Commissioner Goodwin says NC DOI requested the adjustment after consulting with insurers, agents and brokers, consumer advocates and DOI technical experts; however, no physicians were consulted in the process.
According to a statement released by NC DOI, North Carolina requested that the 80 percent MLR requirement be adjusted to 72 percent in 2011, 74 percent in 2012, and 76 percent in 2013. Comprehensive health insurers issuing policies to individuals in the state would have to meet the 80 percent MLR stand in 2014.
Click here to read the MLR adjustment request and view accompanying exhibits. These exhibits include the MLR for each insurer selling coverage in North Carolina.
See related article:
Focus on Health System Reform – The Medical Loss Ratio, 6-4-10, NCMS Bulletin