CFR 45-158.231-2014 Public Welfare. Part158:Issuer use of premium revenue: reporting and rebate requirements. Section158.231:Life-years used to determine credible experience.
(a) The life-years used to determine the credibility of an issuer's experience are the life-years for the MLR reporting year plus the life-years for the two prior MLR reporting years. If a State requires the small group market and individual market to be merged, then life-years used to determine credibility must be the life-years from the small group market and the individual market for the MLR reporting year plus the life-years from the small group market and the individual market for the two prior MLR reporting years.
CFR 45-158.231-2014 history
2014CFR 45-158.231-2014 Public Welfare. Part158:Issuer use of premium revenue: reporting and rebate requirements. Section158.231:Life-years used to determine credible experience.