Massachusetts Medical Loss Ratio Rebate Information

Federal law (Affordable Care Act) requires that health insurance companies spend a minimum percentage of premium dollars on medical claims, including clinical services and activities designed to improve health care quality. The MLR standard applies to health insurance plans offering group or individual coverage. It does not apply to self-insured plans.

Federal MLR rebates and notification letters will be sent to employer groups and individuals, postmarked by September 30, 2016.

Massachusetts MLR Rebates and notification letters will be sent to employer groups and individuals, posted marked by February 28, 2017.

For additional information about employer groups’ responsibilities regarding the rebate, contact the Department of Labor’s Employee Benefits Security Administration at 866-444-EBSA (3272), or refer to their FAQs

Massachusetts Employer MLR FAQs

Massachusetts Member FAQs

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