Medical Loss Ratio (MLR) Rebate


To assure that health plans pay out a minimum amount of premium as claims expenses


To reduce premium costs and make health coverage more affordable

Related Provision:

Actuarial Value of Coverage

Health Plans Affected by this Provision:

Year Effective: 2011
Medical Plan: Yes
Dental/Vision Plan: Yes
HRA: Yes
Health Care FSA: Yes

Document Downloads:

Document Title Last Updated
Medical Loss Ratio (MLR) Rebates Flyer  
CMS MLR Regulations, July, 2012 07/01/2012
HHS MLR Regulations, July, 2012 07/01/2011