Medical Loss Ratio · California · 2024 reporting year · Elevance Hlth Inc Grp

Anthem Blue Cross Life and Health Insurance Company, Inc.

In California, over the three-year window through 2024, Anthem Blue Cross Life and Health Insurance Company, Inc. spent 78.7% of individual premiums on care, and 84.3% of large group premiums on care (its Medical Loss Ratio). Because that fell below the floor in some markets, it must rebate the shortfall to its 2024 policyholders — $5,447,430 in all.

78.7%

lowest 3-yr MLR (across markets)

$5,447,430

rebate owed to 2024 policyholders

$679.1M

premium earned (2024)

Where each premium dollar went

The filled bar is the share of premiums spent on medical care + quality improvement — the three-year Medical Loss Ratio. The marker is the legal floor for that market (80% individual & small group, 85% large group). Below the floor, the insurer rebates the shortfall (floor − MLR), applied to that year's premium.

Individual market below the 80% floor → $1,831,530 rebate

78.7% on care

80% floor

$148,945,683 premium earned (2024) $1,831,530 owed back · ≈$96 per enrollee

Large group market below the 85% floor → $3,615,900 rebate

84.3% on care

85% floor

$530,170,911 premium earned (2024) $3,615,900 owed back · ≈$57 per enrollee

See what Anthem Blue Cross Life and Health Insurance Company, Inc.sells on the marketplace — plan footprint and premium positioning — on its company profile, or browse all California marketplace plans. Complaint counts and loss ratios for Anthem Blue Cross Life and Health Insurance Company, Inc. (NAIC 62825) are on its carrier quality profile.

RECORDED — the Medical Loss Ratio, the 80/85% standard, premium earned, and the rebate owed are CMS-published figures (the 2024 MLR reporting year, a three-year window through 2024; rebates are paid the following year). DERIVED — rebate as a share of premium, and the rebate per enrollee (rebate ÷ member-years).

Machine-readable: JSON-LD · Markdown · Source: CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year

What this is — and is not

This is how Anthem Blue Cross Life and Health Insurance Company, Inc. spent premium dollars across its entire California book in each market — it is not a measure of a specific plan's quality, your denial odds, or whether the insurer is right for you, and it is not advice. A rebate, if owed, is a rule-based payment to policyholders (a check or premium credit) the following year. To compare plans, check eligibility, and enroll, go to HealthCare.gov.