Pioneers in 5 Star Service • Ronstadt Insurance • Tucson, AZ • 520-721-4848

🏥MLR Rebate Deadline Approaching for Employers

Employers with fully insured group health plans may receive a Medical Loss Ratio (MLR) rebate from their health insurance company by Sept. 30, 2025. Rebates may come as a lump sum or a premium credit.

Listen to Lupe and Fred discuss the MLR Refunds and what Employers should do.

📅 Key Dates

  • July 31, 2025 – Health insurance companies report 2024 MLR data
  • Sept. 30, 2025 – Rebates must be distributed
  • Dec. 30, 2025 – Deadline to use rebate funds (if received Sept. 30)

⚖️ ERISA Reminder

If employees contributed to premiums, part of the rebate is likely a plan asset under ERISA and must:

  • Be used for the participants’ benefit
  • Be used within 3 months to avoid trust rules
  • Be fairly allocated (e.g., premium reductions, benefit enhancements)

ℹ️ What Employers Should Do

  • Review how to use the rebate
  • Prepare to communicate with employees
  • Follow ERISA rules for plan assets

If you have any questions about what to do if you receive a rebate, give us a call at (520) 721-4848.