Together with CCHP returned a portion of members’ health insurance premiums from 2018 and/or 2019. Below is important information on how this rebate worked and the impact on our members.
The Affordable Care Act (ACA) requires health insurance companies to spend at least 80% of the individual premiums we collect each year on medical/pharmacy expenses as well as certain quality improvement initiatives. This percentage of total spend is called the Medical Loss Ratio (MLR). In 2018 and 2019, Together with CCHP’s total spend on medical/pharmacy expenses and quality improvement initiatives totaled less than 80% of the individual premium received. As a result, if you were enrolled with Together with CCHP for any part of 2019, along with enrolled subscribers that were new to our plan in 2018, you will be receiving a rebate check for a portion of the premiums you paid. This is your money, so you may cash your check and use the funds however you see fit. All checks for the 2018/2019 MLR rebate will be mailed by September 30, 2020.
As a non-profit organization, Together with CCHP strives to only collect what premiums are needed to pay claims and continue operations. To that end, we are excited to pass this rebate back to our members and look forward to serving you in the future.
We encourage members to utilize the FAQ below to gain a better understanding of the MLR rebate process and how it may affect you. Any questions related to taxation should be directed to a tax professional.
Lastly, please make sure we have your most current address on file to ensure receipt of the rebate check. To update your information, please contact Customer Service at 844-201-4672.
“Medical Loss Ratio (MLR) Rebate FAQs.” Internal Revenue Service. 2019. https://www.irs.gov/newsroom/medical-loss-ratio-mlr-faqs
“Premium Tax Credit: Claiming the Credit and Reconciling Advance Credit Payments.” Internal Revenue Service. 2019. https://www.irs.gov/affordable-care-act/individuals-and-families/premium-tax-credit-claiming-the-credit-and-reconciling-advance-credit-payments
“Questions and Answers Regarding the Medical Loss Ratio (MLR) Reporting and Rebate Requirements.” Centers Medicare and Medicaid Services. 2015. https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/MLR-Guidance-Earned-Premium-and-APTC-Rebates-20150527.pdf
“Medical Loss Ratio.” Centers for Medicare and Medicaid Services. https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/Medical-Loss-Ratio.html
RIA. (2019). 2019 RIA federal tax handbook. Retrieved from RIA Checkpoint database.