HHS Rejects North Dakota’s MLR Waiver Request

Federal regulators have rejected North Dakota’s request to be exempted from the medical loss ration provisions in the Affordable Care Act — which require that insurers spend 80 to 85 percent of premium dollars on on health benefits. HHS ruled that “the state’s three large carriers subject to the MLR are already meeting or close to meeting the threshold and are not at risk of leaving the market.” “Two other requests, from Iowa and Kentucky, were partially approved.”