Creates provisions relating to dental insurance

The numerator of the dental loss ratio shall be the amount expended for clinical dental services provided to dental plan enrollees, including payments under capitation contracts with dental providers. Costs and payment amounts not included in the numerator are defined in the act.

The denominator of the dental loss ratio shall be the amount of all earned premiums received by the dental plan for dental services, excluding federal and state taxes, licensing fees, regulatory fees, payments or receipts for risk adjustments, risk corridors, reinsurance, community benefit expenditures, and other payments required by federal law.

The dental plan shall provide an annual rebate to each enrollee, on a pro rata basis, to the extent the dental loss ratio is less than eighty-five percent before August first of the year following the year for which the dental loss ration report was issued.

Any failure to rebate the amount prescribed in this act by a dental plan not required to be licensed by the Department of Commerce and Insurance, shall be deemed an unlawful practice under current law.

This act is identical to HB 2471 (2026). TAYLOR MIDDLETON