United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1994-02-07 monographic deposited born digital GA 1.13:HEHS-94-47 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-47 P0b002ee18038342b f:he94047 DGPO 2010-08-12 2011-03-28 GAOREPORTS-HEHS-94-47 machine generated eng fdlp REPORT GAOREPORTS-HEHS-94-47 HEHS-94-47 Loss ratio Elderly persons Health insurance cost control Insurance regulation Medicare programs Insurance premiums Insurance companies Compliance Reporting requirements Medigap Letter Report HEHS H1380 From 1988 through 1991, the market for Medicare supplemental insurance--commonly called Medigap--grew by more than 50 percent; premiums rose from about $7 billion to $11 billion. In the first half of this period, Medigap insurers' loss ratios fell for both individual and group policies. Beginning in 1990, loss ratios rose, and the 1991 aggregate loss ratios were about at their 1988 levels--80 percent for policies sold to individuals and 90 percent for group policies. The loss ratios for individual policies represent a dramatic improvement from the early 1980s when the federal minimum standards became effective and aggregate loss ratios were about 60 percent. The premiums associated with companies whose aggregate loss ratios did not meet the federal minimum standards fell from $388 million in 1988 to $206 million three years later. Although this decline suggests that insurers' compliance with the loss ratio standards improved during the four-year period, some companies did not meet the minimum loss ratio standards in every state in which they did business. The premiums collected by these companies steadily declined during the period, from $126 million in 1988 to $35 million in 1991. https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-94-47/html/GAOREPORTS-HEHS-94-47.htm GAO/HEHS-94-47 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-47 Letter Report GAO/HEHS-94-47; Medigap Insurance: Insurers' Compliance With Federal Minimum Loss Ratio Standards, 1988-91; Loss ratio Elderly persons Health insurance cost control Insurance regulation Medicare programs Insurance premiums Insurance companies Compliance Reporting requirements Medigap Public Law 96-265 Public Law 100-360 Public Law 101-508