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Medical Loss Ratio (MLR) Section

The Medical Loss Ratio "MLR" Section is responsible for examining issuers in order to verify the accuracy of the data being reported on the issuers MLR Annual Report, the reasonableness and appropriateness of allocations, the accuracy of any rebate calculation and the timeliness of any rebate payments being made and reported.

Hasije Harris, CPA, CGMA, PIR
Manager, MLR Section
919-733-2206 (Fax)

Published Reports on Examination

Blue Cross and Blue Shield of North Carolina (2011).pdf .pdf
FirstCarolinaCare Insurance Company (2011).pdf .pdf
United Healthcare of NC - Report on Medical Loss Ratio Exam (2011,2012,2013).pdf .pdf