Source: https://healthlaw.healthreformquotes.com/medical-loss-ratio-mrl/cfr-code-federal-regulations/?shared=email&msg=fail
Timestamp: 2020-01-28 22:59:03
Document Index: 748410659

Matched Legal Cases: ['art 158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158', '§158']

CFR Code of Federal Regulations - Medical Loss Ratio 80% CFR Code of Federal Regulations - Medical Loss Ratio 80%
Home › 80% Medical Loss Ratio (MLR) › CFR Code of Federal Regulations – MLR
Here is the Code of Federal Regulations (CFR) on MLR – Medical Loss Ratio. Part 158
For an introduction see our sister web pages.
Proposed Rules CMS 9930 P 10.27.2017
§158.101 Basis and scope.
§158.102 Applicability.
§158.103 Definitions.
Subpart B—Calculating and Providing the Rebate
§158.210 Minimum medical loss ratio.
§158.220 Aggregation of data in calculating an issuer’s medical loss ratio.
§158.230 Credibility adjustment.
§158.232 Calculating the credibility adjustment.
§158.240 Rebating premium if the applicable medical loss ratio standard is not met.
§158.241 Form of rebate.
§158.242 Recipients of rebates.
§158.243 De minimis rebates.
§158.244 Unclaimed rebates.
§158.250 Notice of rebates.
§158.251 Notice of MLR information.
§158.260 Reporting of rebates.
§158.270 Effect of rebate payments on solvency.
December 1, 2010 OCIIO–9998–IFC: Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act – Opens in a new window (PDF – 2 MB)
Technical Correction (December 30, 2010) Technical Correction to the Medical Loss Ratio Interim Final Rule – Opens in a new window (PDF – 59 KB)
December 7, 2011 CMS-9998-FC: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act – Opens in a new window CMS-9998-IFC2: Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans – Opens in a new window
May 16, 2012 CMS-9998-F: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act – Opens in a new window
May 16, 2012 CMS-9998-IFC3: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act; Correcting Amendment – Opens in a new window
November 30, 2012 CMS-9964-P: HHS Benefit and Payment Parameters for 2014, and Medical Loss Ratio – Opens in a new window
March 11, 2013 CMS-9964-F: HHS Benefit and Payment Parameters for 2014 – Opens in a new window
OCIIO–9998–IFC: Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act (PDF – 2 MB)
Technical Correction to the Medical Loss Ratio Interim Final Rule (PDF – 59 KB)
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio Interim Final Rule (PDF – 52 KB)
Nearly 4,400 small businesses in California will share in $3.5 million in rebates from insurance giant UnitedHealth Group
about $98 each for nearly 36,000 small-business employees and dependents
Other companies are expected to disclose the size of their customer rebates later this week and send out money by Aug. 1.
Under the federal and state laws, insurers must spend at least 80% of premiums collected on medical care for individual and small-group policies, which cover businesses with 50 or fewer workers
it’s up to employers to decide how they share those savings under the federal law. Some employers may split the rebate money based on the percentage workers contribute to their annual premiums or they could reduce next year’s premium by a similar amount.
but the rules don’t address the larger issue of rising medical costs.