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AL HB212
Bill
Status
1/14/2026
Primary Sponsor
Phillip Rigsby
Click for details
AI Summary
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Establishes minimum dental loss ratios requiring insurers to spend at least 75% of premiums on claims for individual dental plans and 83% for group dental plans, calculated over rolling three-year periods
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Requires insurers failing to meet the minimum dental loss ratio to issue rebates to policyholders, either as direct refunds or credits on future premiums, within 60 days of calculation
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Mandates annual reporting to the Commissioner of Insurance by April 30, including claims paid, premiums collected, overhead expenses, and dental loss ratio data
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Requires the Commissioner to publish insurer financial information on the Department of Insurance website and authorizes examinations of insurers suspected of submitting false reports
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Excludes self-funded dental plans, Medicare Advantage plans, ACA marketplace plans, and certain government employee benefit plans from the requirements; effective October 1, 2026
Legislative Description
Dental insurance; set medical loss ratio for insurers
Insurance
Last Action
Pending House Insurance
1/14/2026