Insurance customers nationwide would have received roughly $2 billion in rebates from health insurers if the new medical loss ratio rules had been in effect in 2010, according to new research.

The Commonwealth Fund, which supports research on health policy reform, used 2010 marketplace data to create an estimate of rebates expected in each state if MLR rules, enacted under the Patient Protection and Affordable Care Act, would have been in effect a year earlier.

The new regulations took effect Jan. 1, 2011, and consumers will receive their first rebates this August. The rules require insurers to meet a minimum MLR of 80 percent in the individual and small-group markets, and 85 percent in the large group market, and issue rebates if they don't.

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