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WV HB2690

Bill

Status

Introduced

2/20/2025

Primary Sponsor

Wayne Clark

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Creates the "Dental Insurance Transparency Act" requiring dental insurance carriers to file annual medical loss ratio (MLR) reports with the Insurance Commissioner, detailing how premium funds are spent on patient care versus administrative costs

  • Establishes minimum MLR requirements: large group plans (51+ enrollees) must spend at least 85% of premiums on patient care, while individual and small group plans (2-50 enrollees) must spend at least 80%

  • Requires carriers to provide annual rebates as premium reductions to enrollees when the carrier fails to meet the applicable minimum MLR threshold

  • Regulates third-party network contracts by requiring dental carriers to obtain provider consent before allowing third parties to access provider services and discounted rates, and prohibits terminating contracts if providers refuse third-party access

  • Mandates carriers to offer payment methods that do not impose processing fees on dental providers, while allowing providers to opt into credit card or electronic fund transfers if they choose to accept associated fees

Legislative Description

Dental Insurance Transparency Act

Health

Last Action

To House Banking and Insurance

3/3/2025

Committee Referrals

Banking & Insurance3/3/2025
Finance2/20/2025

Full Bill Text

No bill text available