ACA Medical Loss Ratio (Individual/Small Group)
Definition: Individual and small group insurers must spend 80%+ of premiums on medical care
Individual and small group insurers must spend 80%+ of premiums on medical care
TypeThreshold
Amount80% MLR minimum
LawACA §2718; 45 CFR 158
AuthorityCMS / HHS
CountryUnited States
OfficialOfficial Page