the date on which the governor approved the ratification, or the date on which the secretary. of state of a given State certified the ratification, or the date on which the Secretary of State. of the United States received a copy of said certificate, or the date on which he proclaimed that. the amendment had been ratified are not controlling. Hence, the ratification date given in the.
Since the Affordable Care Actâs (ACA) health insurance marketplaces first took effect in 2014, news story after story has focused on premium increases for certain plans, in certain cities, or for certain individuals. Based on preliminary reports, premiums now appear set to rise by a substantial amount in 2017.
The Affordable Care Act requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR). It also requires them to issue rebates to enrollees if this percentage does not meet minimum standards. The Affordable Care Act requires insurance companies to spend at least 80% or 85% of premium dollars on medical care, with the rate review provisions imposing tighter limits on health insurance rate increases.