This file contains Medical Loss Ratio data for the 2019 Reporting Year, including the issuer’s MLR, the MLR standard, and the average rebate per family by state and market.

Note: This Public Use File (PUF) was developed using data as of September 29, 2020. Withdrawn, non-certified, stand-alone dental (SADP), indemnity, child-only, suppressed, off-exchange QHPs, and plan IDs with missing or invalid product types are excluded from this data file. Reporting units (the unique combination of issuer ID, state, and plan type) discontinued before June 15, 2019 were exempt from QRS scoring. Reporting units discontinued on the Federally Facilitated Exchange after June 15, 2019 were removed from this PUF.

The Plan ID Crosswalk PUF (CW-PUF) is one of the files that make up the Marketplace PUF. The purpose of the CW-PUF is to map QHPs and SADPs offered through the Marketplaces in 2020 to plans that will be offered through the Marketplaces in 2021. These data either originate from the Plan Crosswalk template (i.e., template field), an Excel-based form used by issuers to describe their plans in the QHP application process, or were generated by CCIIO for use in data processing (i.e., system-generated).This data dictionary describes the variables contained in the CW-PUF. Each record relates to a mapping between a plan offered in 2020 and a plan offered in 2021 at the county or county-zip code level.