This bill amends Minnesota Statutes 2024, section 62Q.76, to establish a dental loss ratio requirement for dental organizations. It introduces a new subdivision that defines the dental loss ratio as the total claims paid by a dental organization divided by the gross premium revenue received for dental care services. The bill mandates that a dental organization's loss ratio must be at least 85 percent. If a dental organization fails to meet this requirement, it must provide remediation to its enrollees, which can include direct rebates or increased benefit limits, as determined by the commissioner of commerce.

Additionally, the bill outlines the process for rate review and approval, requiring dental organizations to file proposed premium rate changes with the commissioner. It also establishes reporting requirements, mandating that dental organizations submit annual reports detailing their loss ratios and financial information. The commissioner is tasked with publishing an annual report on the Department of Commerce's website, allowing the public to compare the dental loss ratios of different organizations. The effective dates for various provisions range from January 1, 2026, to January 1, 2028.

Statutes affected:
Introduction: 62Q.76