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. 

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