Individual Market News
Published August 10, 2020
Your clients with a Premera individual health plan in 2019 may receive a rebate check in the mail this summer. But why?
These rebates are thanks to the Medical Loss Ratio (MLR) provision in the Affordable Care Act. It requires health insurance carriers to refund members part of premiums received if they do not spend the required percentage on health care services, such as doctor and hospital bills.
Our MLR rebate checks began mailing July 13 to eligible individuals, and the remaining rebates will be sent by the end of September. Even if a member no longer has Premera coverage, they’ll receive a check from us if they’re eligible.