 N/A
Hawaii 0 0 0 N/A
Idaho 145995 1396 105 N/A
Illinois 6168260 54915 112 N/A
Indiana 6728777 35727 188 N/A
Iowa 762520 3608 211 N/A
Kansas 5469822 23567 232 N/A
Kentucky 142896 861 166 N/A
Louisiana 156362 1753 89 N/A
Maine 0 0 0 N/A
Maryland 60530581 316952 191 N/A
Massachusetts 40563956 162848 249 N/A
Michigan 47254187 363756 130 N/A
Minnesota 0 0 0 N/A
Mississippi 8038596 75847 106 N/A
Missouri 13767411 242809 57 N/A
Montana 0 0 0 N/A
Nebraska 118097 992 119 N/A
Nevada 4689070 38480 122 N/A
New Hampshire 11207622 63460 177 N/A
New Jersey 11331648 137202 83 N/A
New Mexico 0 0 0 N/A
New York 31637681 459305 69 N/A
North Carolina 7121178 71244 100 N/A
North Dakota 282828 1070 264 N/A
Ohio 7806432 110196 71 N/A
Oklahoma 531403 5230 102 N/A
Oregon 0 0 0 N/A
Pennsylvania 1861095 67011 28 N/A
Rhode Island 2735599 16696 164 N/A
South Carolina 25234 783 32 N/A
South Dakota 0 0 0 N/A
Tennessee 1524373 21833 70 N/A
Texas 8019143 67857 118 N/A
Utah 133015 3189 42 N/A
Vermont 0 0 0 N/A
Virginia 26394905 185431 142 N/A
Washington 1103455 50454 22 N/A
West Virginia 142748 7936 18 N/A
Wisconsin 84127 1089 77 N/A
Wyoming 0 0 0 N/A
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
U.S. Virgin Islands N/A N/A N/A N/A
2015
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 396684376 4850555 82 138
Alabama 1252727 7792 161 249
Alaska 55840 89 627 235
Arizona 5750456 58430 98 185
Arkansas 3928423 86923 45 58
California 37164457 294867 126 233
Colorado 1737038 5975 291 376
Connecticut 44646 1353 33 66
Delaware 190367 4050 47 90
District of Columbia 18066004 252986 71 155
Florida 46172885 766290 60 95
Georgia 20132607 226595 89 141
Hawaii 1167943 1598 731 1339
Idaho 80459 219 367 155
Illinois 2924775 37719 78 123
Indiana 15554175 234936 66 104
Iowa 1512470 20058 75 133
Kansas 1881472 4994 377 599
Kentucky 3640398 85025 43 52
Louisiana 419989 3220 130 168
Maine 0 0 0 0
Maryland 45755797 296255 154 273
Massachusetts 353864 61274 6 114
Michigan 34316590 635603 54 120
Minnesota 65797 1508 44 70
Mississippi 15692881 92382 170 256
Missouri 20912406 273246 77 116
Montana 0 0 0 0
Nebraska 95032 747 127 254
Nevada 6243165 29244 213 363
New Hampshire 7705129 40609 190 304
New Jersey 2634720 116900 23 42
New Mexico 1179 98 12 4
New York 46661492 458400 102 149
North Carolina 8270684 57865 143 203
North Dakota 0 0 0 0
Ohio 8684809 143202 61 89
Oklahoma 2038937 26240 78 143
Oregon 164973 9601 17 26
Pennsylvania 859761 13941 62 92
Rhode Island 1954106 15651 125 150
South Carolina 705649 99835 7 11
South Dakota 0 0 0 0
Tennessee 2577775 26887 96 161
Texas 7847249 21015 373 497
Utah 201211 1172 172 287
Vermont 0 0 0 0
Virginia 19217933 301325 64 102
Washington 464382 3328 140 246
West Virginia 839245 7608 110 211
Wisconsin 742480 23502 32 53
Wyoming 0 0 0 0
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
Virgin Islands N/A N/A N/A N/A
2014
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 469364539 5533468 85 129
Alabama 1503011 12336 122 177
Alaska 597002 12777 47 59
Arizona 10360072 259855 40 59
Arkansas 13860180 80460 172 305
California 97950227 723170 135 158
Colorado 5434880 117683 46 84
Connecticut 1834954 22166 83 177
Delaware 2072207 14399 144 241
