Insurance companies will be forced to comply with new mandates on their administrative spending. This new spending could drive many of them out of business if they have to pay large penalties. “The market is underestimating the impact of minimum MLRs on managed care earnings in 2011 — Unless plans are successful in obtaining the federal income tax adjustment and receive numerous waivers from HHS, our analysis of United’s Golden Rule subsidiary indicates that plans will be forced to pay bigger rebates next year than the market currently anticipates, which means the consensus earnings outlook for next year seems too high.”