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Health Insurance Consumers to Receive $1B in Rebates

Health Insurance Consumers to Receive $1B in Rebates

The Affordable Care Act (ACA) states that insurers must utilize a minimum of 80 percent of their income on healthcare claims, with the remaining less than 20 percent utilized for administration, marketing, and of course, profits. This Medical Loss Ratio (MLR) provision of the ACA requires that any excess profits are rebated to their insured. The MLR percentage adjusts further to a minimum of 85 percent for large group insurers.

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