District of Columbia 14557940 41620 350 564
Florida 59908232 821814 73 114
Georgia 17253523 187600 92 124
Hawaii 1419597 1723 824 1597
Idaho 738522 1461 505 846
Illinois 3574850 48949 73 114
Indiana 11850559 261183 45 84
Iowa 663723 8671 77 119
Kansas 2469180 21369 116 184
Kentucky 8982159 137806 65 89
Louisiana 1978637 57469 34 61
Maine 3488556 35861 97 105
Maryland 23054136 164535 140 245
Massachusetts 12617420 98790 128 235
Michigan 25676256 449681 57 120
Minnesota 0 0 0 0
Mississippi 20694520 99289 208 284
Missouri 13587035 225482 60 109
Montana 612253 10240 60 87
Nebraska 194613 999 195 262
Nevada 3797839 50981 74 116
New Hampshire 9306221 54519 171 197
New Jersey 3091497 89403 35 46
New Mexico 1512640 11862 128 240
New York 8381114 293721 29 55
North Carolina 8449762 162234 52 81
North Dakota 53680 193 278 287
Ohio 4516640 157480 29 36
Oklahoma 6673626 76285 87 153
Oregon 3171343 29692 107 152
Pennsylvania 6367923 40544 157 188
Rhode Island 0 0 0 0
South Carolina 14872151 121015 123 142
South Dakota 0 0 0 0
Tennessee 3251939 51863 63 105
Texas 14119897 96024 147 234
Utah 430430 2464 175 325
Vermont 0 0 0 0
Virginia 12130227 180113 67 119
Washington 11024698 190474 58 76
West Virginia 445019 1770 251 329
Wisconsin 566915 4963 114 179
Wyoming 266734 484 551 1617
American Samoa N/A N/A N/A N/A
Guam N/A N/A N/A N/A
Northern Mariana Islands N/A N/A N/A N/A
Puerto Rico N/A N/A N/A N/A
Virgin Islands N/A N/A N/A N/A
2013
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States 332152474 6816423 49 80
Alabama 990323 10342 96 111
Alaska 3062042 11431 268 388
Arizona 11370182 347772 33 51
Arkansas 6269271 57712 109 183
California 11902850 490052 24 39
Colorado 2721701 52277 52 93
Connecticut 3019862 69186 44 72
Delaware 734278 5886 125 174
District of Columbia 11411222 164503 69 149
Florida 41679928 981273 42 65
Georgia 11141472 304940 37 53
Hawaii 4892872 68090 72 133
Idaho 1576721 31589 50 92
Illinois 8387603 108581 77 120
Indiana 11889719 254127 47 84
Iowa 1753306 14598 120 206
Kansas 3615148 59966 60 89
Kentucky 6298456 209476 30 43
Louisiana 4947832 119720 41 71
Maine 1845006 19542 94 149
Maryland 17265604 206102 84 140
Massachusetts 15093428 208751 72 133
Michigan 13189718 184297 72 118
Minnesota 523254 1915 273 522
Mississippi 6631232 66832 99 139
Missouri 14609316 352661 41 66
Montana 2719595 14170 192 286
Nebraska 1543091 16567 93 108
Nevada 4049168 74476 54 85
New Hampshire 5468712 46338 118 161
New Jersey 3434390 42300 81 142
New Mexico 68528 628 109 158
New York 12147281 617465 20 37
North Carolina 8488477 182517 47 77
North Dakota 68894 947 73 139
Ohio 1216544 35361 34 69
Oklahoma 6739649 89648 75 128
Oregon 3082182 49412 62 101
Pennsylvania 5198874 90485 57 75
Rhode Island 48696 710 69 131
South Carolina 13187815 205229 64 92
South Dakota 2582 867 3 5
Tennessee 10037932 336141 30 53
Texas 13690983 189005 72 114
Utah 3296969 104576 32 81
Vermont 0 0 0 0
Virginia 8913605 104774 85 148
Washington 792846 9605 83 122
West Virginia 902721 8290 109 177
Wisconsin 2584967 69396 37 52
Wyoming 1483884 8203 181 268
American Samoa 0 0 N/A 0
Guam 2502478 39670 N/A 107
Northern Mariana Islands 113595 1796 N/A 120
Puerto Rico 3545675 76230 N/A 99
