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IN HB1049
Bill
Status
1/3/2018
Primary Sponsor
Dennis Zent
Click for details
AI Summary
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Insurers and health maintenance organizations offering dental coverage must submit annual medical loss ratio reports to the Department of Insurance by September 1 each year, using the 2013 federal Medical Loss Ratio Annual Reporting Form (CMS-10418), organized by market and policy form.
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The Department of Insurance may examine insurers and health maintenance organizations to verify the accuracy of submitted reports, with written notice required at least 30 days before examination and a 30-day deadline for providing requested records.
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The Department of Insurance must annually report to the legislative council with compiled information and recommendations for legislation based on analysis of the submitted reports, and must make all received information publicly available.
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The Department of Insurance must recommend legislation by October 1, 2021, to establish a standard for medical loss ratios in dental coverage.
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The Department of Insurance shall adopt rules under Indiana Code to provide guidance to insurers and health maintenance organizations on compliance requirements.
Legislative Description
Dental coverage medical loss ratio reports. Requires an insurer and a health maintenance organization that provides coverage for dental services to annually report to the department of insurance medical loss ratios in accordance with the federal medical loss ratio reporting form. Provides for notice and examination to verify the information contained in a report. Requires the department of insurance to annually report to the legislative council and to make recommendations for legislation including, by October 1, 2021, legislation to set a medical loss ratio standard.
Last Action
First reading: referred to Committee on Insurance
1/3/2018