MLR

Medical Loss Ratio (MLR) Results: 2022 Plan Year

[Updated] Employers who sponsor a fully insured group health plan may be receiving a Medical Loss Ratio (MLR) rebate from their insurers.

2023 Upcoming Fall and Winter Compliance Deadlines

2023 Upcoming Fall and Winter Compliance Deadlines It is that time of year again when your clients need to be thinking about approaching deadlines for Group Health Plans. Some of the important dead...

Webinar Replay: MLR (Medical Loss Ratio) Rebates

MLR Rebates September 6, 2023 Around this time each year, the carriers begin sending out MLR rebates to fully insured group health plans. This webinar will provide a quick refresher on why fully...

UnitedHealthcare and Oxford Health Plans MLR Final Report

[Updated] UnitedHealthcare and Oxford Health Plans have released their 2023 Medical Loss Ratio Final Report.

Health Net Finalizes 2022 Medical Loss Ratio (MLR) Results

The Affordable Care Act (ACA) requires health carriers to maintain an Medical Loss Ratio (MLR) of at least 80 percent for Individual and Small Group Plans and 85 percent for Large Group Plans. This...

Aetna 2022 MLR Experience Year Rebate Pools

Aetna, Innovation Health, Banner | Aetna, and Texas Health | Aetna plans are scheduled to receive rebates under the Health Care Reform Minimum Medical Loss Ratio (MLR) requirements. Rebates will be ma...

MLR Rebates Are Coming

Background & Purpose Employers sponsoring a fully-insured group health plan may soon be getting a check from their insurer. This check is a medical loss ratio (MLR) rebate that insurers are requi...

Medical Loss Ratio (MLR) Results: 2021 Plan Year

Employers who sponsor a fully insured group health plan may be receiving a Medical Loss Ratio (MLR) rebate from their insurers. Self-insured medical benefit plans are not subject to these requirements...

Health Net 2020 MLR Rebates in September

Small Group Clients who had Health Net of California, Inc. HMO plans in 2020 will receive a rebate of a portion of the premium as required under the ACA. The Affordable Care Act (ACA) requires heal...

Anthem Blue Cross 2020 MLR Rebates will Mail by the End of August

Anthem groups and Individual members in 10 states will receive 2020 medical loss ratio (MLR) rebates this year. Rebates will be mailed by the end of August. This is the second year in a row they maile...