Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act
other · US Department of Health and Human Services · Rule · Published 2011-12-07 · Effective 2012-01-03 · 76 FR 76574
Document
Document number
2011-31289
Federal Register citation
76 FR 76574
CFR reference
45 CFR 158
Type
Rule
Action
Final rule with comment period.
Category
other
Sub-agency
US Department of Health and Human Services
Publication date
2011-12-07
Effective date
2012-01-03
HHS docket
CMS-9998-FC
Abstract
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.