['Employee Benefits']

['Patient Protection and Affordable Care Act']

05/07/2026

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Employee Benefits - Patient Protection and Affordable Care Act

§158.121 Newer experience.

RegSense Employee Benefits Patient Protection and Affordable Care Act CFR Regulations Associate Benefits & Compensation CFR Section Human Resources Focus Area USA

If, for any aggregation as defined in §158.120, 50 percent or more of the total earned premium for an MLR reporting year is attributable to policies newly issued in that MLR reporting year, then the experience of these policies may be excluded from the report required under §158.110 for that same MLR reporting year. If an issuer chooses to defer reporting of newer business as provided in this section, then the excluded experience must be added to the experience reported in the following MLR reporting year.

[75 FR 74923, Dec. 1, 2010; 81 FR 94183, Dec. 22, 2016]

['Employee Benefits']

['Patient Protection and Affordable Care Act']

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