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Potential Adjustment to the MLR for a State's Individual Market
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
Potential Adjustment to the MLR for a State's Individual Market
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Section
158.301
Standard for adjustment to the medical loss ratio.
Section
158.310
Who may request adjustment to the medical loss ratio.
Section
158.311
Duration of adjustment to the medical loss ratio.
Section
158.320
Information supporting a request for adjustment to the medical loss ratio.
Section
158.321
Information regarding the State's individual health insurance market.
Section
158.322
Proposal for adjusted medical loss ratio.
Section
158.323
State contact information.
Section
158.330
Criteria for assessing request for adjustment to the medical loss ratio.
Section
158.340
Process for submitting request for adjustment to the medical loss ratio.
Section
158.341
Treatment as a public document.
Section
158.342
Invitation for public comments.
Section
158.343
Optional State hearing.
Section
158.344
Secretary's discretion to hold a hearing.
Section
158.345
Determination on a State's request for adjustment to the medical loss ratio.
Section
158.346
Request for reconsideration.
Section
158.350
Subsequent requests for adjustment to the medical loss ratio.