Loading chat...
WV HB2690
Bill
Status
2/20/2025
Primary Sponsor
Wayne Clark
Click for details
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