News
Anthem Rebates for Individual New Hampshire Members
Posted 08.31.15
The Affordable Care Act (ACA) requires health plans to meet a minimum medical loss ratio (MLR), which varies according to market. MLR rules require health insurance issuers to spend a certain percentage of their premium dollars on medical care and health care quality improvement. Health insurance issuers must meet a minimum MLR of 85% in the fully insured large group market and 80% in the fully insured small group and individual markets.
Anthem met the required loss ratio in the large group and small group markets but not in the individual market. Accordingly, Anthem will send the required notification along with the rebate check as required by law to members in the individual market.
All rebate checks and notices will be sent prior to September 30, 2015.
For questions about the MLR requirements please contact your NEEBCo representative.