Guam News - Guam News
Guam - Senator Dennis Rodriguez has sent a letter to DOA Director Benita Manglona asking about the status of the Medical Loss Ratio [MLR] rebate checks for GovGuam employees.
Under the new Affordable Care Act, often called ObamaCare, insurance companies must spend between 80% and 85% of the premiums they receive on providing health care to their subscribers. The aim is to limit the amount used for administrative costs like profits and executive salaries.
Anything in excess of that ratio must be returned to the consumer in the form of a rebate.
Calvo SelectCare rebated $8 million dollars to GovGuam in August to be split between GovGuam employees and GovGuam itself.
In his letter to the DOA Director, Senator Rodriguez writes that those employees are "anxiously awaiting their expected rebate" and he asks:
a.) What methodology/formula has been developed and will be utilized to determine the appropriate percentage of the rebate respectively due to the plan subscriber (employee_ and the government (employer)?
b) Will the employee directly recieve a rebate in cash (check), or will the rebate be applied towards lowering premiums or plan coverage, as is allowed by the Affordable Care Act?
c) And, if the employee is to directly receive the rebate, the anticipated date for distribution.
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