A few days after we published our last update on this promise, a reader pointed out to us via email that there is another provision in the health care law that strikes even more at the core of President Obama's campaign pledge.

Under section 2718, health insurance providers are required to report how much they spend on payments for clinical coverage, activities that improve health care quality, and "all other non-claims costs." The provider must also include an explanation of the nature of these costs. The law mandates that the information be available on the Department of Health and Human Services website.

Starting in 2011, companies that provide insurance for the small group and individual market must issue rebates if they do not spend at least 80 percent of the premium revenue on medical care. For the large group market, the threshold is 85 percent. The rebate amount is based on the premium revenue and by how much the provider falls short of the prescribed thresholds.

We wanted to point out this additional proof that President Obama kept his promise. The rating remains unchanged.