Health: Medical Loss Ratio Requirements & Mini-Med Plans


Legislative — proposals, bills and analysis from 2006-present
Regulatory — administrative rules and information from U.S. offices and agencies
Judicial — current and past court cases and amicus briefs
Press Releases — Council statements and advisories to the news media
See Also — for related information


No new stories have been published on this topic. All pre-2014 stories can be found in the Benefits Byte Archive or by searching members-only documents. See also the list of issues for related topics.



(Items in italic are available only to Council members.)

Council Materials

For legislative items — source documents and council materials — released prior to enactment of PPACA on March 23, 2010, please go to the PPACA Archive Page.

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PPACA regulatory developments.

Official Source Documents

July 17, 2012 — CMS/CCIIO Bulletin & Technical Guidance, Questions and Answers Regarding the Medical Loss Ratio Reporting and Rebate Requirements

December 2, 2011 — HHS Final Regulations on Medical Loss Ratio Requirements under PPACA

December 2, 2011 — HHS Fact Sheet on Final Regulations regarding Medical Loss Ratio Requirements under PPACA

December 2, 2011 — HHS Interim Final Regulations on Medical Loss Ratio Requirements for Non-Federal Governmental Plans under PPACA

December 2, 2011 — DOL Technical Release 2011-04: Guidance on Rebates for Group Health Plans Paid Pursuant to Medical Loss Ratio Requirements

November 17, 2011 — DOL FAQs About Affordable Care Act Implementation Part VII and Mental Health Parity Implementation

April 1, 2011 — FAQs on PPACA Implementation Part VI

December 22, 2010 — DOL FAQs About Affordable Care Act Implementation Part V and Mental Health Parity Implementation

December 9, 2010 — HHS Supplemental Guidance on Mini-Med Plans: Transparency and Disclosure

December 9, 2010 — HHS Supplemental Guidance on Mini-Med Plans: Sale of New Business for Issuers Receiving Waivers

November 22, 2010 — HHS Interim Final Regulations on Medical Loss Ratios

November 22, 2010 — Fact Sheet on Medical Loss Ratios

November 8, 2010 — HHS/OCIIO Bulletin Regarding Medical Loss Ratios and Mini-Med Plans

November 1, 2010 — FAQs about the Affordable Care Act Implementation Part IV

October 21, 2010 — NAIC Medical Loss Ratio Recommendations, as Provided to HHS

October 18, 2010 — FAQS about the Affordable Care Act Implementation Part III

October 14, 2010 — Senator Rockefeller Statement on Medical Loss Ratio Standards

October 13, 2010 — NAIC Letter to HHS Regarding Medical Loss Ratio Standards

October 8, 2010 — FAQS about the Affordable Care Act Implementation Part II

September 30, 2010 — HHS Statement on the Application of Medical Loss Ratio Standards to Certain Health Plans under PPACA

September 20, 2010 — FAQS about the Affordable Care Act Implementation Part I

April 14, 2010 — DOL/EBSA Request for Information on Medical Loss Ratios

Official Source Documents
Council Materials

Employers and Obama Administration agree: mini-med plans can provide affordable coverage for moderate-income workers
December 1, 2010

Condition Critical: Ten Prescriptions for Reforming Health Care Quality, Cost and Coverage

Health Care Reform (PPACA)