Coverage Atlas

Medical Loss Ratio · Iowa · 2024 reporting year · Unitedhealth GRP

UnitedHealthcare Plan of the River Valley, Inc.

In Iowa, over the three-year window through 2024, UnitedHealthcare Plan of the River Valley, Inc. spent 70.9% of small group premiums on care, and 77.8% 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 — $4,034,103 in all.

70.9%
lowest 3-yr MLR (across markets)
$4,034,103
rebate owed to 2024 policyholders
$53.0M
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.

Small group market below the 80% floor → $1,875,317 rebate
70.9% on care
80% floor
$21,839,508 premium earned (2024) $1,875,317 owed back · ≈$609 per enrollee
Large group market below the 85% floor → $2,158,786 rebate
77.8% on care
85% floor
$31,148,858 premium earned (2024) $2,158,786 owed back · ≈$464 per enrollee

See what UnitedHealthcare Plan of the River Valley, Inc.sells on the marketplace — plan footprint and premium positioning — on its company profile, or browse all Iowa marketplace plans. Complaint counts and loss ratios for UnitedHealthcare Plan of the River Valley, Inc. (NAIC 95378) 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 UnitedHealthcare Plan of the River Valley, Inc. spent premium dollars across its entire Iowa 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.