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Medical Loss Ratio – What does it mean?
The Affordable Care Act (health care reform) requires health insurers to meet what is known as the Medical Loss Ratio (MLR) standard that means
health insurers must spend a certain minimum percentage of premium revenue on health care services for its customers. If this MLR standard is not
met, the difference will be refunded to customers in the form of rebates.
Please see the Frequently Asked Questions on this page for more information.
To learn more:
- If you bought your policy through an Agent or on your own call: 800-392-1816.
- If you have a policy through your employer or you are the employer call: 800-392-1880.