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XLVI State Street(R) Health Care Select Sector SPDR(R) Premium Income ETF

Covered call on XLV, paying monthly

Over the year to Sep 18, 2026, XLVI paid 13.0% in cash and still finished 6.7 points behind XLV.

State Street · Income ETFs · data as of

Key facts

13.0%Cash paid, 1 year, on its starting price
+17.9%Total return, 1 year
−6.7 ptsAgainst XLV
13.1%Latest payout, annualized

Method

ETFIQ Return Stability Score

57.364th of 173

XLVI paid 13.0% in cash and its price rose 4.0%, so the payout came out of returns rather than principal.

Was the payout funded by returns, or by your own capital?

Against its benchmark
MLPD −35.8 ptsMDST −28.6 ptsEIPI −26.8 ptsBLOX −26.6 ptsYQQQ −25.3 ptsULTY −24.3 ptsSLTY −22.7 ptsGDXY −21.4 ptsTDVI −20.9 ptsTOPW −19.8 ptsHIGH −18.8 ptsACKY −17.9 ptsYMAX −16.8 ptsHISF −16.4 ptsNDIV −16.4 ptsSDVD −16.4 ptsWEEI −15.8 ptsOARK −15.2 ptsFDND −14.1 ptsSCLZ −14.0 ptsLFGY −13.6 ptsXLRI −13.6 ptsTCAL −13.5 ptsQRMI −13.3 ptsSLJY −13.2 ptsYYY −13.2 ptsYFYA −13.1 ptsHIPS −12.8 ptsJULH −12.1 ptsRNTY −12.0 ptsXLKI −12.0 ptsXBTY −11.8 ptsQUSA −11.7 ptsJULJ −11.5 ptsLJUL −11.5 ptsJANJ −11.4 ptsLJAN −11.4 ptsFGSI −11.3 ptsLOCT −11.2 ptsQLDY −11.2 ptsOCTJ −11.1 ptsCVRD −11.0 ptsIWMY −10.9 ptsJUCY −10.9 ptsAPRJ −10.5 ptsLAPR −10.5 ptsXISE −10.5 ptsXIJN −10.3 ptsAPRH −10.1 ptsJANH −10.1 ptsXIDE −10.1 ptsXLEI −10.0 ptsOCTH −9.9 ptsJEPI −9.5 ptsAIPI −9.4 ptsMAGY −9.4 ptsBAGY −9.2 ptsXIMR −9.1 ptsSRHR −8.8 ptsBUYW −8.1 ptsRDVI −8.0 ptsIAUI −7.7 ptsOVLH −7.5 ptsVEGA −7.2 ptsXV −7.1 ptsYBTC −7.1 ptsFTHI −6.9 ptsBITY −6.7 ptsXRMI −6.3 ptsIGLD −6.2 ptsFEPI −6.1 ptsYLDE −6.0 ptsGPTY −5.7 ptsKHPI −5.5 ptsQQQI −5.3 ptsSPIN −5.2 ptsTYLG −5.2 ptsSPUT −5.1 ptsETCO −4.8 ptsWTPI −4.6 ptsCAIE −4.1 ptsIQQQ −4.1 ptsPAPI −3.8 ptsBIGY −3.6 ptsJEPQ −3.2 ptsXLBI −3.2 ptsISPY −3.1 ptsIWMW −3.0 ptsWEEL −2.3 ptsGIAX −2.1 ptsDIVO −2.0 ptsKNG −1.6 ptsQDTY −1.6 ptsDFII −1.5 ptsRDTY −1.5 ptsTSPY −1.5 ptsYMAG −1.5 ptsBTCC −1.4 ptsNBOS −1.4 ptsNIHI −1.4 ptsEGGY −1.2 ptsSPYI −1.2 ptsRYLD −1.1 ptsRYLG −1.0 ptsXDTE −1.0 ptsXPAY −0.9 ptsSDTY −0.8 ptsWDTE −0.8 ptsJOYT −0.7 ptsQDTE −0.7 ptsKGLD −0.6 ptsQQQY −0.6 ptsRDTE −0.6 ptsTHTA −0.6 ptsXLII −0.6 ptsFTKI −0.5 ptsGPIQ −0.4 ptsFTQI −0.3 ptsSIXH −0.3 ptsDJIA +0.2 ptsLTTI +0.2 ptsDYLG +0.3 ptsGPIX +0.4 ptsXLFI +0.4 ptsQYLG +0.5 ptsHYBI +0.6 ptsHYTI +0.6 ptsIVVW +0.6 ptsLQTI +0.6 ptsXYLG +0.7 ptsTDAQ +1.0 ptsIWMI +1.1 ptsQYLD +1.2 ptsCSHI +1.3 ptsTLTX +1.3 ptsXYLD +1.4 ptsHYGW +1.5 ptsHYBL +1.6 ptsBNDI +1.7 ptsOVS +1.7 ptsPBP +1.9 ptsTLTI +1.9 ptsXLUI +1.9 ptsBALI +2.0 ptsBTCI +2.0 ptsCHPY +2.3 ptsOVB +2.3 ptsOVT +2.3 ptsYBIT +2.3 ptsITWO +2.4 ptsOVL +2.6 ptsYETH +2.8 ptsOVM +2.9 ptsTLTP +3.0 ptsSOXY +3.5 ptsDUBS +3.7 ptsLQDW +3.8 ptsXLYI +4.1 ptsTLTW +4.2 ptsOVF +4.5 ptsDOGG +4.6 ptsOMAH +4.9 ptsIDVO +5.2 ptsSEPI +5.2 ptsBCCC +5.9 ptsCEPI +6.0 ptsIDUB +7.2 ptsXLCI +7.9 ptsBUCK +9.6 ptsUSOY +11.6 ptsXLSI +12.5 ptsKLIP +22.5 ptsXLVI −6.7 ptsXLVI −6.7 pts−35.8 pts+22.5 pts

