As a reminder, insurance carriers are required to satisfy certain medical loss ratio (“MLR”) thresholds. This generally means that for every dollar of premium a carrier
collects with respect to a major medical plan; it should spend 85 cents in the large group market (80 cents in the small group market) on medical care and activities
to improve health care quality. If these thresholds are not satisfied, rebates are available to employers in the form of a premium credit or check.
If a rebate is available, carriers are required to distribute MLR checks to employers by September 30, 2021.
Click here to download this bulletin: 2021 MLR Rebate Checks Recently Issued to Fully Insured Plans