Gross Margins per Enrollee, 2018-2021 (Individual and Group Markets)

  1. 2018: Individual Market - $1
  2. 515 | Group Market - $912
  3. 2019: Individual Market - $1
  4. 167 | Group Market - $832
  5. 2020: Individual Market - $1
  6. 317 | Group Market - $958
  7. 2021: Individual Market - $745 | Group Market - $689
Notes: Gross margins per enrollee are the amount by which total premium income exceeds total claims costs, divided by the number of enrollees. Gross margins include administrative costs, tax liability, and profits.

Source: KFF, Health Insurer Financial Performance in 2021, February 28, 2023 - https://www.kff.org/medicare/issue-brief/health-insurer-financial-performance/

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