Insurer negotiated rates

Commercial Insurer MLR: current read surface (financials joined to issuer identity)

insurer_silver.vw_insurer_mlr_current·live·semantic_view
Rows
18,818
Columns
42
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1The semantic read surface over fact_insurer_mlr: the highest cms_vintage_sequence per (business_year, submission, market), joined to dim_insurer_mlr_identity, with derived loss_ratio, retention, PMPMs, the re-bought (admin, broker, sales, claims adjustment, cost containment, QI) and harvested (taxes, fees) splits and the underwriting-margin residual.
  2. 2Defined in ops/sql/vw_insurer_mlr_current.sql.

Grain

KeyGrain
N/A
  1. 1One row per (business_year, market, issuer submission) of the current vintage, with carrier group, name, EIN, HIOS id and business state;
  2. 2Grand Total rollup rows excluded.
  3. 318,818 rows RY2017-2024 (Athena c0257f5f, 2026-10-13).

Columns (42)

ColumnTypeMeaning
business_yearint
marketstring
carrier_groupstring
carrier_namestring
carrier_einstring
hios_issuer_idstring
statestring
issuer_identity_keystring
native_issuer_codestring
identity_row_locatorstring
premium_earneddouble
incurred_claimsdouble
member_monthsdouble
retentiondouble
retention_pctdouble
loss_ratiodouble
premium_pmpmdouble
retention_pmpmdouble
admin_generaldouble
broker_commissionsdouble
direct_sales_salariesdouble
claims_adjustmentdouble
cost_containmentdouble
quality_improvementdouble
rebought_totaldouble
state_premium_taxdouble
state_income_excise_taxdouble
federal_income_taxdouble
other_federal_taxesdouble
employment_taxesdouble
regulatory_licenses_feesdouble
taxes_other_5_5adouble
pcori_feedouble
taxes_totaldouble
underwriting_margindouble
rx_drugsdouble
pharma_rebatesdouble
cms_vintage_sequenceint
asserted_atdate
source_urlstring
sha256_content_hashstring
source_row_locatorsstring

Query it

describe_data_source(source_fqn="insurer_silver.vw_insurer_mlr_current")     # the card, live
query_substrate(sql="SELECT * FROM insurer_silver.vw_insurer_mlr_current WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keybusiness_year,market,carrier_ein,hios_issuer_id,state
Joinhow_to_join(source_fqn="insurer_silver.vw_insurer_mlr_current")
Raw doorAthena (read-only via query_substrate): insurer_silver.vw_insurer_mlr_current
Company namescarrier_name resolve to a permanent Vlada ID: resolve_entity(text=<name>); the company pages hold owners and holdings
NoteRegistered 2026-10-13 under register w4 cms_insurer_mlr_puf by the Data Tracker registration lane (PR claude/tracker-registration-2026-10-13). Door RAW, World W4.

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