This bill proposes the creation of a new section in the North Dakota Century Code that establishes specific rate filing requirements for dental insurers. Under the new provisions, dental insurers are required to file their proposed plan rates and any changes to group rating factors annually with the commissioner, who has the authority to disapprove rates deemed excessive, inadequate, or unreasonable. The bill outlines criteria for disapproval, including a dental loss ratio of less than eighty-three percent and a surplus contribution exceeding two percent of total revenue. Additionally, the commissioner must provide notice of disapproval and schedule hearings, allowing insurers to contest decisions.
Furthermore, the bill mandates that if a dental insurer's annual dental loss ratio falls below eighty-three percent, they must refund excess premiums to covered individuals and groups. Insurers are also required to notify affected parties about their eligibility for refunds or premium credits. The commissioner is granted the authority to waive or adjust refund requirements if necessary to prevent financial impairment for the insurer and is empowered to adopt rules for the implementation of these provisions.