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Life Health > Health Insurance > Health Insurance

PPACA: NAIC Posts Blank Proposal

By staff Writer

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A panel of regulators has drafted a 2010 supplemental blank that insurers could use to record the medical expenses that will be used in medical loss ratio calculations.

The Financial Condition Committee at the National Association of Insurance Commissioners, Kansas City, Mo., has approved the blank proposal and posted the proposal in its section of the NAIC’s website.

The committee developed the proposal to implement minimum medical loss ratio provisions in the Affordable Care Act, the federal legislative package that includes the Patient Protection and Affordable Care Act.

The provisions will require health carriers to spend a minimum percentage of premium revenue on medical care and quality improvement activities.

The proposal drafters have created a supplemental health care exhibit form.

Under premiums, for example, carriers would have to list premiums attributable to federal high risk pools, state high risk pools and ordinary health premiums, and they would have to report on the amount of each type of premium revenue coming from the individual, small group employer, large group employer, government, other and other health categories of business.

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