Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 45 - Public Welfare |
Subtitle A - Department of Health and Human Services |
SubChapter B - Requirements Relating to Health Care Access |
Part 158 - Issuer Use of Premium Revenue: Reporting and Rebate Requirements |
Subpart C - Potential Adjustment to the MLR for a State's Individual Market |
§ 158.301 - Standard for adjustment to the medical loss ratio.
Latest version.
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§ 158.301 Standard for adjustment to the medical loss ratio.
The Secretary may adjust the MLR standard that must be met by issuers offering coverage in the individual market in a State, as defined in section 2791 of the PHS Act, for a given MLR reporting year if, in the Secretary's discretion, the Secretary determines that there is a reasonable likelihood that an adjustment to the 80 percent MLR standard of section 2718(b)(1)(A)(ii) of the Public Health Service Act will help stabilize the individual market in that State.
[83 FR 17070, Apr. 17, 2018]