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Important Surveys: Medical Loss Ratio and Employer Group Size

Important Surveys: Medical Loss Ratio and Employer Group Size

If you have a fully insured, premium financial arrangement with us, you will receive up to two surveys from us in July. Both are very important, and we'd like to thank you in advance for taking them.

Each survey will have a reference number, which you will need to complete it. Unfortunately, we cannot combine the surveys into one because they calculate group size differently.

About the PPACA survey
Each year, we're required by the Patient Protection and Affordable Care Act (PPACA) to accurately calculate medical loss ratios for the small and large employer group segments. If medical loss ratio standards are not met, premium rebates would be issued to the applicable market segment(s). We use this data, along with other components, to determine if we will need to issue rebates.

About the MSP survey
Your response to this survey helps us to comply with the federal Medicare Secondary Payer (MSP) law, which requires us to annually update the total number of employees your company has. This includes all employees and is not limited to those associated with your Blue Cross Blue Shield of Massachusetts account.

How to determine which survey you'll receive:

 

Accout Type Survey(s)
Accounts with 125 or fewer enrolled employees The Patient Protection and Affordable Care Act survey

Our annual survey for the purpose of determining the size of your company based on Medicare Secondary Payer (MSP) laws

See the letter and survey you will receive by mail
Accounts that canceled coverage with Blue Cross in 2013

The Patient Protection and Affordable Care Act survey

See the letter and survey you will receive by mail

Questions
For more information about these surveys, medical loss ratio, or national health care reform, please read the following resources:

Frequently Asked Questions-MSP


Frequently Asked Questions-PPACA

 

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