Regulations last checked for updates: Feb 09, 2026

Title 42 - Public Health last revised: Feb 02, 2026
§ 403.250 - Loss ratio calculations: General provisions.

(a) Basic formula. The expected loss ratio is calculated by determining the ratio of benefits to premiums.

(b) Calculations. The insuring organization must calculate loss ratios according to the provisions of §§ 403.251, 403.253, and 403.254.

authority: 42 U.S.C. 1302 and 1395hh
cite as: 42 CFR 403.250