News & Updates

Medical Loss Ratio

OIR Discusses Status of Federal Health Care Reform

OIR Discusses Status of Federal Health Care Reform

The Florida Office of Insurance Regulation recently summarized the status of implementation of federal health care reform at a meeting of the Florida Health Insurance Advisory Board.  Michelle Robleto, the OIR’s Deputy Commissioner overseeing life and health insurance, provided the update. The OIR’s summary began with a recap of the new law, including the reforms […]

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OIR Issues Statement on Premature MLR Calculation

OIR Issues Statement on Premature MLR Calculation

A recent report from the Kaiser Foundation indicated that health insurers will be required to issue millions of dollars in refunds because their medical loss ratios fall below new requirements.  However, the Florida Office of Insurance Regulation issued a statement pointing out that the report might be drawing conclusions from data that was not intended […]

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Health and Human Services Not Budging on Medical Loss Ratio

Health and Human Services Not Budging on Medical Loss Ratio

The U.S. Department of Health and Human Services has informed the Florida Office of Insurance Regulation that it will not reverse its decison to impose a medical loss ratio requirement of 80% on health insurers.  The Florida Office of Insurance Regulation has been concerned for many months that imposing this medical loss ratio will be damaging […]

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Health Bill Allowed to Move Forward; Status in Florida Uncertain

Health Bill Allowed to Move Forward; Status in Florida Uncertain

U.S. District Court Judge Roger Vinson has issued a response to the Department of Justice’s most recent motion in the federal healthcare lawsuit.   Judge Vinson previously ruled that the federal healthcare law is unconstitutional, but the Department of Justice filed a motion seeking to ensure implementation will continue while it appeals.  Vinson criticized the Department of Justice for […]

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Commissioner McCarty Joins in NAIC Letter on PPACA

Commissioner McCarty Joins in NAIC Letter on PPACA

Florida Insurance Commissioner Kevin McCarty and other state insurance commissioners recently wrote to U.S. Department of Health and Human Services Secretary Kathleen Sebelius regarding concerns with the medical loss ratio requirements arising from the Patient Protection and Affordable Care Act (PPACA).  Under the PPACA, the National Association of Insurance Commissioners (NAIC) must develop uniform definitions […]

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OIR, Commissioner McCarty Respond to Healthcare Reforms

OIR, Commissioner McCarty Respond to Healthcare Reforms

The Office of Insurance Regulation recently announced that Florida Insurance Commissioner Kevin McCarty joined regulators from other states in voting to approve the NAIC’s recommended language for the Medical Loss Ratio (MLR) definition under the federal Affordable Care Act.  Due to the definition of medical expenses, health insurance agent premiums were not included in the definition of […]

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