October 17, 2019
✦ A UnitedHealthcare subsidiary serving about 42,000 Medicare Advantage Prescription Drug (MA-PD) plan members was barred from enrolling new beneficiaries this Annual Election Period for a failure to maintain a medical loss ratio (MLR) of at least 85%. According to a CMS letter dated Sept. 11 and recently posted to the CMS Part C and Part D Enforcement Page, Care Improvement Plus South Central Insurance Co. reported MLRs of 71.3% for calendar year 2016, 83.9% for CY 2017, and 84.1% for CY 2018. As a result, it will be removed from the list of MA-PD plans available for selection on the Medicare Plan Finder for 2020. If the plan submits a CY 2019 report next year that indicates it has achieved an MLR of at least 85%, it will be allowed to accept enrollments for 2021, said CMS. Visit www.cms.gov.