Medical Loss Ratio · New Hampshire · 2024 reporting year · Harvard Pilgrim HTH CARE GRP · not-for-profit
Harvard Pilgrim Health Care of New England, Inc.
In New Hampshire, over the three-year window through 2024, Harvard Pilgrim Health Care of New England, Inc. spent 88.8% of individual premiums on care, 93.5% of small group premiums on care, and 88.4% of large group premiums on care (its Medical Loss Ratio). It met the 80/20-rule floor in every market, so no rebate was owed.
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.
See what Harvard Pilgrim Health Care of New England, Inc.sells on the marketplace — plan footprint and premium positioning — on its company profile, or browse all New Hampshire marketplace plans. Complaint counts and loss ratios for Harvard Pilgrim Health Care of New England, Inc. (NAIC 96717) 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 Harvard Pilgrim Health Care of New England, Inc. spent premium dollars across its entire New Hampshire 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.