Bill > SF1204

This bill establishes new requirements for dental organizations in Minnesota regarding their loss ratio, which is calculated by dividing total claims paid by gross premium revenue. Specifically, dental organizations must maintain a dental loss ratio of at least 85 percent, meaning they must spend at least 85 cents of every premium dollar on actual dental care services. If a dental organization fails to meet this threshold, they must provide remediation to enrollees, which could include direct rebates, increased dental plan benefits, or other methods approved by the Commissioner of Commerce. The bill also mandates that dental organizations file proposed premium rate changes with the commissioner, who can disapprove these changes. Additionally, dental organizations must submit annual reports by March 1st detailing their loss ratios for the previous years, along with supporting financial documentation. The Commissioner of Commerce is required to publish these reports on their website in a format that allows public comparison of dental organizations' loss ratios. Most provisions of the bill will become effective between January 1, 2026, and January 1, 2028, giving dental organizations time to prepare for and implement these new requirements.