OPM Publishes FAQ on FEHBP Medical Loss Ratio
Client Alert | 1 min read | 08.30.12
The U.S. Office of Personnel Management (OPM) published a letter and FAQ for federal employees regarding the ACA-mandated Medical Loss Ratio (MLR) for Federal Employees Health Benefits Program (FEHBP) plans in an August 22, 2012 Benefits Administration Letter. The FAQ explains the basic framework of the MLR standard and clarifies that:
- whether an FEHBP plan owes a rebate is determined based on all of a carrier’s line of business (e.g., large group) within a given state;
- any rebated owed by an FEHBP plan shall be paid directly to OPM, the policyholder for all FEHBP plans, as required by FAR §31.201;
- any rebate paid by an FEHBP plan shall be deposited into the contingency reserve of that health plan and shall be used to directly reduce the cost of the next year’s premiums for that plan; and
- FEHBP enrollees will receive a notice from their plan indicating whether the plan did or did not meet the MLR standard.
Insights
Client Alert | 1 min read | 10.27.25
California Increases Antitrust Penalties
Earlier this month, California enacted Senate Bill 763 (“SB 763”). The legislation amends the state’s long-standing antitrust statute, the Cartwright Act, to increase both criminal and civil maximum penalties for corporations and individuals. California Attorney General Rob Bonta, whose office is responsible for enforcing the Cartwright Act and stands to benefit from any civil penalties recovered under the new law, sponsored the bill.
Client Alert | 3 min read | 10.24.25
Client Alert | 3 min read | 10.24.25
Client Alert | 6 min read | 10.24.25
Will Jarkesy Stop the IRS from Asserting Penalties Against Taxpayers?
