# Wellmark Blue Cross and Blue Shield of South Dakota — Medical Loss Ratio & rebates (South Dakota, 2024) — context brief

Medical Loss Ratio and rebate outcomes for Wellmark Blue Cross and Blue Shield of South Dakota (parent group: Wellmark Group, as reported) in South Dakota, 2024 MLR reporting year, by market: individual 94.8%, small group 87.4%, large group 91.2%. Met the 80/20-rule floor in every market; no rebate owed. 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:

- **Wellmark Blue Cross and Blue Shield of South Dakota spent 94.8% of individual premiums on care in SD (2024)** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Wellmark Blue Cross and Blue Shield of South Dakota spent 87.4% of small group premiums on care in SD (2024)** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Wellmark Blue Cross and Blue Shield of South Dakota spent 91.2% of large group premiums on care in SD (2024)** — 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/50305-sd.jsonld` · anatomy of the research object: see /commons/the-research-object

**Medical Loss Ratio by market — Wellmark Blue Cross and Blue Shield of South Dakota (South Dakota, 2024)** (3): Individual — 94.8% — 80% — yes — $166,410,364 — $0 — — — RECORDED; Small group — 87.4% — 80% — yes — $231,999,511 — $0 — — — RECORDED; Large group — 91.2% — 85% — yes — $532,888,022 — $0 — — — RECORDED…