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U.S. Code Regulations Constitution Journal Apps
  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 C
    Subpart C—Potential Adjustment to the MLR for a State's Individual Market

Subpart C. Subpart C—Potential Adjustment to the MLR for a State's Individual Market

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