Regulations, part of the new law on healthcare, are designed to ensure that consumers derive the maximum advantage of the premium of $. insurers must spend the greater part of the premiums that receive payments to doctors, nurses, and hospitals along with improving the quality.
Overhead and administrative costs, marketing may not make more than 20% of expenditures by insurers, or 15% in the case of larger group plans.
Insurers that do not meet the requirements concerning medical loss ratio should give consumers a discount.According to an Associated Press article, with 9 million customers can receive rebates with an average of $164 in 2012.
Insurers small with fewer than 1,000 members, will not have to provide reembolsos.Aquellos with less than 75,000 registered cannot be a discount provide as large as plans of greater size limited benefits plans will have at least a year to compile additional data from fall under the requirement.
States may also apply to the figure of 80% adjusted if they think it would destabilize the market for individual insurance plans.
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