Posts Tagged: MLR

Additional MLR Guidance

in Affordable Care Act

CCIIO posted additional MLR guidance yesterday in a question and answer format.  In a nod toward the 21st Century, one of the Q&As allows the MLR rebate to be distributed via a pre-paid debit card.  Another Q&A clarifies that the MLR rules do not apply to self-funded plans.  For more information, see the Q&As here – http://cciio.cms.gov/resources/files/mlr-qna-04202012.pdf

Updated MLR Rules Released

in Affordable Care Act

On Friday morning, HHS released the updated medical loss ratio (MLR) requirements, and DOL released a technical release regarding the payment of rebates under the MLR rules.  The HHS regulations will be in the December 7th federal register, but a preview is available here: http://www.ofr.gov/inspection.aspx#special The DOL technical release for how to handle rebates under ERISA is at  http://www.dol.gov/ebsa/newsroom/tr11-04.html