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NY A07852
Bill
Status
7/7/2023
Primary Sponsor
David Weprin
Click for details
AI Summary
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Establishes an 82 percent minimum medical loss ratio requirement for dental insurance policies issued or in effect on or after January 1, 2024.
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Requires dental insurers to annually report actual loss ratios to the superintendent by July 31st each year, with data made available to the public.
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Authorizes the superintendent to modify the 82 percent requirement if needed to protect public interest or maintain insurer solvency.
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Requires insurers to take corrective action if the expected loss ratio is not met, including reducing premiums, issuing dividends, premium refunds, or credits.
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Defines "minimum loss ratio" for dental plans as the required minimum percentage dedicated to patient care rather than administrative costs, with any shortfall refunded as rebates to policyholders.
Legislative Description
Establishes a medical loss ratio for dental insurance of not less than 82% for calendar year 2024 and thereafter.
Last Action
referred to insurance
1/3/2024