MLR (Medical Loss Ratio) Rebate

Refunds are going out in August...the transcript below has been pulled directly from United Healthcare.  Blue Cross Blue Shield recently had a similar announcement as have most other Health Insures I'm sure.

Large group insurers must spend at least 85 percent of premium dollars on claims and activities to improve health care quality. Individual and small group insurers must spend at least 80 percent of premium dollars on claims and activities to improve health care quality.

Rebate Requirement

Beginning Aug. 2012, health plans must provide rebates to enrollees if their medical loss ratio – the percentage of premiums spent on reimbursement for clinical services and activities that improve health care quality – does not meet the minimum standards for a given plan year