39.6% of the 173 sit at or below XLVI on this measure.

What happened to the principal
ETCO −75.5%XBTY −74.1%YETH −66.4%YBTC −60.1%BTCC −59.1%YBIT −58.9%BAGY −57.9%ULTY −54.1%BITY −51.5%SLTY −51.5%BCCC −48.5%BTCI −47.0%LFGY −44.7%DFII −43.7%BLOX −40.9%YMAX −40.7%TOPW −37.7%OARK −34.0%GDXY −33.1%KLIP −32.5%YMAG −28.1%YQQQ −25.7%MAGY −25.3%IWMY −24.9%CEPI −22.5%RDTY −21.8%RDTE −21.4%QLDY −20.3%QDTE −19.2%TLTX −18.5%EGGY −16.2%XLYI −15.5%ACKY −15.1%WDTE −14.8%QDTY −14.0%AIPI −13.8%TLTP −13.4%XDTE −13.4%QQQY −13.2%LTTI −12.6%XLUI −11.3%QUSA −11.0%SDTY −10.8%GIAX −10.5%FEPI −10.0%TLTW −9.9%LQTI −9.7%XLRI −9.4%TLTI −9.1%LQDW −8.8%XLCI −8.8%XV −8.8%YYY −8.8%TCAL −8.6%HIGH −8.3%FDND −8.2%GPTY −8.1%IGLD −7.9%RNTY −7.3%HIPS −7.0%HYTI −6.8%XLSI −6.5%OMAH −6.3%XLBI −6.3%IWMW −6.2%XLFI −6.2%HYGW −6.0%XPAY −5.8%HYBI −5.5%OVB −5.0%BNDI −4.9%USOY −4.8%HISF −4.7%OVT −4.3%QRMI −3.8%OVM −3.6%FGSI −3.2%HYBL −2.8%CAIE −2.5%JUCY −2.5%XRMI −2.4%BUCK −2.2%CVRD −2.2%MLPD −2.1%IAUI −2.0%IVVW −2.0%YFYA −1.7%JEPI −1.2%XLII −1.2%XIJN −0.9%WTPI −0.8%JULJ −0.6%XISE −0.6%CSHI −0.4%JULH −0.4%KNG −0.4%BIGY −0.3%LJUL −0.3%QQQI −0.1%TSPY −0.1%JANH 0.0%JANJ 0.0%LAPR 0.0%OCTH 0.0%XIDE 0.0%APRJ +0.1%LJAN +0.1%LOCT +0.1%OCTJ +0.1%APRH +0.3%FTHI +0.3%XIMR +0.5%WEEL +0.7%SRHR +1.0%SDVD +1.2%SPYI +1.2%IWMI +1.3%KHPI +1.5%BUYW +2.1%DJIA +2.4%QYLG +2.4%XYLG +2.6%YLDE +2.6%NIHI +2.8%RYLD +2.9%KGLD +3.4%TDAQ +3.4%DYLG +3.5%FTKI +3.8%SCLZ +4.1%THTA +4.1%RYLG +4.2%PAPI +4.5%XLKI +4.6%PBP +5.5%JEPQ +5.7%SPIN +5.8%XYLD +5.9%NBOS +6.0%SPUT +6.0%DIVO +7.3%GPIX +7.4%ISPY +7.6%DOGG +8.0%FTQI +8.0%MDST +8.2%TDVI +8.2%OVF +8.3%OVS +8.5%OVLH +8.8%VEGA +8.9%QYLD +9.1%BALI +9.2%GPIQ +9.3%OVL +9.4%RDVI +9.6%ITWO +10.5%IQQQ +10.8%SLJY +12.3%EIPI +12.8%XLEI +12.8%SEPI +13.4%SIXH +14.1%IDVO +14.4%JOYT +15.2%WEEI +17.3%IDUB +17.4%DUBS +17.6%NDIV +20.4%CHPY +20.6%TYLG +20.6%SOXY +64.1%XLVI +4.0%XLVI +4.0%−75.5%+64.1%

74.9% of the 173 sit at or below XLVI on this measure.

Weighted evenly, those two positions are what the score combines, across the 173 income ETFs writing on an index or proxy. Neither spread above is the score: a fund can sit further right on one and score lower. A position in this set, not a rating: it moves when the set moves, and it is not a figure to average against another desk's.

What the score is computed from
What it measuresThis fundIts percentileWeight
against its benchmark−6.7 pts39.650%
what happened to the principal+4.0%74.950%

All income ETFs ranked by this score · How it is computed

What a holder got

XLVI against XLVXLVI returned +17.9% with distributions reinvested against +24.6% for Health care sector (XLV), a gap of −6.7 pts. Of that, 13.0% arrived as cash rather than price.+17.9%XLVI total return+24.6%Health care sector (XLV)13.0% of it arrived as cash

Over the year to Sep 18, 2026, XLVI returned +17.9% with distributions reinvested and Health care sector (XLV) returned +24.6%, so a holder came out behind it by 6.7 points. The lighter segment is the 13.0% that arrived as cash rather than as price.

Its ten largest equity positions

XLVI top ten by weight, 100.0% of its 5 equity positions, from the holdings published by its issuer for Sep 18, 2026. The options the fund writes are not positions of this kind and are not listed. Source: the issuer’s own daily file.
HoldingWeight
STATE STREET HEALTH CARE SELEC100.46%
SSI US GOV MONEY MARKET CLASS0.40%
STATE STREET HEALTH CARE SELEC OCT26 173 CALL-0.02%
STATE STREET HEALTH CARE SELEC OCT26 170 CALL-0.04%
STATE STREET HEALTH CARE SELEC OCT26 172 CALL-0.80%

