Medical Loss Ratio Rebates Fall Update

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

For the 2020 tax year, Optima Health regulatory large group clients—fully insured groups with 51 or more total employees—who paid premiums in 2020 will receive a premium rebate check from us.

Our regulatory small groups will not receive a rebate, as a larger percentage of premiums was spent on healthcare services for 2020.

Notifications will go out as follows. Click on the link to view the sample notification.

Employee Notification
Batched mailings from September 12 – September 30

Employer Notification/Check
Week of September 13

Please review our list of Frequently Asked Questions for more information.

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