42 C.F.R. § 403.215 Loss ratio standards.
Title 42 - Public Health
(a) The policy must be expected to return to the policyholders, in the form of aggregate benefits provided under the policy— (1) At least 75 percent of the aggregate amount of premiums in the case of group policies; and (2) At least 60 percent of the aggregate amount of premiums in the case of individual policies. (b) For purposes of loss ratio requirements, policies issued as a result of solicitation of individuals through the mail or by mass media advertising are considered individual policies.
Title 42: Public Health
PART 403—SPECIAL PROGRAMS AND PROJECTS
Subpart B—Medicare Supplemental Policies
General Provisions
§ 403.215 Loss ratio standards.
