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NJ S4063

Bill

Status

Introduced

1/30/2025

Primary Sponsor

Joseph Cryan

Click for details

Origin

Senate

2024-2025 Regular Session

AI Summary

  • 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

  • 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

  • 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

  • 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

  • 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

Committee Referrals

Commerce1/30/2025

Full Bill Text

No bill text available