Coverage Atlas

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

UnitedHealthcare of Florida, Inc.

In Florida, over the three-year window through 2024, UnitedHealthcare of Florida, Inc. spent 81.9% of individual premiums on care, 77.7% of small group premiums on care, and 89.9% of large group premiums on care (its Medical Loss Ratio). Because that fell below the floor in one market, it must rebate the shortfall to its 2024 policyholders — $3,610,396 in all.

77.7%
lowest 3-yr MLR (across markets)
$3,610,396
rebate owed to 2024 policyholders
$1262.9M
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.

Individual market met the 80% floor
81.9% on care
80% floor
$1,026,419,255 premium earned (2024) no rebate owed
Small group market below the 80% floor → $3,610,396 rebate
77.7% on care
80% floor
$163,740,140 premium earned (2024) $3,610,396 owed back · ≈$189 per enrollee
Large group market met the 85% floor
89.9% on care
85% floor
$72,743,081 premium earned (2024) no rebate owed

See what UnitedHealthcare of Florida, Inc.sells on the marketplace — plan footprint and premium positioning — on its company profile, or browse all Florida marketplace plans. Complaint counts and loss ratios for UnitedHealthcare of Florida, Inc. (NAIC 95264) 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 of Florida, Inc. spent premium dollars across its entire Florida 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.