News & Updates
At Health Net of California, Inc. and Health Net Life Insurance Company (together, "Health Net"), they work hard to provide timely and relevant information that affects your clients and your business. Health Net wants to inform you that Health Net has finalized the 2013 Medical Loss Ratio (MLR) results.
The MLR Standard
The federal Affordable Care Act (ACA) requires that as a health plan and an insurance company, Health Net is required to maintain an MLR of at least 80 percent for Individual and Small Group plans and 85 percent for Large Group plans. The MLR is the percentage of premium dollars a health plan spends on physician, hospital, and other medical services and activities that improve health care quality, including wellness programs.
This requirement is referred to as the "Medical Loss Ratio" standard or the "80/20" or "85/15" rule. If Health Net does not meet the standards in this rule, they must refund part of the premium. The ACA rule was designed to ensure your clients receive optimal value for their health care dollars.
2013 MLR Results
Health Net met or exceeded the MLR standards for California. More information and official MLR results can be found here.
For questions, please contact a member of your b&p Sales Team - 888.722.3373.