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  • Code of Federal Regulations
  • C.F.R. Title 45—Public Welfare
  • SUBTITLE A—Department of Health and Human Services
  • SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS
  • PART 158—ISSUER USE OF PREMIUM REVENUE: REPORTING AND REBATE REQUIREMENTS
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Subpart B—Calculating and Providing the Rebate

  • §158.210 Minimum medical loss ratio.
  • §158.211 Requirement in States with a higher medical loss ratio.
  • §158.220 Aggregation of data in calculating an issuer's medical loss ratio.
  • §158.221 Formula for calculating an issuer's medical loss ratio.
  • §158.230 Credibility adjustment.
  • §158.231 Life-years used to determine credible experience.
  • §158.232 Calculating the credibility adjustment.
  • §158.240 Rebating premium if the applicable medical loss ratio standard is not met.
  • §158.241 Form of rebate.
  • §158.242 Recipients of rebates.
  • §158.243 De minimis rebates.
  • §158.244 Unclaimed rebates.
  • §158.250 Notice of rebates.
  • §158.251 Notice of MLR information.
  • §158.260 Reporting of rebates.
  • §158.270 Effect of rebate payments on solvency.

About SCCE

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

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The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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