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MS HB1160
Bill
Status
2/4/2025
Primary Sponsor
Lee Yancey
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AI Summary
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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.
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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.
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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.
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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%.
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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