December 13, 2011
Health Plan Spending Ratio Rules Set
The final rules have been published determining the percentage of your insurance premium that insurance companies must spend on health costs. This percentage, called a Medical Loss Ratio (MLR), is 80% for medical plans sold to employers with fewer than 50 employees and 85% for companies with 50 or more employees.
If insurance companies do not meet this minimum, they must rebate a portion of insurance premiums to employers and employees.