MLR Rebate Update: Member Rosters Now Available

Based on our preliminary assessment, we anticipate that as an Optima Health regulatory large group client who paid premiums in 2020, you will receive a premium rebate check from us. We are continuing to work toward the September 30 deadline to issue your rebate check and will send a final communication update closer to this deadline.

As part of that effort, our Client or Account Executive will be reaching out to you soon to:

  • confirm the correct name and mailing address are on file for delivery of the rebate check
  • provide the roster of members who will receive the required regulatory notice of the rebate check

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 broker or Optima Health representative.