Coverage Atlas

Medical Loss Ratio · Georgia · 2024 reporting year · Kaiser Foundation GRP

Kaiser Permanente Insurance Company

In Georgia, over the three-year window through 2024, Kaiser Permanente Insurance Company spent 83.4% of small group premiums on care, and 120.3% 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.

83.4%
lowest 3-yr MLR (across markets)
$0
rebate owed to 2024 policyholders
$34.8M
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 met the 80% floor
83.4% on care
80% floor
$5,420,847 premium earned (2024) no rebate owed
Large group market met the 85% floor
120.3% on care
85% floor
$29,378,212 premium earned (2024) no rebate owed

See what Kaiser Permanente Insurance Companysells on the marketplace — plan footprint and premium positioning — on its company profile, or browse all Georgia marketplace plans. Complaint counts and loss ratios for Kaiser Permanente Insurance Company (NAIC 60053) 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 Kaiser Permanente Insurance Company spent premium dollars across its entire Georgia 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.