Virgin Islands 0 0 N/A 0
2012
Location Total Rebates Total Consumers Benefiting from Rebates Average Rebate per Person Average Rebate per Family
United States $504,157,712 8,517,869 59 $98
Alabama $314,374 1,487 211 $248
Alaska $1,645,701 12,344 133 $190
Arizona $18,711,067 423,981 44 $71
Arkansas $3,494,562 121,224 29 $49
California $65,659,905 1,433,787 46 $71
Colorado $11,485,459 150,492 76 $134
Connecticut $5,647,013 47,593 119 $168
Delaware $1,361,054 4,096 332 $495
District of Columbia $5,149,792 210,233 24 $53
Florida $54,380,139 614,245 89 $132
Georgia $15,001,161 247,883 61 $82
Hawaii $1,551,371 39,589 39 $59
Idaho $2,300,265 28,163 82 $152
Illinois $6,135,984 178,581 34 $52
Indiana $22,600,764 273,167 83 $157
Iowa $147,246 1,766 83 $111
Kansas $4,043,320 83,742 48 $71
Kentucky $14,405,533 206,771 70 $100
Louisiana $2,377,674 80,994 29 $50
Maine $501,240 8,796 57 $106
Maryland $13,046,316 149,961 87 $143
Massachusetts $34,250,845 173,454 197 $457
Michigan $18,609,808 222,051 84 $138
Minnesota $1,435,259 9,161 157 $303
Mississippi $5,851,557 59,995 98 $140
Missouri $19,186,415 457,019 42 $72
Montana $1,537,571 13,274 116 $173
Nebraska $2,000,151 42,036 48 $82
Nevada $3,977,544 88,491 45 $75
New Hampshire $1,171,335 15,407 76 $147
New Jersey $10,768,382 220,010 49 $104
New Mexico $239,568 17,536 14 $24
New York $31,162,968 633,802 49 $92
North Carolina $9,847,666 192,757 51 $87
North Dakota $19,792 572 35 $64
Ohio $486,681 6,333 77 $133
Oklahoma $16,014,997 273,694 59 $92
Oregon $2,928,540 22,346 131 $206
Pennsylvania $6,875,277 123,581 56 $77
Rhode Island $18,053 1,265 14 $43
South Carolina $6,169,507 119,448 52 $70
South Dakota $41,240 784 53 $70
Tennessee $5,618,993 131,826 43 $69
Texas $46,327,708 726,237 64 $95
Utah $4,582,857 139,655 33 $85
Vermont $126,810 5,248 24 $58
Virginia $11,852,024 235,974 50 $88
Washington $806,497 3,007 268 $512
West Virginia $1,120,757 11,795 95 $132
Wisconsin $3,567,932 147,144 24 $46
Wyoming $1,477,087 8,427 175 $284
American Samoa $0 0 N/A $0
Guam $2,042,664 49,160 N/A $2,615
Northern Mariana Islands $90,099 1,766 N/A $187
Puerto Rico $3,955,123 41,541 N/A $198
Virgin Islands $36,068 4,181 N/A $15
Notes
The Affordable Care Act requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR). If an insurance company in the individual market spends less than 80% of premium revenues on clinical services and quality improvement, it is required to provide a rebate to customers. MLR rebates are based on a 3-year average.
Rebates must be paid by September 30 of each year and may take the form of a check in the mail, a lump-sum reimbursement to a bank account (if the premium was paid by credit or debit card), or a direct reduction in future premiums. For individuals with employer-sponsored insurance, the employer may provide one of the above rebate methods or otherwise apply the rebate in a manner that benefits the employee.
Data may not sum to total due to rounding. Not all regions reported MLR refunds for all years.
Sources
The Center for Consumer Information & Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS). "MLR Refunds by State and Market" , as of September 12, 2025.
Definitions
N/A : Data not available.