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Better Care Health Insurer reports the following on its annual statement for 2017 in the large group market: Adjusted Premiums Earned: $10 million Total Incurred
Better Care Health Insurer reports the following on its annual statement for 2017 in the large group market:
Adjusted Premiums Earned: $10 million
Total Incurred Claims: $7 million
Total Defined Expenses Incurred for Improving Health Care Quality: $1 million
Total Claims Adjustment Expenses: $750,000
Total General Administrative Expenses: $250,000
Part A: Calculate the large group MLR for Better Health Insurer in 2017.
Part B: Will Better Health Insurer be required to pay rebates to its policyholders from business reported in 2017? Why or why not?
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