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Request by Federal Agencies for Comments on New Statutory Requirement for Health Insurers to Provide Reports on Clinical Services
Employee Benefits Security Administration [EBSA]; Internal Revenue Service [IRS]; U.S. Department of Health and Human Services [HHS] 
[Official Guidance] Apr. 14, 2010
Excerpt: Section 2718 of the PHS Act, among other provisions, requires health insurance issuers offering individual or group coverage to submit annual reports to the Secretary on the percentages of premiums that the coverage spends on reimbursement for clinical services and activities that improve health care quality, and to provide rebates to enrollees if this spending does not meet minimum standards for a given plan year.
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