Industry
Insurers to Pay $759 Million in MLR Rebates for 2024 Performance
Health insurers will pay an estimated $759.2 million in Medical Loss Ratio rebates in 2026 based on 2024 performance, according to KFF analysis of preliminary data filed with state regulators. The rebates go to individuals and employers in fully-insured plans where insurers failed to meet minimum MLR thresholds—80% for individual and small group markets, 85% for large group plans. This year's rebate total is lower than most prior years. Payments typically reach consumers by September 30, 2026.
Why it mattersMedicaid managed care organizations with commercial lines of business face the same MLR requirements in their commercial markets, and lower rebates may signal improved claims experience or more efficient cost management across multi-line carriers.