42 CFR § 403.250 - Loss ratio calculations: General provisions.
---
identifier: "/us/cfr/t42/s403.250"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 403.250 - Loss ratio calculations: General provisions."
title_number: 42
title_name: "Public Health"
section_number: "403.250"
section_name: "Loss ratio calculations: General provisions."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "A"
subchapter_name: "GENERAL PROVISIONS"
part_number: "403"
part_name: "SPECIAL PROGRAMS AND PROJECTS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
cfr_part: "403"
---
# 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.