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<classification authority="sudocs">GA 1.13:HEHS-95-151</classification>
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 <subject>Medicare programs</subject>
 <subject>Loss ratio</subject>
 <subject>Insurance premiums</subject>
 <subject>Insurance companies</subject>
 <subject>Insurance regulation</subject>
 <subject>Compliance</subject>
 <subject>Health insurance cost control</subject>
 <subject>Elderly persons</subject>
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<titleInfo>
 <title>Medigap Insurance: Insurers&apos; Compliance with Federal Minimum Loss Ratio Standards, 1988-93</title>
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<abstract>Pursuant to a congressional request, GAO reviewed benefit payments by
Medigap policies between 1988 and 1994, focusing on trends in Medigap
insurers&apos; aggregate loss ratio performance.&lt;p/&gt;GAO found that: (1) the Medigap market grew from $7.3 billion to $12.1
billion between 1988 and 1993; (2) Medigap insurers&apos; aggregate loss
ratios were stable from 1988 to 1991, but these ratios decreased about
10 percent by 1993 to an aggregate 75 percent for individual policies
and 85 percent for group policies; (3) the percentage of Medigap
policies that failed to meet loss ratio standards increased from 19
percent in 1991 to 38 percent in 1993; (4) the premium dollars spent on
such policies increased from $320 million in 1991 to $1.2 billion in
1993; and (5) in the future, insurers will be required to give refunds
or credits on substandard policies.</abstract>
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<note>Letter Report</note>
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<subject>
 <topic>Medicare programs</topic>
 <topic>Loss ratio</topic>
 <topic>Insurance premiums</topic>
 <topic>Insurance companies</topic>
 <topic>Insurance regulation</topic>
 <topic>Compliance</topic>
 <topic>Health insurance cost control</topic>
 <topic>Elderly persons</topic>
 <topic>Public health legislation</topic>
 <topic>Medigap</topic>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 265 (96th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 96-265</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 508 (101st Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 101-508</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 432 (103rd Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 103-432</identifier>
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