MEDICAL LOSS REBATES The Affordable Care Act (ACA) requires health insurers and HMOs to spend the majority of the premium they collect on actual health benefits, excluding administration or overhead. Plans that fail to meet the minimum MLR standard must refund a portion of premiums to their policyholders. Employers that receive a rebate from their group medical insurer or HMO need to follow certain guidelines when distributing the funds. PCORI FEES The ACA created the Patient-Centered Outcomes Research Institute (PCORI) to study clinical effectiveness and health outcomes. To finance the Institute’s work, a small annual fee is charged on group health plans. In this webinar, Sara will cover:
Ways an employer can distribute MLR rebates
How PCORI fees are calculated
Who pays the fee and how
You may also qualify to earn 1 HR recertification credit and 1 Professional Development Credit (PDC) recertification credit for your participation.*
JULY’S WEBINAR TOPIC IS ATTENDEES’ CHOICE
Let us know what you want to hear about for next month’s compliance webinar—submit your topic ideas when registering for this month’s webinar.
*Savoy is a recognized provider of recertification credits. HR Certification Institute® pre-approved this program for 1 HR (General) credit toward aPHR™, aPHRi™, PHR®, PHRca®, SPHR®, GPHR®, PHRi™ and SPHRi™ recertification. Please contact firstname.lastname@example.org to learn more.
*Savoy is recognized by SHRM to offer Professional Development Credits (PDC) for SHRM-CP® or SHRM-SCP® recertiﬁcation activities.