summary
Introduced
02/02/2023
02/02/2023
In Committee
03/10/2023
03/10/2023
Crossed Over
Passed
Dead
01/08/2025
01/08/2025
Introduced Session
103rd General Assembly
Bill Summary
Creates the Dental Loss Ratio Act. Sets forth provisions concerning dental loss ratio reporting. Provides that a health insurer or dental plan carrier that issues, sells, renews, or offers a specialized health insurance policy covering dental services shall, beginning July 1, 2023, annually submit to the Department of Insurance a dental loss ratio filing. Provides a formula for calculating minimum dental loss ratios. Sets forth provisions concerning minimum dental loss ratio requirements. Provides that the Department may adopt rules to implement the Act. Provides that the Act does not apply to an insurance policy issued, sold, renewed, or offered for health care services or coverage provided as a function of the State of Illinois Medicaid coverage for children or adults or disability insurance for covered benefits in the single specialized area of dental-only health care that pays benefits on a fixed benefit, cash payment-only basis. Defines terms. Amends the Dental Service Plan Act. Provides that a dental service plan corporation shall not disburse during any one year (rather than shall not disburse during any one year, except upon the approval of the Director of Insurance) a sum greater than 20% of payments received from subscribers during that year as administrative expenses. Effective immediately.
AI Summary
This bill creates the Dental Loss Ratio Act, which requires health insurers and dental plan carriers that offer specialized dental insurance policies to annually submit a dental loss ratio (the ratio of incurred claims to earned premiums) to the Illinois Department of Insurance. The bill sets a minimum dental loss ratio of 80% and allows the Department to require corrective action if the minimum is not met. The bill also amends the Dental Service Plan Act to remove the requirement for the Director of Insurance to approve administrative expenses exceeding 20% of payments received from subscribers. The bill does not apply to dental coverage provided through Illinois Medicaid or certain disability insurance policies.
Committee Categories
Business and Industry
Sponsors (4)
Last Action
Session Sine Die (on 01/07/2025)
Bill Topics
Banking, Finance, and Domestic Commerce
- ‐ Insurance Regulation
Health
- ‐ Health Insurance Reform
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2070&GAID=17&DocTypeID=HB&SessionID=112&GA=103 | 02/02/2023 |
| BillText | https://www.ilga.gov/legislation/103/HB/10300HB2070.htm | 02/02/2023 |
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