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Calculating and Providing the Rebate
Law
CFR 45
Public Welfare
Department of Health and Human Services
Requirements Relating to Health Care Access
Issuer Use of Premium Revenue: Reporting and Rebate Requirements
Calculating and Providing the Rebate
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Section
158.210
Minimum medical loss ratio.
Section
158.211
Requirement in States with a higher medical loss ratio.
Section
158.220
Aggregation of data in calculating an issuer's medical loss ratio.
Section
158.221
Formula for calculating an issuer's medical loss ratio.
Section
158.230
Credibility adjustment.
Section
158.231
Life-years used to determine credible experience.
Section
158.232
Calculating the credibility adjustment.
Section
158.240
Rebating premium if the applicable medical loss ratio standard is not met.
Section
158.241
Form of rebate.
Section
158.242
Recipients of rebates.
Section
158.243
<em>De minimis</em> rebates.
Section
158.244
Unclaimed rebates.
Section
158.250
Notice of rebates.
Section
158.251
Notice of MLR information.
Section
158.260
Reporting of rebates.
Section
158.270
Effect of rebate payments on solvency.