{"abstract":"This interim final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to establish rules governing the distribution of rebates by issuers in group markets for non-Federal governmental plans.","action":"Interim final rule with request for comments.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2011/12/07/2011-31291.html","cfr_references":[{"chapter":null,"citation_url":null,"part":158,"title":45}],"citation":"76 FR 76596","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date. This rule is effective on January 3, 2012.","disposition_notes":null,"docket_ids":["CMS-9998-IFC2"],"dockets":[],"document_number":"2011-31291","effective_on":"2012-01-03","end_page":76600,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/12/07/2011-31291.xml","html_url":"https://www.federalregister.gov/documents/2011/12/07/2011-31291/medical-loss-ratio-rebate-requirements-for-non-federal-governmental-plans","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-31291?publication_date=2011-12-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-12-07/2011-31291/mods.xml","not_received_for_publication":null,"page_length":5,"page_views":{"count":2835,"last_updated":"2026-07-27 20:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-12-07/pdf/2011-31291.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2011-31291.pdf?1322842627","publication_date":"2011-12-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2011/12/07/2011-31291.txt","regulation_id_number_info":{"0938-AR35":null},"regulation_id_numbers":["0938-AR35"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0335","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":76596,"subtype":null,"title":"Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans","toc_doc":"Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans","toc_subject":null,"topics":["Administrative practice and procedure","Claims","Health care","Health insurance","Penalties","Reporting and recordkeeping requirements"],"type":"Rule","volume":76}