This bill mandates that dental plan carriers in Nebraska must adhere to a minimum dental loss ratio of eighty-five percent, effective January 1, 2026. The dental loss ratio is defined as the ratio of incurred claims to earned premiums, calculated according to specific guidelines outlined in the bill. Starting January 1, 2027, dental plan carriers are required to submit an annual report to the Department of Insurance detailing their dental loss ratio for the previous calendar year, including necessary documentation to demonstrate compliance with the established standards. If a carrier fails to meet the minimum dental loss ratio, they must return excess premiums to their insureds.
The bill also provides definitions for key terms such as "dental care provider," "dental care services," "earned premiums," and "incurred claims," which are essential for understanding the requirements imposed on dental plan carriers. Additionally, the Department of Insurance is granted the authority to adopt rules and regulations to implement the provisions of this bill. Notably, the bill specifies that these requirements do not apply to insurance policies related to dental services provided under the Medical Assistance Act.