# Independence Assurance Company — Medical Loss Ratio & rebates (GRAND TOTAL, 2024) — context brief

Medical Loss Ratio and rebate outcomes for Independence Assurance Company (parent group: Independence BLUE Cross GRP, as reported) in GRAND TOTAL, 2024 MLR reporting year, by market: small group 77.4%, large group 83.8%. Owed $30,255,539 in rebates. RECORDED CMS-published MLR / standard / premium / rebate; rebate-as-%-of-premium is DERIVED. A spending ratio across the whole book in a market — not plan quality or advice. CC0.

Claims (warrant · source), each re-fetchable to verify:

- **Independence Assurance Company spent 77.4% of small group premiums on care in GRAND TOTAL (2024) → $15,541,048 rebate** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Independence Assurance Company spent 83.8% of large group premiums on care in GRAND TOTAL (2024) → $14,714,491 rebate** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **What a Medical Loss Ratio is — and is NOT** — INTERPRETATION · Coverage Atlas L5 boundary (a book-level spending ratio ≠ plan quality) (https://coverage-atlas.ryanjhunter.workers.dev/)

Do not take these on trust — re-fetch each named source. Full structured object: `https://coverage-atlas.ryanjhunter.workers.dev/coverage/mlr/16053-grand-total.jsonld` · anatomy of the research object: see /commons/the-research-object

**Medical Loss Ratio by market — Independence Assurance Company (GRAND TOTAL, 2024)** (2): Small group — 77.4% — 80% — no — $601,155,266 — $15,541,048 — ≈$199 — RECORDED; Large group — 83.8% — 85% — no — $1,239,935,108 — $14,714,491 — ≈$90 — RECORDED…