Qg Office of the Lieutenant Governor



Division of Banking and Insurance



Virgin Islands



#5049 Kongens Gade, Charlotte Amalie, St. Thomas, USVI 00802-6487 @ (340) 774-7166 @ Fax (340) 774-9458



1131 King Street, Suite 101, Christiansted, St. Croix, USVI 00820 @ (340) 773-6459 @ Fax (340) 719-3801



BULLETIN 2011-03



DATE: May 9, 2011

TO: ALL LIFE AND HEALTH INSURERS



RE: INTERIM FINAL RULES AND REGULATIONS- Health Insurance

Issuers Implementing Medical Loss Ratio (MLR) Requirements under the Patient

Protection and Affordable Care Act



The Department of Health and Human Services issued the interim final regulation

implementing medical loss ratio (MLR) requirements for health insurance issuers under

the Public Health Services Act, as added by the Patient Protection and Affordable Care

Act (45 CFR Part 158) effective January 1, 2011.



Pursuant to Section 940 of Title 3, Virgin Islands Code and Section 1723 of Title 22,

Virgin Islands Code, the Commissioner of Insurance of the Virgin Islands has issued

interim rules and regulations to implement sections of the Federal Register until final

rules and regulations have been adopted. The Virgin Islands through incorporation by

reference has adopted the Interim Final Rules for Group Health Plans and Health

Insurance Issuers relating to internal Claims and Appeals and External review processes

under the Patient and Affordable Care Act. For further information, the interim rules

may be found online at www.ltg.gov.vi.



#2

Date this 5 day of May, 2011 at St. Thomas, U.S. Virgin Islands



fekO Ap Drrexlap



John D. McDonald

Director