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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 45. Public Welfare
  4. Chapter A. Department of Health and Human Services
  5. Subchapter B. REQUIREMENTS RELATING TO HEALTH CARE ACCESS
  6. Part 158. ISSUER USE OF PREMIUM REVENUE: REPORTING AND REBATE REQUIREMENTS
  7. Subpart C. Potential Adjustment to the MLR for a State's Individual Market

45 CFR Subpart C - Potential Adjustment to the MLR for a State's Individual Market

  • CFR
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  1. § 158.301 Standard for adjustment to the medical loss ratio.
  2. § 158.310 Who may request adjustment to the medical loss ratio.
  3. § 158.311 Duration of adjustment to the medical loss ratio.
  4. § 158.320 Information supporting a request for adjustment to the medical loss ratio.
  5. § 158.321 Information regarding the State's individual health insurance market.
  6. § 158.322 Proposal for adjusted medical loss ratio.
  7. § 158.323 State contact information.
  8. § 158.330 Criteria for assessing request for adjustment to the medical loss ratio.
  9. § 158.340 Process for submitting request for adjustment to the medical loss ratio.
  10. § 158.341 Treatment as a public document.
  11. § 158.342 Invitation for public comments.
  12. § 158.343 Optional State hearing.
  13. § 158.344 Secretary's discretion to hold a hearing.
  14. § 158.345 Determination on a State's request for adjustment to the medical loss ratio.
  15. § 158.346 Request for reconsideration.
  16. § 158.350 Subsequent requests for adjustment to the medical loss ratio.

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