Tag: MLR

Question: How is reporting of the MLR being handled with respect to the 5500 filing?  Will it require an amended Schedule A for 2011 or a new one in 2012? Answer: In accordance with ERISA, Schedule A (“Insurance Information”) sets forth required information about a specific group insurance policy with respect to a specific policy…

Question:  How do we handle the employee distributions from the carriers for Medical Loss Ratio (MLR) rebates? Answer: The Medical Loss Ratio (MLR) is the percentage of premium that the insurance carrier spends on health care. Generally, the MLR is the amount spent on medical care (claims, clinical services and quality-improvement activities) divided by the…