OK HB2805

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 versus administrative costs

Requires dental carriers to file annual DLR reports with the Insurance Commissioner by May 1, 2026, and each May 1 thereafter, with data made publicly available in searchable format on the Oklahoma Insurance Department website

Limits quality improvement activities to no more than 5% of net premium revenue when calculating the dental loss ratio, and excludes overhead and administrative costs from the numerator

Authorizes the Commissioner to investigate carriers with DLRs more than one standard deviation below the market average, with potential enforcement actions including ordering rebates to policyholders by August 1 of the following fiscal year

Establishes that carriers remaining outliers for two consecutive years may be subject to minimum DLR percentage requirements, effective no sooner than 42 months after being identified as an outlier