Bill > SB463

This bill creates the Louisiana Dental Loss Ratios for Dental Healthcare Services Plans Act. The key provisions include: 1. Requiring dental carriers (insurance companies, dental service corporations, etc.) that provide dental healthcare service plans in Louisiana to file an annual "dental loss ratio" report with the state insurance commissioner. The dental loss ratio measures the percentage of premiums spent on patient care versus administrative costs. 2. Specifying the calculation for the dental loss ratio, including what can be counted as patient care costs and what must be excluded as administrative costs. 3. Mandating transparency by requiring the insurance commissioner to make the dental loss ratio reports publicly available and provide an annual report to the state legislature on the data collected. 4. Exempting plans under Medicaid and the Louisiana Children's Health Insurance Program from these new requirements. 5. Authorizing the insurance commissioner to promulgate rules to implement the new law, which takes effect on January 1, 2025. The overall purpose is to provide more transparency around how dental insurance premiums are being spent and ensure a minimum percentage is directed to patient care.

Business and Industry, Health and Social Services

https://www.legis.la.gov/legis/BillInfo.aspx?s=24rs&b=SB463&sbi=y