Bill > SB00553

This bill proposes to amend Title 38a of the general statutes to establish a medical loss ratio (MLR) for dental insurance. A medical loss ratio is a measure that calculates the percentage of premium dollars an insurance company spends on actual medical care and quality improvement, as opposed to administrative costs, marketing, and profits. By setting a specific MLR for dental insurance, the bill aims to ensure that insurance companies are spending a reasonable portion of the premiums they collect on dental treatments and services for patients, rather than on overhead and profit. While the specific details of the MLR are not provided in this bill text, such provisions typically require insurers to spend a minimum percentage (often around 80-85%) of premium revenue on direct patient care, with any excess amounts being returned to policyholders as rebates. This type of regulation is designed to improve the value and affordability of dental insurance for consumers by incentivizing insurers to prioritize patient care over administrative expenses.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00553&which_year=2025