House Bill No. 2805, introduced by Marti, aims to regulate dental benefit plans in Oklahoma by establishing a medical loss ratio (MLR) framework and requiring annual reporting to the Oklahoma Insurance Department. The bill defines key terms such as "earned premium," "medical loss ratio," and "unpaid claim reserves," and mandates that dental plans file their MLR with the Insurance Department, organized by market and product type. It also outlines the calculation of the MLR, specifying what constitutes the numerator and denominator, and requires that plans provide annual rebates to enrollees if their loss ratios fall below specified thresholds (85% for large group plans and 80% for individual and small group plans). Additionally, the bill includes provisions for data verification, public accessibility of MLR data, and exemptions for certain dental plans.

The bill amends existing law regarding dental plans, specifically modifying the definition of "covered services" and establishing new requirements for rate filings and rate increases. It prohibits dental plans from setting rates that are excessive, inadequate, or unfairly discriminatory, and outlines the process for public hearings if proposed rate increases are deemed presumptively excessive. Furthermore, it mandates that dental insurers file annual reports on their dental loss ratios starting July 1, 2026, and requires the Insurance Department to publicly post these ratios while keeping underlying data confidential. The act is set to take effect on November 15, 2025.