# Horizon Blue Cross Blue Shield of NJ — Medical Loss Ratio & rebates (GRAND TOTAL, 2024) — context brief

Medical Loss Ratio and rebate outcomes for Horizon Blue Cross Blue Shield of NJ (parent group: BCBS OF NJ GRP, as reported) in GRAND TOTAL, 2024 MLR reporting year, by market: individual 82.8%, small group 89.6%, large group 99.3%. 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:

- **Horizon Blue Cross Blue Shield of NJ spent 82.8% of individual premiums on care in GRAND TOTAL (2024)** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Horizon Blue Cross Blue Shield of NJ spent 89.6% of small group premiums on care in GRAND TOTAL (2024)** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Horizon Blue Cross Blue Shield of NJ spent 99.3% of large group premiums on care in GRAND TOTAL (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/55069-grand-total.jsonld` · anatomy of the research object: see /commons/the-research-object

**Medical Loss Ratio by market — Horizon Blue Cross Blue Shield of NJ (GRAND TOTAL, 2024)** (3): Individual — 82.8% — 80% — yes — $1,963,255,960 — $0 — — — RECORDED; Small group — 89.6% — 80% — yes — $1,445,583,336 — $0 — — — RECORDED; Large group — 99.3% — 85% — yes — $3,187,846,645 — $0 — — — RECORDED…