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No Rebates From Regence, Exceeded 2013 Medical Loss Ratio

13 Jun 2014
Posted by Kris Larsen

Regence BlueShield exceeded 2013 medical loss ratio requirements

Regence BlueShield recently announced the 2013 medical loss ratio filings for all its health plans with the U.S. Department of Health and Human Services. It exceeded the MLR requirements in all pools, and no rebates will be issued to members.

Under the Affordable Care Act, health insurers must spend 80 percent of premium on medical care for Individual and small group pools and 85 percent for large group pools, or issue a rebate on premium. Insurers file MLR figures with HHS by June 1 annually.

According to the 2013 filing, Regence BlueShield reported medical loss ratios of:

  • Individual: 88.0 percent
  • Small Group: 82.8 percent
  • Large Group: 87.6 percent

"Our goal is to set premium that just about breaks even on paying members' care and our cost of doing business on their behalf," said Don Antonucci, president of Regence BlueShield. "This is in keeping with our nonprofit values. Our results show we achieved that goal."