HB 2690
Dental Insurance Transparency Act
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
The Dental Insurance Transparency Act aims to increase transparency in dental insurance practices in West Virginia. It requires dental insurance carriers to file annual reports detailing their expenditures, specifically focusing on the ratio of patient care spending to premium revenue. The bill also mandates annual rebates to enrollees in the form of premium reductions if the carrier’s spending on patient care falls below a certain threshold, and establishes rules for third-party network contracts and payment methods. Finally, it empowers the Insurance Commissioner to create regulations to enforce these provisions.
Key provisions
- Requires dental insurance carriers to file annual reports detailing medical loss ratios (MLR).
- Mandates annual rebates to enrollees in the form of premium reductions if patient care spending is less than a specified percentage of premium revenue.
- Establishes rules for third-party network contracts and payment methods.
- Requires carriers to notify providers of potential fees associated with payment methods.
- Defines key terms related to dental insurance and healthcare plans.
- Authorizes the Insurance Commissioner to create legislative and emergency rules.
- Specifies minimum MLR requirements based on plan size (large group vs. small group).
- Requires carriers to provide a list of third parties with access to a provider’s services under a network contract.
Who is affected
- Dental insurance carriers
- Dental care providers
- Dental insurance enrollees
Sponsors
Official sponsors from legislative records.
Primary sponsor
W. Clark
Cosponsors
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