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NJ S4063
Bill
Status
1/30/2025
Primary Sponsor
Joseph Cryan
Click for details
AI Summary
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Requires dental insurance carriers to file annual dental loss ratio reports with the Commissioner of Banking and Insurance, organized by market and product type, including data on covered persons, cost-sharing amounts, deductibles, and annual maximum coverage limits
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Defines dental loss ratio as the percentage of premium dollars spent on patient care, calculated similarly to federal medical loss ratio requirements under 45 C.F.R. Part 158
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Mandates the commissioner to make dental loss ratio data publicly available in a searchable format by January 1 following receipt, allowing consumers to compare ratios among carriers
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Authorizes the commissioner to investigate carriers with dental loss ratios more than one standard deviation below the mathematical average and order rebates to policyholders for excess premiums collected
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Establishes that carriers remaining outliers for two consecutive years may be subject to minimum dental loss ratio requirements, with any required rebates due to policyholders by September 30 of the following fiscal year
Legislative Description
Requires dental insurance carriers to report on medical loss ratio data annually.
Commerce
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee
1/30/2025