This bill requires health insurers in Michigan to issue rebates to their insured individuals if the insurer does not meet the medical loss ratio (MLR) requirement set forth in the Patient Protection and Affordable Care Act. The MLR is the percentage of premium revenue an insurer spends on healthcare costs and quality improvement activities, as opposed to administrative expenses and profits. This provision is intended to ensure that insurers provide value to their policyholders by requiring them to issue rebates when they fail to meet the MLR standard.