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Most states require insurers to have their rates approved before they can sell health insurance to residents. This was true, even before health reform. After health reform, states were given more resources to oversee rate reviews.

Some states had laws that required insurer to spend a certain percentage of their premiums on medical care and related activities (such as disease management). This is called the "medical loss ratio" or "MLR". Health reform also sets a minimum MLR and requires insurers to pay back refunds if they do not spend enough on medical care and quality improvement.

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12y ago

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Am I required by law to have health insurance?

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