Individual market insurers are the ones on the hook for the bulk of the refunds—a total of nearly $2 billion, according to preliminary estimates.

Consumers are expected to reap the rewards of excessive premiums over the last few years, according to a new analysis from the Kaiser Family Foundation that said premium rebates should hit a record $2.7 billion this fall.

The result of the Affordable Care Act’s medical loss ratio provision, which requires insurers to spend at least 80 percent of their premium income (85 percent for large group plans) on claims and quality improvement over the past three years, the rebate total last year was $1.3 billion—a record at the time.

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

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com 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 BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

More from this author

 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.