Title 42

PART 423 SUBPART X

Subpart X - Requirements for a Minimum Medical Loss Ratio Source:78 FR 31310, May 23, 2013, unless otherwise noted.

• 42 U.S.C. 1302, 1306, 1395w-101 through 1395w-152, and 1395hh.
• Source: 70 FR 4525, Jan. 28, 2005, unless otherwise noted.

42:3.0.1.1.10.24.11.1	SECTION 423.2400	423.2400 Basis and scope.
42:3.0.1.1.10.24.11.2	SECTION 423.2401	423.2401 Definitions.
42:3.0.1.1.10.24.11.3	SECTION 423.2410	423.2410 General requirements.
42:3.0.1.1.10.24.11.4	SECTION 423.2420	423.2420 Calculation of medical loss ratio.
42:3.0.1.1.10.24.11.5	SECTION 423.2430	423.2430 Activities that improve health care quality.
42:3.0.1.1.10.24.11.6	SECTION 423.2440	423.2440 Credibility adjustment.
42:3.0.1.1.10.24.11.7	SECTION 423.2450	423.2450 [Reserved]
42:3.0.1.1.10.24.11.8	SECTION 423.2460	423.2460 Reporting requirements.
42:3.0.1.1.10.24.11.9	SECTION 423.2470	423.2470 Remittance to CMS if the applicable MLR requirement is not met.
42:3.0.1.1.10.24.11.10	SECTION 423.2480	423.2480 MLR review and non-compliance.
42:3.0.1.1.10.24.11.11	SECTION 423.2490	423.2490 Release of Part D MLR data.

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