9th Circuit: Settlement Properly Included In ACA Medical Loss Ratio Calculation

Mealey's (March 20, 2019, 2:28 PM EDT) -- LOS ANGELES — An insurer’s categorization of settlement funds it paid in settling claims that it misstated the size of its network coverage as incurred claims under the medical loss ratio (MLR) calculation did not violate the Patient Protection and Affordable Care Act (ACA), a Ninth Circuit U.S. Court of Appeals panel held March 18 (Rebecca Morris, et al. v. Blue Shield of California, et al., No. 17-55878, 9th Cir., 2019 U.S. App. LEXIS 7994)....