HHS Sets Loss Ratio Rules Capping Insurer Profits

Law360, New York (December 2, 2011, 8:24 PM EST) -- Health insurers will have to spend 80 to 85 percent of consumers' premiums on medical care or provide tax-free consumer rebates if they don't meet that standard, according to the health care reform law's finalized medical loss ratio regulation, announced by federal officials Friday.

The finalized regulation, issued by the U.S. Department of Health and Human Services' Centers for Medicare & Medicaid Services, hews closely to the original MLR rule enacted last November as part of the Patient Protection and Affordable Care Act, which went into...
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