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Medical Loss Ratio Report

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Each year, the Minnesota Department of Commerce and the Minnesota Department of Health collaborate on a Medical Loss Ratio report. These annual reports show the percent of health plan premiums that were spent on claim costs by insurance companies, nonprofit health service plan corporations, and health maintenance organizations in the individual and small group health plan markets.  

A medical loss ratio is a measurement of the value of a health plan to enrollees. They are broadly defined as claims and expenses divided by premiums: 

Image of a division equation written in black text on white background. The loss ratio is shown as equal to expenditures from claims that are paid by the insurer divided by the income from premiums paid by enrollees.

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