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Sep 16, 2024

2023 MLR rebates for certain small employer groups

The Affordable Care Act’s (ACA) Medical Loss Ratio (MLR) requirements say insurers in the individual and small group markets must spend at least 80% of each premium dollar on member care or improving quality of care.

Insurers who do not meet the MLR standard for 2023 are required to issue rebates to their members in 2024.

We are issuing rebates for 2023 MLR in the Kansas and Missouri small group PPO segment (this excludes groups size 51+ and sole proprietors).

What to know about the MLR rebate process

  • MLR rebate checks will be issued by the end of September 2024.
  • Blue KC members who are part of group policies will not receive rebates directly from Blue KC. We will pay the rebate to the employer who will decide how to apply it.

Our primary commitment at Blue KC is ensuring that our members receive proper healthcare at the time and place they need it at a reasonable price. If you have a question about MLR rebates, please contact your Blue KC representative.

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