Code of Federal Regulations · Section
§ 403.250 — Loss Ratio Calculations: General Provisions
42 C.F.R. § 403.250
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(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.