Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act

Title

Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act

This final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to address the treatment of “mini-med” and expatriate policies under these regulations for years after 2011; modify the way the regulations treat ICD-10 conversion costs; change the rules on deducting community benefit expenditures; and revise the rules governing the distribution of rebates by issuers in group markets.

Posted

Dec 7, 2011

Comment period

Dec 7, 2011 – Jan 7, 2012

Agency

Centers for Medicare & Medicaid Services (CMS)

FR Doc

2011-31289

CFR

45 CFR Part 158

Topics

• Health Insurance Coverage

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