Medical Loss Ratio PPACA Requires: Beginning January 1, 2011, issuers shall, each plan year, pay rebates to enrollees if the Medical Loss exceeds: 80% in the non-group market 80% in the small group market 85% in the large group market NOTE: A state may set a higher percentage – The Secretary may set a lower percentage in a state if the non-group market is destabilized or adjust the rates due to volatility caused by the Exchanges.
{}