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Overview of Medical Loss Ratio Rebates
Spencer Fane
June 27, 2012
"Insurers in the large group market must achieve a medical loss ratio ('MLR') of 85%, while insurers in the individual and small group markets must achieve an MLR of 80%. Insurers that fail to achieve these percentages must issue rebates to their policyholders. The first of these MLR rebates are due in August of 2012, so plan sponsors should begin planning how to handle any rebates they might receive."
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