42 C.F.R. § 403.215

Current through November 30, 2024
Section 403.215 - Loss ratio standards
(a) The policy must be expected to return to the policyholders, in the form of aggregate benefits provided under the policy-
(1) At least 75 percent of the aggregate amount of premiums in the case of group policies; and
(2) At least 60 percent of the aggregate amount of premiums in the case of individual policies.
(b) For purposes of loss ratio requirements, policies issued as a result of solicitation of individuals through the mail or by mass media advertising are considered individual policies.

42 C.F.R. §403.215