On May 30, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a “Frequently Asked Questions” document regarding MLR Reporting Requirements. The new question addresses so-called “fixed indemnity” policies that fail to meet the criteria for fixed indemnity policies under the Affordable Care Act Implementation FAQs from January 2013. The question asked whether issuers of such plans must report the medical loss ratio experience of those plans to the Secretary for the 2012 reporting year. The CMS answered no. Issuers of such plans do not need to report the experience of those policies for 2012. Read the full text of the FAQ here.
