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

Document ID: CMS-2011-0179-0001
Document Type: Rule
Agency: Centers For Medicare & Medicaid Services
Topics: Administrative Practices and Procedures, Claims, Health Care, Health Insurance, Health Plans, Penalties, Reporting and Recordkeeping Requirements
Federal Register Number: 2011-31289
CFR Citation: 45 CFR Part 158
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Details Information

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.
Received Date:	December 07 2011, at 12:00 AM Eastern Standard Time
Start-End Page:	76574 - 76594
Page Count:	21
Comment Start Date:	December 7 2011, at 12:00 AM Eastern Standard Time
Comment Due Date:	January 6 2012, at 11:59 PM Eastern Standard Time