During its Fall 2010 National Meeting in Orlando, the National Association of Insurance Commissioners (NAIC) voted to adopt a model regulation containing definitions and methodologies for calculating medical loss ratios. The Patient Protection and Affordable Care Act (PPACA) signed into law on March 23 requires that insurance companies meet new medical loss ratios beginning in 2011. The law also required that NAIC provide recommendations for definitions and calculations of these ratios to the federal Health and Human Services agency by Dec. 31.
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