Bill > HF2334

This bill requires dental organizations to meet a specific loss ratio requirement, which is calculated by dividing the total claims paid by the gross premium revenue received. The bill mandates that dental organizations maintain a dental loss ratio of at least 85 percent, and if they fail to meet this threshold, they must provide remediation to enrollees through methods like direct rebates or increased dental plan benefit limits. The bill also requires dental organizations to file proposed premium rate changes with the Commissioner of Commerce, who can disapprove rates using existing standards. Additionally, dental organizations must submit annual reports to the commissioner by March 1st, detailing their dental loss ratios for the previous three years, along with supporting financial documentation. The commissioner is required to publish these reports on the Department of Commerce's website in a searchable format that allows public comparison of dental loss ratios across organizations. The bill's provisions will be implemented in stages, with different subdivisions becoming effective between January 1, 2026, and January 1, 2028, aiming to increase transparency and ensure that dental organizations are spending an appropriate percentage of their premiums on actual dental care services.

Business and Industry

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2334&ssn=0&y=2025