# Fallon Community Health Plan — Medical Loss Ratio & rebates (Massachusetts, 2024) — context brief

Medical Loss Ratio and rebate outcomes for Fallon Community Health Plan (parent group: Fallon Grp, as reported) in Massachusetts, 2024 MLR reporting year, by market: individual 77.1%, small group 77.1%. Owed $6,983,676 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:

- **Fallon Community Health Plan spent 77.1% of individual premiums on care in MA (2024) → $6,873,617 rebate** — RECORDED · CMS — Medical Loss Ratio (MLR) Public Use File, 2024 reporting year (https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio)
- **Fallon Community Health Plan spent 77.1% of small group premiums on care in MA (2024) → $110,059 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/88806-ma.jsonld` · anatomy of the research object: see /commons/the-research-object

**Medical Loss Ratio by market — Fallon Community Health Plan (Massachusetts, 2024)** (2): Individual — 77.1% — 88% — no — $65,053,129 — $6,873,617 — ≈$624 — RECORDED; Small group — 77.1% — 88% — no — $1,039,325 — $110,059 — ≈$10 — RECORDED…