The Affordable Care Act (ACA) established medical loss ratio (MLR) rules to help control healthcare coverage costs and ensure 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 healthcare quality improvement rather than administrative costs.
Employers who 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 2023 reporting year.
The information herein should not be construed as legal or tax advice in any way. This content is provided for informational purposes only. You should seek the advice of your attorney or tax consultant for additional or specific information.