Health: Medical Loss Ratio Requirements & Mini-Med Plans
Legislative — proposals, bills and analysis from the 109th and 110th Congresses (2006-present)
Regulatory — administrative rules and information from U.S. offices and agencies
Judicial — current and past court cases and amicus briefs
Press Releases — Council statements and advisories to the news media
See Also — for related information
(Items in italic are available only to Council members.)
Official Source Documents
June 1, 2011 — MLR Repeal Act (H.R. 2077)
March 23, 2010 — Patient Protection and Affordable Care Act (PPACA) as enacted and amended by the Health Care and Education Affordability Reconciliation Act
Council Materials
| For legislative items — source documents and council materials — released prior to enactment of PPACA on March 23, 2010, please go to the PPACA Archive Page. |
| Click here for the Council's comprehensive chart highlighting PPACA regulatory developments. |
Official Source Documents
July 17, 2012 — CMS/CCIIO Bulletin & Technical Guidance, Questions and Answers Regarding the Medical Loss Ratio Reporting and Rebate Requirements
December 2, 2011 — HHS Final Regulations on Medical Loss Ratio Requirements under PPACA
December 2, 2011 — HHS Fact Sheet on Final Regulations regarding Medical Loss Ratio Requirements under PPACA
December 2, 2011 — HHS Interim Final Regulations on Medical Loss Ratio Requirements for Non-Federal Governmental Plans under PPACA
December 2, 2011 — DOL Technical Release 2011-04: Guidance on Rebates for Group Health Plans Paid Pursuant to Medical Loss Ratio Requirements
November 17, 2011 — DOL FAQs About Affordable Care Act Implementation Part VII and Mental Health Parity Implementation
April 1, 2011 — FAQs on PPACA Implementation Part VI
December 22, 2010 — DOL FAQs About Affordable Care Act Implementation Part V and Mental Health Parity Implementation
December 9, 2010 — HHS Supplemental Guidance on Mini-Med Plans: Transparency and Disclosure
December 9, 2010 — HHS Supplemental Guidance on Mini-Med Plans: Sale of New Business for Issuers Receiving Waivers
November 22, 2010 — HHS Interim Final Regulations on Medical Loss Ratios
November 22, 2010 — Fact Sheet on Medical Loss Ratios
November 8, 2010 — HHS/OCIIO Bulletin Regarding Medical Loss Ratios and Mini-Med Plans
November 1, 2010 — FAQs about the Affordable Care Act Implementation Part IV
October 21, 2010 — NAIC Medical Loss Ratio Recommendations, as Provided to HHS
October 18, 2010 — FAQS about the Affordable Care Act Implementation Part III
October 14, 2010 — Senator Rockefeller Statement on Medical Loss Ratio Standards
October 13, 2010 — NAIC Letter to HHS Regarding Medical Loss Ratio Standards
October 8, 2010 — FAQS about the Affordable Care Act Implementation Part II
September 30, 2010 — HHS Statement on the Application of Medical Loss Ratio Standards to Certain Health Plans under PPACA
September 20, 2010 — FAQS about the Affordable Care Act Implementation Part I
April 14, 2010 — DOL/EBSA Request for Information on Medical Loss Ratios
Council Materials
August 6, 2010 — PPACA Mandates Chart (Courtesy of Proskauer Rose)
July 12, 2010 — Council Letter to NAIC Regarding Medical Loss Ratios and Expatriate Coverage
June 3, 2010 — Opinion Letter on the Applicability of Annual Limits to Limited Health Benefit Plans ("Mini-med plans")
May 14, 2010 — National Coalition on Benefits Letter to HHS Regarding Medical Loss Ratios
May 11, 2010 — Council Letter to NAIC Regarding Medical Loss Ratios
Employers and Obama Administration agree: mini-med plans can provide affordable coverage for moderate-income workers
December 1, 2010
Condition Critical: Ten Prescriptions for Reforming Health Care Quality, Cost and Coverage
Health
Health Care Reform (PPACA), General & Misc. Items
- Employer Shared Responsibility
- Market Reforms & Adult Child/Age-26 Coverage
- Preventive Care & Value-Based Design
- Quality Improvement & Delivery Reform
- Essential Benefits
- Tax & Revenue Issues
- Grandfathered Plans
- Claims and Appeals
- Summary of Benefits & Coverage
- Informational Reporting/W2
- Health Insurance Exchanges
- State Innovation
- Medical Loss Ratio & Mini-Med Plans
- Automatic Enrollment
- Wellness Programs
- Accountable Care Organizations
- Non-Discrimination
Consumer-Directed Plans (HSAs/FSAs/HRAs)
Health Information Technology & HIPAA Privacy
Retirement
Defined Contribution/ 401(k) Plan Reform
- Automatic Enrollment
- Investments
- Plan fees
- Taxation of Retirement Plans/Limits
- Funding Reform
- PBGC Deficit & Premiums
- Business Conduct Standards
Retirement Plan Administration
Other Issues
Tax Reform, Deficit Reduction & Federal Budget
- FACTA Issues
- FBAR Issues
- Puerto Rico Plans
- Non-Qualified Deferred Compensation
- Code Section 409(A), 457(A), 162(m) issues
- Say-on-Pay
