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MLR Rebate Payout Underway in Early - Mid July

June 19, 2013

In the second Medical Loss Ratio (MLR) Reporting Year, UnitedHealthcare’s results show that 83 Aggregation Sets in total (group and individual combined) qualified to receive premium rebates totaling $149,861,252 for 2012.  For the 2011 Reporting Year, 85 Aggregation Sets qualified for premium rebates totaling $311,938,407.

Fifty-four Aggregation Sets in the Group Market qualified to receive a premium rebate, compared to 57 the previous year.  In the Individual Market, 29 Aggregation Sets qualified for rebate this year compared to 28 for 2011.

Premium rebate checks will begin mailing in early July and will be staggered over a three-week period, with all required payments expected to be made by the August 1 deadline set by the U.S. Department of Health and Human Services (HHS).  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.

Final customer specific results were verified in late June.  Reports will be provided to Sales, Brokers and Consultants to assist customers with any questions regarding their eligibility for a rebate.  The reports include the amount of rebate owed and paid as well as the MLR percentage achieved by the Aggregation Set in which the policyholder was grouped.

 

2012

2011

Aggregation Sets

 

 

Group Business

54

57

Individual Business

29

28

TOTAL

83

85

 

 

 

Premium Rebates

$149,861,252

$311,938,407

In addition to the checks mailed to policyholders, notices of the rebate also will be mailed to the subscribers of those group policyholders receiving a rebate.  Unlike the first MLR Reporting Year, no notices will be mailed to policyholders and relevant subscribers which did not qualify for a rebate.

Brokers and customers with questions related to the rebate payout can call the Broker/Employer service line at (866) 802-8602.

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