Method

Period by period

XLVI over each window to Sep 18, 2026. Every figure is an ETFIQ calculation. Source: ETFIQ.
WindowCash paidPriceTotal returnXLVAhead or behind
3 months3.1%+3.9%+6.9%+13.2%−6.3 pts
6 months6.4%+5.5%+12.2%+16.9%−4.6 pts
1 year13.0%+4.0%+17.9%+24.6%−6.7 pts
Since launch14.7%+5.3%+21.1%+27.7%−6.5 pts

Method

In plain words

Since it launched on Jul 30, 2025, XLVI has returned +21.1% with distributions reinvested, against +27.7% for Health care sector (XLV), and has paid out 14.7% of its starting value in cash along the way. It pays monthly, and at its current price the latest distribution annualizes to 13.1%. No Rule 19a-1 notice has been published for this fund, so there is no issuer estimate of how much of its distributions was a return of capital.

XLVI (State Street(R) Health Care Select Sector SPDR(R) Premium Income ETF), income ETFs fields as of Sep 18, 2026. Source: ETFIQ.
Strategycovered call
BenchmarkHealth care sector (XLV) (proxy)
Paysmonthly
Net assets (the issuer’s own daily fund list, as of Sep 18, 2026)$27m
Latest payout, annualized (ETFIQ)13.1%
Expense ratio (485BPOS XBRL, Apr 24, 2026)0.35%
Cash paid, last 12 months, over today’s price (ETFIQ)12.5%
LaunchedJul 30, 2025

Every figure is an ETFIQ calculation from exchange prices and cash distributions (Tiingo end-of-day), total return with distributions reinvested. Return of capital is the issuer’s estimate. How these figures are computed

Questions people ask

How much has XLVI paid over the last year?
Over the year to Sep 18, 2026, XLVI paid 13.0% of its starting price in cash distributions, while the price rose 4.0%.
Is XLVI ahead of XLV?
Over the year to Sep 18, 2026, with every distribution reinvested, XLVI returned +17.9% against +24.6% for Health care sector (XLV), so a holder was behind it by 6.7 points.
How often does XLVI pay, and how much?
XLVI pays monthly. The latest distribution annualizes to 13.1% at its price on Sep 18, 2026, which is not a promise; the next one can differ.
What does XLVI cost?
The prospectus expense ratio is 0.35% a year.

The words on this page

Total return
What a holder actually ended up with: price change plus every distribution, reinvested. The only figure that answers whether you came out ahead.
Cash paid
Distributions over the window as a share of what the fund cost at the start. A measure of cash delivered, not of return: a fund can pay a great deal and still lose money.
Ahead or behind
The fund’s total return minus the benchmark’s over exactly the same days, in percentage points. Both sides reinvest.
Return of capital
The issuer’s own estimate, in a Rule 19a-1 notice, of how much of a distribution was your own money returned. An estimate and a tax characterization, not a measure of erosion.
Covered call
Selling call options on shares the fund holds. It collects a premium and gives up the gains above the strike, which is why these funds pay well and lag a rising market.

Every term used here, defined in full on the income ETFs vocabulary page.

Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

Compare XLVI

Also against FINY, GPTY, HAKY, MDST, MLPD, NDIV, NUKX, SEMY, SOXY, TDVI, TECY, TYLG, USOY, WEEI, WEPN, XLBI, XLCI, XLEI, XLFI, XLII, XLKI, XLSI, XLUI, XLYI, YRAM.

Funds near this one

Where XLVI is written about

XLVI, Income ETFs, ETFIQ, data as of Sep 18, 2026. Every figure is calculated from a named public source; the method is at etfiq.com/methodology. ETFIQ is an independent publisher, is not a fund issuer, broker-dealer or investment adviser, and makes no recommendations.
Use this data, or open the live card

Open XLVI live on ETFIQ, where the figures refresh with the data.

Cite this page. ETFIQ, XLVI, income ETFs, data as of Sep 18, 2026. https://etfiq.com/funds/xlvi Free to use with attribution; the underlying files are at Open data.

How these figures are computed · Standards and sources