The truth really is stranger than fiction: Even the CEO of one of the most powerful health insurance companies would have issues finding health insurance in the individual market.
One of the provisions of the Affordable Care Act is what’s known as the medical loss ratio requirement—better known as MLR. This requirement at one time caused a mild panic among insurers. But it turns out that the medical loss ratio requirement isn’t all that scary, and as the provision goes into effect this year, insurers are beginning to realize that not only will they NOT lose earnings, but it is very likely their profits will continue to grow.
Preventing Unwarranted Exceptions to the Affordable Care Act's Medical Loss Ratio (MLR) Requirements
Explains the opportunities for advocacy if state insurance regulators seek adjustments to the MLR requirements for their individual markets.