In the fifth Medical Loss Ratio (MLR) Reporting Year, UnitedHealthcare’s results show that 63 Aggregation Sets in total (group and individual combined) qualified to receive premium rebates totaling $105,712,174 for 2015. For the 2014 Reporting Year, 76 Aggregation Sets qualified for premium rebates totaling $117,626,280. An Aggregation Set is the combination of situs state, legal entity and group size.
Premium rebate checks will begin mailing in mid-September and will be staggered over a three-week period, with all required payments expected to be made by the September 30 deadline set by the U.S. Department of Health and Human Services. Rebates will primarily be paid to the applicable policyholder; however, in a limited number of cases where a group policyholder written assurance was required but not received, the subscribers of those groups will receive the premium rebate checks.
For more information on MLR, please visit the United for Reform Resource Center.