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PPACT: Page 2042, Patient Protection and Affordable Care Act of 2009

2042
HR 3590 EAS/PP
``(i) with respect to a health insurance
1
issuer offering coverage in the large group
2
market, 85 percent, or such higher percent-
3
age as a State may by regulation deter-
4
mine; or
5
``(ii) with respect to a health insurance
6
issuer offering coverage in the small group
7
market or in the individual market, 80 per-
8
cent, or such higher percentage as a State
9
may by regulation determine, except that
10
the Secretary may adjust such percentage
11
with respect to a State if the Secretary de-
12
termines that the application of such 80
13
percent may destabilize the individual mar-
14
ket in such State.
15
``(B) R
EBATE AMOUNT
.--
16
``(i) C
ALCULATION OF AMOUNT
.--The
17
total amount of an annual rebate required
18
under this paragraph shall be in an amount
19
equal to the product of--
20
``(I) the amount by which the per-
21
centage described in clause (i) or (ii) of
22
subparagraph (A) exceeds the ratio de-
23
scribed in such subparagraph; and
24

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Top tags: amount, state, market, percent, respect, coverage, group, health, higher, individual

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