UHC Mailing MLR Premium Rebate Checks to Impacted Groups in September

Starting mid-September, UnitedHealthcare (UHC) will begin mailing Medical Loss Ratio (MLR) premium rebate checks to eligible groups across various states. This initiative is part of UHC’s compliance with the Affordable Care Act, which mandates that insurers spend a minimum percentage of premium dollars on medical services and quality improvement activities. For the individual and small group markets insurers must spend at least 80% of premiums on healthcare services. For large group markets, the requirement is 85%.

Who Will Receive Rebates?

For benefit plan year 2023 (2024 MLR Payout Year), UnitedHealthcare’s results show 55 group aggregation sets in 28 states — 26 small group and 29 large group — are qualified to receive premium rebates totaling $164,862,135.  Also, 15 individual aggregation sets are qualified to receive rebates totaling $69,953,479.

For a summary of which states, legal entities and size of business (aggregation set) that will receive a rebate, refer to UHC's Final 2024 MLR Rebate Payout Report.

For California, only the UnitedHealthcare Benefits Plan of California (UHCBPCA) which is the legal entity for CA small group Select Plus and Core plans will be receiving a rebate.

MLR Broker and Employer service line

Brokers and customers can call the UHC Broker/Employer service line at 866-802-8602 if they have questions related to the rebate payout. The Oxford specific UHC Broker/Employer service line is 1-888-201-4216. Both services lines opened for calls on September 1, 2024.

How to Get More Information

For more details on eligibility and the rebate process, you can visit the official UHC announcement here.