Welcome to our Healthcare Reform Blog!

The Affordable Care Act (ACA) of 2010 has many implications for individuals and employers, many of which will take effect in 2014. We, at The Rockwood Company, are dedicated to providing you with timely information to help you make benefit choices for 2014 and beyond. We are using this blog to provide you with the most up-to-date information. New information will be posted on the front page, and tagged with the appropriate classification. Classifications will be individuals, small groups (less than 50 employees) and large group (greater than 50 employees).

Wednesday, February 13, 2013

Medical Loss Ratio (MLR) Rebates

Beginning in 2011, insurance companies are required to spend a specified percentage of premium dollars on medical care and quality improvement, meeting a medical loss ratio (MLR) standard.  Companies not meeting this standard will be required to provide consumers rebates.  This began in 2012.

Employers need to have think about a procedure to handle any rebates, a portion of which needs to be refunded to the employee if the employee pays a portion of the premium. 

Not all employers will be eligible for rebates.