Code of Federal Regulations (Last Updated: November 8, 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. |
§ 158.310 - Who may request adjustment to the medical loss ratio. |
§ 158.311 - Duration of adjustment to the medical loss ratio. |
§ 158.320 - Information supporting a request for adjustment to the medical loss ratio. |
§ 158.321 - Information regarding the State's individual health insurance market. |
§ 158.322 - Proposal for adjusted medical loss ratio. |
§ 158.323 - State contact information. |
§ 158.330 - Criteria for assessing request for adjustment to the medical loss ratio. |
§ 158.340 - Process for submitting request for adjustment to the medical loss ratio. |
§ 158.341 - Treatment as a public document. |
§ 158.342 - Invitation for public comments. |
§ 158.343 - Optional State hearing. |
§ 158.344 - Secretary's discretion to hold a hearing. |
§ 158.345 - Determination on a State's request for adjustment to the medical loss ratio. |
§ 158.346 - Request for reconsideration. |
§ 158.350 - Subsequent requests for adjustment to the medical loss ratio. |