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WV HB2785

Bill

Status

Introduced

2/21/2025

Primary Sponsor

John Paul Hott

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Creates the "West Virginia Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act" requiring dental insurance carriers to file annual reports showing how premium dollars are spent on patient care versus administrative costs

  • Requires the Insurance Commissioner to publish dental loss ratio data on a public website by January 1 of each year, allowing consumers to compare carriers by plan type

  • Mandates rebates to policyholders when a carrier's dental loss ratio falls more than one standard deviation below the market segment average for two consecutive years, with rebates due by September 1, 2026

  • Limits activities claimed as "improving dental care quality" to no more than 5% of net premium revenue when calculating the dental loss ratio

  • Requires the Insurance Commissioner to propose legislative rules by July 28, 2025, to implement the new requirements

Legislative Description

To provide for transparency of the expenditure of dental health care plan premiums

Insurance

Last Action

To House Banking and Insurance

3/3/2025

Committee Referrals

Banking & Insurance3/3/2025
Finance2/21/2025

Full Bill Text

No bill text available