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Minimum Medical Loss Ratio for Insurers

Ratio of insurance expenditures used on care as opposed to administrative or other costs. Under ACA insurance companies are required to issue rebates to consumers if too large a share of the expenditures are allocated to costs not directly associated with care (max of 15% for large group plans, max of 20% for individual or small group plans).

Annual Coverage Limits

Limits on the dollar amount of treatment an individual can receive in a year, imposed by insurance providers. The ACA outlawed dollar based limits but…