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Minimum Medical Loss Ratio for Insurers

Ratio of insurance expenditures used on care as opposed to administrative or other costs. Under ACA insurance companies are required to issue rebates to consumers if too large a share of the expenditures are allocated to costs not directly associated with care (max of 15% for large group plans, max of 20% for individual or small group plans).

Coverage of Preventive Benefits

Provision in the ACA requiring full coverage of preventative services with no cost-sharing, including children’s’ immunizations and women’s screenings and care.