# UnitedHealthcare Plan of the River Valley, Inc. — Medical Loss Ratio & rebates (Iowa, 2024) — context brief

Medical Loss Ratio and rebate outcomes for UnitedHealthcare Plan of the River Valley, Inc. (parent group: Unitedhealth GRP, as reported) in Iowa, 2024 MLR reporting year, by market: small group 70.9%, large group 77.8%. Owed $4,034,103 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:

- **UnitedHealthcare Plan of the River Valley, Inc. spent 70.9% of small group premiums on care in IA (2024) → $1,875,317 rebate** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **UnitedHealthcare Plan of the River Valley, Inc. spent 77.8% of large group premiums on care in IA (2024) → $2,158,786 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/56610-ia.jsonld` · anatomy of the research object: see /commons/the-research-object

**Medical Loss Ratio by market — UnitedHealthcare Plan of the River Valley, Inc. (Iowa, 2024)** (2): Small group — 70.9% — 80% — no — $21,839,508 — $1,875,317 — ≈$609 — RECORDED; Large group — 77.8% — 85% — no — $31,148,858 — $2,158,786 — ≈$464 — RECORDED…