Medical Loss Ratio (MLR)

The share of premium a health insurer must spend on actual care rather than overhead and profit. Fall short of the required percentage and it owes customers a rebate.

This is a friendly general explanation, not legal or policy language. Exact coverage depends on your policy, carrier, and state. 🤝

Written and reviewed by the We Insure Things team — licensed independent insurance agents. Last reviewed July 23, 2026. Questions? Ask a licensed agent.