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December 16th, 2013
More Than 400,000 Arizonans Get Rebates From Insurance Companies Thanks to Affordable Care Act Rule Limiting Profit on Premiums

Tucson, Ariz. – Rep. Raúl M. Grijalva today highlighted the 424,000 Arizonans who received an average rebate of approximately $71 per familyfrom their insurance company this year thanks to the Affordable Care Act (ACA). The ACA says insurance companies must spend at least 80percent of what they make in premiums – or 85percent in the large group market– on medical care and quality improvement efforts rather than overhead, profits and executive pay.

Insurers who fail to meet that standard, known as the “medical loss ratio,” have to send consumers a rebate to make up the difference. Insurers sent 8.5 million consumers an average rebate of approximately $100 per family nationwide this year.

The health care law requires insurance companies to publicly post and justify any proposed rate increase of 10 percent or more. Across the country, insurers are withdrawing or decreasing proposed rate hikes, benefiting families and the economy.One high-profile instance over the summer led to Anthem Blue Cross of California dropping its request to participate in the Covered California state health care exchange because of state-level scrutiny of its rate increases.

“Whenever we try to make the market a little fairer for working people, we hear these doom-and-gloom predictions that putting money back in their hands is going to wreck the economy,” Grijalva said. “Ask any of the hundreds of thousands of Arizonans who got a check back from their insurance company this year, and I think they’ll tell you this rule is working.”

House Republicans have voted to repeal the ACA more than 40 times.

The full state-by-state rebate table is below.

CONSUMERS RECEIVING 2012 REBATES FROM THEIR INSURANCE COMPANIES IN 2013[1]

 

Average Premium Per Family

  $248

  $190

  $71

  $49

  $71

  $134

  $168

  $495

  $53

  $132

  $82

  $59

  $152

  $52

  $157

  $111

  $71

  $100

  $50

  $106

  $143

  $457

  $138

  $303

  $140

  $72

  $173

  $82

  $75

  $147

  $104

  $24

  $92

  $87

  $64

  $133

  $92

  $206

  $77

  $43

  $70

  $70

  $69

  $95

  $85

  $58

  $88

  $512

  $132

  $46

  $284

State

Number of Individuals

Alabama

1,500

Alaska

12,300

Arizona

424,000

Arkansas

121,200

California

1,433,800

Colorado

150,500

Connecticut

47,600

Delaware

4,000

District of Columbia

210,200

Florida

614,200

Georgia

247,900

Hawaii

39,600

Idaho

28,000

Illinois

178,600

Indiana

273,000

Iowa

1,800

Kansas

83,700

Kentucky

206,800

Louisiana

81,000

Maine

8,800

Maryland

150,000

Massachusetts

173,500

Michigan

222,000

Minnesota

9,200

Mississippi

60,000

Missouri

457,000

Montana

13,300

Nebraska

42,000

Nevada

88,500

New Hampshire

15,400

New Jersey

220,000

New Mexico

17,500

New York

633,800

North Carolina

192,600

North Dakota

570

Ohio

6,300

Oklahoma

273,700

Oregon

22,300

Pennsylvania

123,600

Rhode Island

1,300

South Carolina

119,400

South Dakota

800

Tennessee

131,800

Texas

726,200

Utah

139,700

Vermont

5,200

Virginia

236,000

Washington

3,000

West Virginia

11,800

Wisconsin

147,100

Wyoming

8,400

 

 

Source – http://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/2012-mlr-rebates-by-state-and-market.pdf

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