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Rockefeller urges tight rules on medical-loss ratios
Modern Healthcare

A powerful Democratic senator is urging HHS and state insurance commissioners to implement tight regulations on how insurers can spend premium dollars under the new health reform law. Sen. John Rockefeller (D-W.Va.) sent a letter to HHS Secretary Kathleen Sebelius and Jane Cline, president of the National Association of Insurance Commissioners, on the issue of medical-loss ratio. Under the health reform law, starting in 2011, health insurers must spend at least 85% of subscriber premiums on medical costs in group coverage plans, and at least 80% of premiums on medical costs for individual plans.