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OK HB2805

Bill

Status

Engrossed

3/27/2025

Primary Sponsor

Thomas Marti

Click for details

Origin

House of Representatives

2025 Regular Session

AI Summary

HB 2805 Summary

  • Creates the "Oklahoma Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act" requiring dental carriers to calculate and report the percentage of premium dollars spent on patient care and quality activities.

  • Dental carriers must file annual DLR reports with the Oklahoma Insurance Commissioner by May 1 each year beginning May 1, 2026, organized by market and product type, with data made publicly searchable on the Insurance Department website.

  • Commissioner shall identify dental plans as "outliers" if they fall outside one standard deviation of average DLR for their market segment (with a safe harbor of three percentage points), and may order rebates to policyholders for carriers that fail to meet minimum DLR thresholds after two consecutive years.

  • Activities to improve dental care quality are capped at 5% of net premium revenue, and overhead/administrative costs are excluded from the DLR calculation ratio.

  • Effective date is November 1, 2025; Commissioner must adopt rules to implement the act and may create processes to identify carriers with rate increases exceeding dental services Consumer Price Index growth.

Legislative Description

Dental benefit plans; creating the Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act; definitions; formula; reporting to Insurance Department; data verification; rebate calculation; rates; effective date.

Last Action

Second Reading referred to Business and Insurance

4/1/2025

Committee Referrals

Business and Insurance4/1/2025
Insurance2/4/2025
Commerce and Economic Development Oversight2/4/2025

Full Bill Text

No bill text available