Medical Loss Ratios

Description

A Medical Loss Ratio (MLR) is the percentage of money a health insurance plan spends on health benefits from each premium dollar. Obamacare sets a minimum MLR of 85% (80% for plans that insure individuals or small groups). If an insurer’s MLR falls below this percentage, it must issue refunds to its insured for the difference.

Florida to seek waiver from health reform's medical loss ratio requirement
National Association of Insurance Commissioners' Letter to the Department of Health and Human Services on Medical Loss Ratios in Obamacare
Obama Spending Rules for UnitedHealth, WellPoint Draw Exemption Requests
Vote Set On Contentious Health Law Provision
State Regulators Recommend New Health Insurance Rules
Sullivan says new profit rules will restrict insurance market
How the Medical Loss Ratio (MLR) is Calculated
Medical Loss Ratio Places Thousands of Insurance Brokers’ Jobs at Risk
HHS Signals New Waivers for Mini-Med Plans
Obamacare’s Medical Loss Ratio—Discouraging Anti-Fraud Efforts
The Nitty Gritty: 6 Types of Obamacare Waivers
Maine Becomes First State to Request Obamacare Waiver
New Hampshire Concerned Obamacare's MLR Reg Will "Disrupt" Individual Health Insurance Market
Americans for Limited Government Submits Comment to HHS on Obamacare’s Medical Loss Ratio Regulation
ObamaCare Is Starting To Bleed Insurers Dry
State Insurance Commissioners Consider Amendment to and Waiver from Obamacare's Medical Loss Ratio
McDonald's May Drop Health Plan
Regulation Makes Obamacare Worse Than the Statute Itself
Affordable Care Act makes high deductible, low cost health plans, LESS affordable
Obamacare forces insurers to give voters cash 3 months before election

Regulations

Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements under the Patient Protection and Affordable Care Act
Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans
Medical Loss Ratio Requirements for Medicare Advantage and Medicare Prescription Drug Benefit Programs