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CCIIO Modifies Employee Counting Method for MLR Provision
Wolters Kluwer Law & Business Link to more items from this source
Apr. 19, 2018

"[B]eginning with MLR reports filed in the 2018 calendar year (i.e., for the 2017 MLR reporting year), health insurance issuers ... may elect to use the same employee counting method that is used for the HHS-operated risk adjustment program ... [which] defers to the applicable state counting method, unless the state method does not take into account non-full-time employees.... The CCIIO has also issued technical guidance on the process for a state to submit a request for adjustment to the individual market MLR standard."

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