Department of Labor Issues Guidance on ERISA Considerations in Medical Loss Ratio Rebates Under Health Care Reform.The article reports on the move of the U.S. Department of Labor to issue the Technical Release 2011- 04, which addresses the Employee Retirement Income Security Act of 1974 (ERISA)...
rebate certain amounts back to the applicable policyholders. Te law provides guidance regarding the calculation and reporting o the Medical Loss Ratio as well as, where applicable, the criteria or when rebates to policyholders must be paid. What is the required Medical Loss Ratio as outlined ...
However, if premiums were deducted, then any amount of the premium rebated by the insurance company because of themedical loss ratio(MLR) mandate will be taxable. The purpose of themedical loss ratio mandate, as enacted by thePatient Protection and Affordable Care Act of 2010and modified by t...
By studying the impact of the deductible and reimbursement ratio on medical expenses and medical burden, this paper hopes to provide some guidance to other countries’ medical insurance policies and research related to medical expenses. 2. Literature Review In medical insurance policy, the deductible ...