The ACA established medical loss ratio (MLR) rules to help control health care coverage costs and ensure that enrollees receive value for their premium dollars. The MLR rules require health insurance issuers to spend 80-85 percent of premium dollars on medical care and health care quality improvement, rather than administrative costs.

Issuers that do not meet these requirements must provide rebates to consumers. For the 2018 reporting year, carriers were required to pay rebates by today - September 30, 2019.

To learn more about MLR Rebates, how they should be used and when they should be used by - continue reading here!

Filed Under: Benefits Briefs