Health Costs for Employers - NH Insurance Market
LOSS RATIO COMPARISON
"Loss ratio" is the term that is used to assess what percentage of the premium is paid out for medical claims. Loss ratio is calculated using the data submitted in the Supplemental Report by dividing the total medical and pharmacy claims dollars by the total premium dollars. This calculation also takes place for self funded insurance using a premium equivalent. A loss ratio of .85 means that 85 cents of every premium dollar is used to cover the cost of medical claims. The difference between .85 and 1.0 in this example (equal to 15 cents of every premium dollar) is the amount that covers carrier administrative costs, taxes, and profit.
| Market Category |
2008 Percent of Members |
2009 Percent of Members |
2008 Loss Ratio |
2009 Loss Ratio |
| Individual Policy |
5.90% |
4.8% |
0.59 |
0.66 |
| Individual (as a group conversion) |
0.10% |
0.1% |
1.53 |
1.30 |
| Employers with 1 Employee |
1.80% |
1.0% |
1.04 |
1.07 |
| Employers with 2-9 Employees |
9.10% |
7.8% |
0.85 |
0.89 |
| Employers with 10-25 Employees |
8.10% |
7.3% |
0.87 |
0.91 |
| Employers with 26-50 Employees |
6.80% |
5.1% |
0.92 |
0.98 |
| Employers with 51-99 Employees |
6.60% |
7.1% |
0.88 |
0.90 |
| Employers with >= 100 Employees |
60.00% |
61.7% |
0.93 |
0.93 |
| Employers Through Qualified Trust |
1.70% |
5.1% |
0.91 |
0.84 |
| Totals |
585,588 |
611,435 |
0.90 |
0.92 |
| Coverage Type |
Total Premiums ($) |
Total Claims ($) |
Loss Ratio |
| Self Funded without Stop Loss |
1,105,528,085 |
1,024,258,142 |
0.93 |
| Self Funded with Stop Loss |
145,783,430 |
140,693,317 |
0.97 |
| Underwritten |
1,614,446,031 |
1,459,057,361 |
0.90 |
| Short-Term, Non-renewable Health Insurance |
2,523,375 |
2,137,434 |
0.85 |
Loss Ratio Comparison Table by Policyholder County:
| County |
All Members |
Self Insured |
Fully Insured |
Large Group |
Small Group |
Non Group |
| Belknap |
0.94 |
0.87 |
0.95 |
0.97 |
0.92 |
0.74 |
| Carroll |
0.88 |
No Policies |
0.88 |
0.86 |
0.90 |
0.56 |
| Cheshire |
0.87 |
0.83 |
0.90 |
0.86 |
0.90 |
0.98 |
| Coos |
0.90 |
No Policies |
0.90 |
0.88 |
0.94 |
0.60 |
| Grafton |
0.93 |
0.93 |
0.92 |
0.93 |
0.91 |
0.74 |
| Hillsborough |
0.87 |
0.88 |
0.87 |
0.90 |
0.90 |
0.63 |
| Merrimack |
0.94 |
0.96 |
0.92 |
0.95 |
0.93 |
0.92 |
| Rockingham |
0.91 |
0.80 |
0.93 |
0.88 |
0.94 |
1.33 |
| Strafford |
0.97 |
0.96 |
0.99 |
0.95 |
1.03 |
1.28 |
| Sullivan |
0.96 |
0.95 |
0.99 |
0.96 |
0.96 |
1.00 |
| Non-NH |
0.90 |
0.93 |
0.88 |
0.91 |
0.63 |
0.80 |
| No Zip Match |
0.97 |
1.24 |
0.89 |
0.97 |
1.06 |
0.65 |