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HHS/OCIIO RIN: 0950-AA06 Publication ID: Fall 2010 
Title: ●Medical Loss Ratios 
Abstract: The Affordable Care Act requires health insurance issuers offering individual or group coverage to submit annual reports to the Secretary on the percentages of premiums that the coverage spends on reimbursement for clinical services and activities that improve health care quality, and to provide rebates to enrollees if this spending does not meet minimum standards for a given plan year. This interim final rule would implement the definition and methodology associated with the calculation of the Medical Loss Ratio (MLR) provisions of the Affordable Care Act and the calculation of the rebate to consumers for plans that do not satisfy the MLR. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148   
Legal Deadline:
Action Source Description Date
Final  Statutory    12/00/2011 
Timetable:
Action Date FR Cite
Interim Final Rule  12/01/2010  75 FR 74864   
Interim Final Rule Comment Period End  01/31/2011    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
James Mayhew
Director, Division of Market Rules Compliance Office
Department of Health and Human Services
Office of Consumer Information and Insurance Oversight
Mail Stop C2-12016, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9244
Email: james.mayhew@cms.hhs.gov