Medical Loss Ratio (MLR) Rebate


Purpose:

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


Intent:

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  
MLR FAQs  
CMS MLR Regulations, July, 2012 07/01/2012
HHS MLR Regulations, July, 2012 07/01/2011