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MS HB1160

Bill

Status

Failed

2/4/2025

Primary Sponsor

Lee Yancey

Click for details

Origin

House of Representatives

2025 Regular Session

AI Summary

  • Requires dental insurance carriers to file annual dental loss ratio (DLR) reports with the Department of Insurance showing what percentage of premiums are spent on patient care versus administrative costs.

  • Sets minimum medical loss ratio of 83% for dental plans, requiring carriers to rebate the difference to enrollees if actual spending falls below this threshold by August 1 following the applicable year.

  • Requires dental carriers to file group product base rates by July 1 for January 1 effective dates and authorizes the Department of Insurance to disapprove rates that are excessive, inadequate, or unreasonable in relation to benefits.

  • Establishes presumptive disapproval of rates if administrative expenses increase more than the dental services Consumer Price Index, carrier surplus contribution exceeds 1.9%, or the aggregate DLR falls below 83%.

  • Mandates public hearings for presumptively disapproved rates and requires the Department of Insurance to post reported dental loss ratios on a public website by August 1 each year, effective July 1, 2025.

Legislative Description

Transparency and Accountability of Patient Premiums Invested in Dental Care Act; create.

Last Action

Died In Committee

2/4/2025

Committee Referrals

Insurance1/20/2025

Full Bill Text

No bill text available