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CT SB01003

CT SB01003
An Act Establishing A Dental Loss Ratio.


summary

Introduced
01/22/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To: (1) Establish a dental loss ratio of not less than eighty-three per cent for any dental insurance policy issued in this state; (2) require any dental insurer that fails to satisfy such dental loss ratio to issue rebates to covered persons of an amount that results in such dental insurer satisfying such dental loss ratio; and (3) establish expenditure reporting requirements for dental insurers, including an evaluation of the proportion of funds allocated to patient care versus administrative costs, marketing costs and profits.

AI Summary

This bill proposes to establish new regulations for dental insurance policies in the state, focusing on three key provisions. First, it mandates that dental insurance companies maintain a dental loss ratio (DLR) of at least 83%, which means that 83% or more of the premiums collected must be spent directly on patient care and claims. Second, the bill requires any dental insurer that fails to meet this 83% threshold to issue rebates to policyholders that would bring their spending in line with the required ratio. Third, the bill establishes reporting requirements that will compel dental insurers to transparently disclose how they allocate their funds, specifically detailing the proportions spent on patient care, administrative expenses, marketing, and profits. The goal of these provisions is to ensure that dental insurance companies are spending a significant majority of their revenue on actual healthcare services rather than overhead and profit, ultimately providing more value and financial protection for patients.

Committee Categories

Business and Industry

Sponsors (3)

Last Action

Referred to Joint Committee on Insurance and Real Estate (on 01/22/2025)

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