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Re:Health insurers to investors: We’re good. Health insurers... by rbultje on Thursday April 30, 2020 @02:37PM (#23034424)
The affordable care act specifies that 80% of premiums must be spent on medical expenses. If not, the consumer gets a rebate at the end of the year.

See e.g. https://www.investopedia.com/terms/m/medical-cost-ratio.asp

Re:Health insurers to investors: We’re good. Health insurers... by odysseus on Thursday April 30, 2020 @03:57PM (#23035371)
Note that this rule doesn't apply to the very large employers that self-insure.

Refer to: https://fas.org/sgp/crs/misc/R42735.pdf

Re:Health insurers to investors: We’re good. Health insurers... by falcor84 on Thursday April 30, 2020 @03:40PM (#23035190)
Interesting, I never heard of this. Then isn't this just the smoking gun to explain why it seems health insurers in the US are apparently so cool with skyrocketing healthcare costs, which then increase the 20%?
Re:Health insurers to investors: We’re good. Health insurers... by coverage1 on Thursday April 30, 2020 @04:51PM (#23035955)
The calculation for ACA is based on a three year average of low MCR, so you wouldn't get rebate solely due to a year of decreased medical loss