§158.230. Credibility adjustment. — Inbound Citations

45 C.F.R. § 158.230

Statutory Authority

Cited by 3 regulations in release Current.

45 C.F.R. § 158.220(c)(2)(i)

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(i) If an issuer's experience for the 2012 MLR reporting year is fully credible, as defined in § 158.230 of this subpart, an issuer's MLR is calculated using the data reported under this part for the 2012 MLR reporting year.
45 C.F.R. § 158.221(b)(1)

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(1) The numerator of the MLR for the 2012 MLR reporting year may include any rebate paid under § 158.240 of this subpart for the 2011 MLR reporting year if the 2012 MLR reporting year experience is not fully credible as defined in § 158.230 of this subpart.

45 C.F.R. § 158.251(b)

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(b) The requirements of paragraph (a) of this section do not apply to an issuer that reports its experience separately under § 158.120(d)(3) or (d)(4), or to an issuer whose experience is non-credible as defined in § 158.230(c)(3) and determined in accordance with § 158.231.