Assurant Inc. (NYSE:AIZ) swallowed hard and put information about its medical loss ratio (MLR) rebate payments in its earnings release for the fourth quarter of 2011.
Cigna Corp. (NYSE:CI) left the word out of its fourth-quarter earnings release, but company executives did provide a specific “MLR rebate accrual” number during an earnings call.
Assurant, New York — a company with a large mortgage insurance operation and an employee benefits business as well as a health insurance business — is reporting $162 million in net income for the latest quarter on $2.1 billion in revenue, compared with a net loss of $184 million on $2.1 billion in revenue for the fourth quarter of 2010.
The Assurant Health unit is reporting $23 million in net operating income on $446 million in net earned premiums, fees and others, compared with $15 million in net operating income on $471 million in net earned premiums, fees and others for the comparable quarter in 2010.
Operating income at the unit “benefited from disciplined expense management,” the company says.
The minimum MLR provisions in the Patient Protection and Affordable Care Act of 2010 (PPACA) now requires carriers to spend 85% of large group revenue and 80% of individual and small group revenue on health care and quality improvement efforts. Carriers that go under the thresholds are supposed to send rebates to the customers.
Assurant Health competes mainly in the individual and small group markets.
Earlier in the year, Assurant had warned that health unit earnings were being affected by efforts to set aside reserves for MLR rebate expenses.