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

State Street · Income ETFs · data as of Sep 18, 2026

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

## Key facts

- XLVI, cash paid, 1 year, on its starting price: 13.0%, as of Sep 18, 2026.
- XLVI, total return, 1 year: +17.9%, as of Sep 18, 2026.
- XLVI, against XLV: −6.7 pts, as of Sep 18, 2026.
- XLVI, latest payout, annualized: 13.1%, as of Sep 18, 2026.
- XLVI, net assets: $27m (the issuer’s own daily fund list, as of Sep 18, 2026).
- XLVI, expense ratio: 0.35% (485BPOS XBRL, Apr 24, 2026).

## XLVI over each window to Sep 18, 2026

| Window | Cash paid | Price | Total return | XLV | Ahead or behind |
| --- | --- | --- | --- | --- | --- |
| 3 months | 3.1% | +3.9% | +6.9% | +13.2% | −6.3 pts |
| 6 months | 6.4% | +5.5% | +12.2% | +16.9% | −4.6 pts |
| 1 year | 13.0% | +4.0% | +17.9% | +24.6% | −6.7 pts |
| Since launch | 14.7% | +5.3% | +21.1% | +27.7% | −6.5 pts |

## Every published field

| Field | Value | Source |
| --- | --- | --- |
| Strategy | covered call | ETFIQ |
| Benchmark | Health care sector (XLV) (proxy) | ETFIQ |
| Pays | monthly | ETFIQ |
| Net assets | $27m | the issuer’s own daily fund list, as of Sep 18, 2026 |
| Latest payout, annualized | 13.1% | ETFIQ |
| Expense ratio | 0.35% | 485BPOS XBRL, Apr 24, 2026 |
| Cash paid, last 12 months, over today’s price | 12.5% | ETFIQ |
| Launched | Jul 30, 2025 | ETFIQ |

## Questions

### 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.


## Cite this page

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

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