Medical Loss Ratio Rebates for 2021 Tax Year Update

Based on our final assessment, only Individual & Family Plan subscribers who paid premiums in 2021 will receive rebate checks from us.

We will not issue rebates for our regulatory fully insured small and large group clients for plan year 2021.

As you recall, Federal law requires that we spend a certain percentage of fully insured plan premiums on medical care. If medical expenses are less than that percentage during the three-year lookback period, we refund money back to our customers.

If you have any questions, please contact your Optima Health representative.