Examples of MLR in a sentence
The quarterly MLR report is due as follows: Reporting Quarter Due Date July 1 – September 30 November 30 October 1 – December 31 February 28 January 1 – March 30 May 31 April 1 – June 30 August 31 Insurer shall provide an updated annual MLR report with Insurer’s premium rate adjustment request.
If any MLR rebate is owed to FHKC, Insurer shall remit such payment to FHKC no later than August 1st.
FHKC shall determine the adequacy of the information supplied and whether the MLR calculation is accurate.
Insurer’s MLR rebate shall include both Insurer’s Title XXI Enrollees and Insurer’s Full-pay Enrollees in the Service Area; however, Insurer shall report the portion of the rebate attributable to the Title XXI Enrollees and the Full-pay Enrollees based on the respective proportion of Enrollee member months for the rating period.
The experience adjustment report shall be in a format established by FHKC and include sufficient documentation, as determined by FHKC, to support Insurer’s MLR calculation and to allow FHKC to evaluate the component and subcomponent expenses included.