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  1. Regulations
    All Titles
  2. title 45
    Public Welfare
  3. chapter A-i1
    SUBTITLE A—Department of Health and Human Services
  4. part 158
    PART 158—ISSUER USE OF PREMIUM REVENUE: REPORTING AND REBATE REQUIREMENTS
  5. subpart B
    Subpart B—Calculating and Providing the Rebate

Subpart B. Subpart B—Calculating and Providing the Rebate

  • § 158.210 - Minimum medical loss ratio.
  • § 158.211 - Requirement in States with a higher medical loss ratio.
  • § 158.220 - Aggregation of data in calculating an issuer's medical loss ratio.
  • § 158.221 - Formula for calculating an issuer's medical loss ratio.
  • § 158.230 - Credibility adjustment.
  • § 158.231 - Life-years used to determine credible experience.
  • § 158.232 - Calculating the credibility adjustment.
  • § 158.240 - Rebating premium if the applicable medical loss ratio standard is not met.
  • § 158.241 - Form of rebate.
  • § 158.242 - Recipients of rebates.
  • § 158.243 - De minimis rebates.
  • § 158.244 - Unclaimed rebates.
  • § 158.250 - Notice of rebates.
  • § 158.251 - Notice of MLR information.
  • § 158.260 - Reporting of rebates.
  • § 158.270 - Effect of rebate payments on solvency.
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