HB1131 - Transparency and Accountability of Patient Premiums Invested in Dental Care Act; create.

1 Co-Sponsor

An Act To Create The Transparency And Accountability Of Patient Premiums Invested In Dental Care Act; Define "medical Loss Ratio" As The Minimum Percentage Of All Premium Funds Collected By A Dental Insurance Plan Each Year That Must Be Spent On Actual Patient Care Rather Than Administrative And Overhead Costs; To Define "administrative And Overhead Costs"; To Provide That A Health Care Service Plan That Issues, Sells, Renews, Or Offers A Specialized Health Care Service Plan Contract Covering Dental Services Shall File A Mlr With The Department Of Insurance That Is Organized By Market And Product Type And Contains The Same Information Required In The 2013 Federal Medical Loss Ratio Annual Reporting Form; To Provide The Timeline For Submitting Information For Data Verification Of The Health Care Service Plan's Representations In The Medical Loss Ratio Annual Report; To Provide That The Medical Loss Ratio For Dental Insurance Plans Shall Be 83%; To Provide The Method For Calculating The Total Amount Of An Annual Rebate Required; To Provide The Time That A Carrier Offering Dental Benefit Plans Has To File Group Product Base Rates And Any Changes; To Authorize The Department Of Insurance To Disapprove Any Base Rate Changes That Are Excessive, Inadequate Or Unreasonable In Relation To Benefits Charged; To Provide When The Commissioner Of Insurance May Presumptively Disapprove As Excessive A Dental Benefit Plan Carrier's Rate; To Provide The Hearing Process For When A Proposed Rate Change Has Been Presumptively Disapproved; To Authorize The Department Of Insurance To Promulgate Rules And Regulations; To Provide The Applicability Of The Act; And For Related Purposes.