Some states had a lower legal threshold...like 70%, I was just shooting for the middle.
85% is a realistic number, and given the 50% tax rate, payroll, and company expenses, 3% or less is a plausible profit margin.
They go through a load of crap for 3%.
.GOV states all health plans must pay 85%, it’s in obecare, all the little health plans are going to get gobbled up by the big boys. i am sure if the states had their way it would be a lot less