CCIIO posted additional MLR guidance yesterday in a question and answer format. In a nod toward the 21st Century, one of the Q&As allows the MLR rebate to be distributed via a pre-paid debit card. Another Q&A clarifies that the MLR rules do not apply to self-funded plans. For more information, see the Q&As here -
http://cciio.cms.gov/resources/files/mlr-qna-04202012.pdf
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