Common use of MLR Reporting Requirements Clause in Contracts

MLR Reporting Requirements. ‌ Insurer shall provide a quarterly MLR report to FHKC in the format established by FHKC. The format established by FHKC shall include claims runout periods. The quarterly MLR report is an ongoing report. As such, Insurer shall update the report each quarter to include any additional claims information received since the prior report. The quarterly MLR report is due as follows: Reporting Quarter Due Date July 1 – September 30 November 30 October 1 – December 31 February 28 January 1 – March 30 May 31 April 1 – June 30 August 31 Insurer shall provide an updated annual MLR report with Insurer’s premium rate adjustment request. Insurer shall also identify all non-benefit and medical expense payments to affiliate and subsidiary companies, including an explanation of the relationship.

MLR Reporting Requirements. ‌ Insurer shall provide a quarterly MLR report to FHKC in the format established by FHKC. The format established by FHKC shall include claims runout periods. The quarterly MLR report is an ongoing report. As such, Insurer shall update the report each quarter to include any additional claims information received since the prior report. The quarterly MLR report is due as follows: Reporting Quarter Due Date January 1 – March 30 May 31 April 1 – June 30 August 31 July 1 – September 30 November 30 October 1 – December 31 February 28 January 1 – March 30 May 31 April 1 – June 30 August 31 Insurer shall provide an updated annual MLR report with Insurer’s premium rate adjustment request. Insurer shall also identify all non-benefit and medical expense payments to affiliate and subsidiary companies, including an explanation of the relationship.