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MLR Rebates Begin in July 2014

Jun 27, 2014

In the third Medical Loss Ratio (MLR) Reporting Year, UnitedHealthcare’s results show that 86 Aggregation Sets in total (group and individual combined) qualified to receive premium rebates totaling $89,902,103 for 2013. For the 2012 Reporting Year, 83 Aggregation Sets qualified for premium rebates totaling $149,861,252. An Aggregation Set is the combination of situs state, legal entity and group size. 

A total of 56 Aggregation Sets in the Group Market qualified to receive a premium rebate, compared to 54 the previous year.  In the Individual Market, 30 Aggregation Sets qualified for rebate this year compared to 29 ­­for 2012.

Premium rebate checks will begin mailing in early July and will be staggered over a three-week period, with all required payments expected to be made by the August 1 deadline set by the U.S. Department of Health and Human Services (HHS). Rebates will primarily be paid to the applicable policyholder; however, in a limited number of cases where a group policyholder Written Assurance was required but not received, the subscribers of those groups will receive the premium rebate checks. 

Final customer specific results were verified in late June.  Reports will be provided to Sales, Brokers and Consultants to assist customers with any questions regarding their eligibility for a rebate early the week of July 7, prior to any checks being mailed. The reports include the amount of rebate owed and paid as well as the MLR percentage achieved by the Aggregation Set in which the policyholder was grouped. 

In addition to the checks mailed to policyholders, notices of the rebate also will be mailed to the subscribers of those group policyholders receiving a rebate. Unlike the first MLR Reporting Year, no notices will be mailed to policyholders and relevant subscribers which did not qualify for a rebate. 

For assistance with MLR rebates, please ​contact a member of your b&p Sales Team - 888.722.3373.




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