Blue Shield of California Issues MLR Rebate Checks to Small Groups

Blue Shield of California owes approximately $35.2 million in rebates to 47,000 small group plan holders (DMHC regulated). The MLR for small groups insured by Blue Shield was 79.0%. Because Blue Shield missed the 80% target by 1.0%, it will refund 1.0% of the total health plan premiums paid by the employer and employees in those plans. 
The following subscribers and employer groups will not receive 2019 plan year rebates, since Blue Shield met or exceeded the MLR targets for those health plans: 

• Individual and Family subscribers with Blue Shield and Blue Shield of California Life & Health Insurance Company (Blue Shield Life) plans. 
• Large groups with Blue Shield and Blue Shield Life plans

Please reach out to your LISI Regional Sales Manager if you have questions on how employers should handle MLR rebate checks.