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Missouri insurer Ambetter from Home State Health is rebating $87.5 million to policyholders.

The rebates are required because the company spent too little on care under the Affordable Care Act.

United Healthcare is also issuing rebates to its Missouri customers for similar reasons.

Missouri’s biggest individual insurer must rebate almost $90 million to policyholders because it spent too little on care and too much on administration.

Ambetter from Home State Health, a subsidiary of Clayton-based Centene Corporation , is mailing checks totaling $87.5 million to customers in Missouri because it violated the Medical Loss Ratio requirements of the Affordable Care Act. Letters dated Sept. 10 notifying policyholders of the rebates — equal to more than one month’s p

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