Title 42

PART 422 SUBPART X

Subpart X - Requirements for a Minimum Medical Loss Ratio Source:78 FR 31307, May 23, 2013, unless otherwise noted.

• 42 U.S.C. 1302 and 1395hh.
• Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.

42:3.0.1.1.9.21.11.1	SECTION 422.2400	422.2400 Basis and scope.
42:3.0.1.1.9.21.11.2	SECTION 422.2401	422.2401 Definitions.
42:3.0.1.1.9.21.11.3	SECTION 422.2410	422.2410 General requirements.
42:3.0.1.1.9.21.11.4	SECTION 422.2420	422.2420 Calculation of the medical loss ratio.
42:3.0.1.1.9.21.11.5	SECTION 422.2430	422.2430 Activities that improve health care quality.
42:3.0.1.1.9.21.11.6	SECTION 422.2440	422.2440 Credibility adjustment.
42:3.0.1.1.9.21.11.7	SECTION 422.2450	422.2450 [Reserved]
42:3.0.1.1.9.21.11.8	SECTION 422.2460	422.2460 Reporting requirements.
42:3.0.1.1.9.21.11.9	SECTION 422.2470	422.2470 Remittance to CMS if the applicable MLR requirement is not met.
42:3.0.1.1.9.21.11.10	SECTION 422.2480	422.2480 MLR review and non-compliance.
42:3.0.1.1.9.21.11.11	SECTION 422.2490	422.2490 Release of Part C MLR data.

---