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NAIC Issues Draft MLR Recommendations, Calls for Delayed Phase-in

The National Association of Insurance Commissioners (NAIC) issued a 32-page draft recommendation on the federal health reform law's minimum medical loss ratio (MLR) on September...
September 27, 2010

The National Association of Insurance Commissioners (NAIC) issued a 32-page draft recommendation on the federal health reform law's minimum medical loss ratio (MLR) on September 23. Among other things, the draft says insurers can consider health care hot lines as medical expenses if care quality is their focus. Both Kansas Insurance Commissioner Sandy Praeger and Florida Insurance Commissioner Kevin McCarty, both Republicans, are calling on the Obama administration to gradually phase in the 80 percent MLR requirement for individual and small group plans to ensure competition in the market. State insurance commissioners met Wednesday in Washington with President Barack Obama and his senior health policy staff to talk about the issue.Waivers from the rule have been requested by Maine and Iowa, and other states could follow suit. The draft must be approved by some additional committees and then voted on by all members of the NAIC before the recommendation is sent to Health and Human Services (HHS) Secretary Kathleen Sebelius' office.

Click here to read NAIC Offers Draft of New Insurance Rule (Bloomberg 9/23/10)

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