What is MLR? The medical loss ratio provision of the ACA encourages health plans to spend most of the premium dollars they collect on healthcare costs rather than overhead. It’s a ratio of insurance premiums to claims costs and is usually expressed as a percentage.
Anthem groups will receive 2020 medical loss ratio (MLR) rebates this year. Those rebates were mailed out at the end of August. This is the second year in a row they mailed the rebates a month earlier than the September 30th deadline.
The MLR provision of the Affordable Care Act (ACA) encourages health plans to spend most of the premium dollars they collect on healthcare costs rather than overhead. MLR is a ratio of insurance premiums to claims costs, usually expressed as a percentage. For more information please visit the Anthem article post here.
You may also download the following information here:
- The MLR Rebate Aide (.PDF)
- The Redacted Group Letter/Check Copy (.PDF)
- Employer FAQ (.PDF)
- 2020 MLR Calculator (Excel (.XLSX) or Downloadable .ZIP File)
PLEASE NOTE: We have received notice to anticipate MLR rebates this year coming from Blue Shield Small Group, and Health Net HMO Small Group by the end of September. We do not know the MLR Rebate status of other carriers as of yet. They have until the Sept. 30th deadline to comply.
If you do not have Anthem and want to access the MLR Calculator, feel free to contact us. We’re happy to assist you with your needs.