R.C.S.A. § 38a-478u-5
Medical loss ratio
Cite as Conn. Agencies Regs. § 38a-478u-5
For the purposes of reporting and disclosure in accordance with Sections 4 and 8 of
Public Act 97-99 as amended by Public Act 97-8, June 18 Special Session, "medical
loss ratio" means the ratio of incurred claims to earned premium for the prior calendar
year for managed care plans issued in Connecticut. Claims shall be limited to medical
expenses for services and supplies provided to enrollees and shall not include expenses
for stop loss, reinsurance, enrollee educational programs or other cost containment
programs or features.