Medical Loss Ratio

Georgia Request for an Adjustment of the Medical Loss Ratio Standard

The Affordable Care Act allows the Secretary to adjust the Medical Loss Ratio (MLR) standard for a state if it is determined that meeting the 80 percent Medical Loss Ratio standard may destabilize the individual market. In order to qualify for this adjustment, a state must demonstrate that requiring insurers in its individual market to meet the 80 percent MLR has a likelihood of destabilizing the individual market and could result in fewer choices for consumers. This page contains materials related to this state’s application for an adjustment to the MLR standard for the individual market.

A state’s request for an adjustment to the MLR standard is a public document. The Secretary invites public comment regarding a state’s request. Public comments must be submitted electronically by midnight on the 10th calendar day after the posting of a complete state request in order to guarantee consideration. When the application is deemed complete, the webpage will be updated to reflect the deadline for public comment on the state’s application.

To submit a comment regarding this adjustment application, please email MLRAdjustments@hhs.gov. Please include Georgia in the email subject line.

State: Georgia

Application Status: HHS Determination Issued

Application Determination:

• HHS Determination on Georgia MLR Adjustment Request (PDF) (PDF - 149 KB)
• Fact Sheet (Posted on 10/28/2011)

Application Materials: Additional materials, including all information submitted by the State, correspondence from HHS, and any public comments, are available upon request.  Please email MLRQuestions@cms.hhs.gov.