Bill > H1119

This bill amends the existing law on the dental medical loss ratio to ensure consumer cost protection. Specifically, it defines key terms such as "annual benefit maximum," "cost-sharing," and "out-of-pocket costs" to provide more clarity and transparency around the costs borne by dental plan members. The bill also requires carriers to submit information on out-of-pocket costs, including annual benefit maximums and cost-sharing elements like co-pays, deductibles, and co-insurance. Additionally, the bill empowers the commissioner to disapprove proposed changes to base rates and rating factors if they find the resulting increase in out-of-pocket costs for beneficiaries to be unreasonable or excessive.

Business and Industry

https://malegislature.gov/Bills/193/H1119