Under the Patient Protection and Affordable Care Act (PPACA), health insurance carriers are required to report their medical loss ratios (MLR) to state and federal agencies annually. Based on the size of an employer’s business, the MLR requirement differs between 80 percent and 85 percent. If MLR results are below the requirements, carriers must issue rebates to members and employers.
We have begun notifying groups that they must complete a simple, six-question survey related to the MLR rebate. This survey is required. We will use the supplied information to determine if a group is “small” or “large” for MLR purposes.
The survey includes the following six questions: