The Affordable Care Act (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% of premium dollars on medical care and health care quality improvement, rather than administrative costs.

Employers that expect to receive rebates should review the MLR rebate rules and decide how they will administer the rebates. Join Towne Benefits Compliance Specialist Corbin Granger for a discussion about MLR Rebates for the 2022 reporting year.