FAQs about Medical Loss Ratio (MLR) Insurance Rebate

FAQs about Medical Loss Ratio

(MLR) Insurance Rebate

U.S. Department of Labor

Employee Benefits Security Administration

Q: I have questions regarding the Medical Loss Ratio (MLR) insurance rebate.

A: Notices regarding the Medical Loss Ratio (MLR) insurance rebates are being

provided

under a provision in the Affordable Care Act that requires insurance

companies to provide

a rebate related to insurance premiums in certain situations.

If you are interested in more information about the MLR rebate rules, you should

visit the

HHS website at:

http://cciio.cms.gov/programs/marketreforms/mlr/index.html and

http://cciio.cms.gov/resources/factsheets/mlrfinalrule.html.

If you have health coverage under individually purchased insurance or under a state

local government or church plan you should contact HHS at:

MLRquestions@cms.hhs.gov

If you are covered by a plan for federal government employees, please visit the OPM

website at: https://www.opm.gov/

Frequently asked questions relating to potential tax consequences of the rebate can

be found on the IRS website at

https://www.irs.gov/newsroom/medical-loss-

ratio-mlr-faqs

If you are an employer or participant in an employer sponsored health plan, you

can

contact the Department of Labor's Employee Benefits Security Administration

with your

questions about the notice. Contact us electronically or call 1-866-444-

3272 for assistance from a Benefits Advisor.