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PPACT: Page 2394, Patient Protection and Affordable Care Act of 2009

2394
HR 3590 EAS/PP
``(II) with respect to all such mar-
1
kets for such entity for the calendar
2
year is not less than 92 percent, or
3
``(E) any entity--
4
``(i) which is a mutual insurance com-
5
pany,
6
``(ii) which for the period reported on
7
the 2008 Accident and Health Policy Expe-
8
rience Exhibit of the National Association
9
of Insurance Commissioners had--
10
``(I) a market share of the insured
11
population of a State of at least 40 but
12
not more than 60 percent, and
13
``(II) with respect to all markets
14
described in subparagraph (D)(ii)(I), a
15
medical loss ratio of not less than 90
16
percent, and
17
``(iii) with respect to annual payment
18
dates in calendar years after 2011, for
19
which the medical loss ratio (determined in
20
a manner consistent with the determination
21
of such ratio under section 2718(b)(1)(A) of
22
the Public Health Service Act) with respect
23
to all such markets for such entity for the
24
preceding calendar year is not less than 89
25

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Top tags: respect, calendar, entity, percent, ratio, act, health, insurance, loss, markets

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