This file contains Medical Loss Ratio data for the 2013 Reporting Year, including the issuer’s MLR, the MLR standard, and the average rebate per family by state and market.

Local Help with CAC, CHIP, IPA and MEDICAID data

The Rate PUF (Rate-PUF) is one of the seven files that make up the Marketplace PUF. The Rate-PUF contains plan-level data on individual rates based on an eligible subscriber’s age, tobacco use, and geographic location. These data either originate from the Rate Table template (i.e., template field), an Excel based form used by issuers to describe their plans in the QHP/SADP application process, or were generated by CCIIO for use in data processing (i.e., system-generated).

The Service Area PUF (SA-PUF) is one of the seven files that make up the Marketplace PUF. The SA-PUF contains issuer-level data on the geographic coverage or service area (i.e., where the plan is offered) including state, county, and zip code. These data either originate from the Service Area template (i.e., template field), an Excel based form used by issuers to describe their plans in the QHP/SADP application process, or were generated by CCIIO for use in data processing (i.e., system-generated).

The Business Rules PUF (BR-PUF) is one of the seven files that make up the Marketplace PUF. The BR-PUF contains plan-level data on the application of rates, such as allowed relationships (e.g., spouse, dependents) and tobacco use. These data either originate from the Business Rules template (i.e., template field), an Excel-based form used by issuers to describe their plans in the QHP/SADP application process, or were generated by CCIIO for use in data processing (i.e., system-generated).

QHP Landscape ID Individual Market Medical - Idaho For instructions on how to read and use this data, please view the documentation available under the ‘About’ tab on this page.

QHP Landscape NM Individual Market Medical - New Mexico For instructions on how to read and use this data, please view the documentation available under the ‘About’ tab on this page.

QHP Landscape ID SHOP Market Medical - Idaho For instructions on how to read and use this data, please view the documentation available under the ‘About’ tab on this page.

For instructions on how to read and use this data, visit: https://data.healthcare.gov/download/drds-fxfy/application/pdf