The Center for Consumer Information & Insurance Oversight has published a spreadsheet form health insurers are supposed to use to report 2013 revenue and costs to the federal government.

The Patient Protection and Affordable Care Act medical loss ratio provisions require health insurers to spend 85 percent of large-group plan revenue and 80 percent of individual and small-group plan revenue on health care and quality improvement.

Insurers that fail to meet the PPACA MLR standards are supposed to use rebates or methods to make up the difference.

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

  • Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events
  • Access to other award-winning ALM websites including and

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.