---
kind: "section"
citation: "42 C.F.R. § 403.215"
title: "42"
number: "403.215"
heading: "Loss ratio standards."
url: "https://uscodex.org/cfr/42/403.215"
---

# §403.215. Loss ratio standards.

- (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.

## Notes

### Source

Source: 47 FR 32400, July 26, 1982, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.