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Anthem to Issue Rebates for Small Group and Individual Markets

Jul 09, 2012


The Affordable Care Act (health care reform law) requires health plans to meet a minimum medical loss ratio (MLR), which varies according to market. Health insurance issuers must meet a minimum medical loss ratio of 85% in the fully insured Large Group market and 80% in the fully insured Small Group and Individual markets.

The health care reform law also requires health plans to file a medical loss ratio report each year with the Department of Health and Human Services. On June 1, 2012, Anthem Blue Cross filed the required medical loss ratio report for the 2011 calendar year.

Anthem Blue Cross MET the required loss ratio in the:

Anthem Blue Cross DID NOT MEET the required loss ratio in the:
What does this mean?

Rebate Check and Notification Schedule for California Small Groups and Individuals

To make sure Anthem Small Group customers and Individual members understand (1) why they’re receiving rebate checks, (2) who receives them and (3) when the checks will be sent, Anthem is sending pre-rebate notifications to impacted group employers and Cal-Cobra members.

Employers receiving rebates can use the rebates to:

Affect on Broker Commissions

For additional questions and assistance, please contact your beere&purves Group Sales Representative - 888.722.3373.
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