Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

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?

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Financial Management Theory And Practice

Authors: Eugene Brigham, Michael Ehrhardt, Jerome Gessaroli, Richard Nason

3rd Canadian Edition

017658305X, 978-0176583057

More Books

Students also viewed these Finance questions

Question

What is a service?

Answered: 1 week ago

Question

Explain how services differ from tangible products.

Answered: 1 week ago