ND HB1481

Establishes a minimum 75% dental loss ratio requirement, meaning dental insurers must spend at least 75% of premium revenue on actual patient care rather than administrative costs and overhead

Requires dental insurers to refund excess premiums to covered individuals and groups if their annual dental loss ratio falls below 75%, with refunds equal to the amount exceeding the threshold

Authorizes the Insurance Commissioner to disapprove rate increases if administrative expenses rise more than 4% from the previous year or if contribution to surplus exceeds 2% of total revenue

Mandates annual dental loss ratio reports to the Commissioner by April 30th, with information to be published on the department's website for public comparison among insurers by market type

Exempts dental insurers with 1,000 or fewer enrollees (based on three-year average) and delays the rate approval provisions until July 1, 2027; passed House 88-3 and Senate 40-7