New Jersey A5380 mandates annual dental loss ratio reporting by dental insurance carriers and sets minimum thresholds, requiring rebates to.
New Jersey A5380, known as the "Transparency for Dental Health Care Costs Act," requires dental insurance carriers to submit annual reports on their dental loss ratios to the Commissioner of Banking and Insurance. The bill establishes minimum dental loss ratio thresholds: 85 percent for large group dental plans and 83 percent for individual and small group dental plans. If a carrier fails to meet these thresholds, it must issue rebates to policyholders. The commissioner has the authority to investigate and take enforcement actions against carriers that report unusually low dental loss ratios.
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