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MLR Questionnaire

This questionnaire is closed so that we can begin the MLR calculations required for calendar year 2013. Contact your account executive or e-mail us if you have questions.

The Medical Loss Ratio (MLR) minimum standard requires that health-insurance companies spend a certain percentage of premium dollars on medical claims and activities that improve health-care quality. Rebates are due to payers if insurers fail to meet minimum loss ratios of 80 percent in the small group market and 85 percent in the large group market. For each calendar year, Capital BlueCross and its affiliates will calculate and pay rebates, if required, to eligible groups prior to August 1st of the following calendar year.

If you have any questions, contact our support team at 1.888.267.2242.