Oklahoma HB2805 establishes the Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act, setting minimum loss ratios and requiring annual.
Oklahoma HB2805 creates the Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act. It defines terms and establishes a formula for calculating the medical loss ratio for dental benefit plans. If the ratio is below 85% for large group plans and 80% for individual and small group plans, plans must provide annual rebates to enrollees. Dental insurers must file annual reports with the Insurance Department starting July 1, 2026. The act also sets rules for rate increases and requires appeal procedures for denied claims. It exempts Medicaid plans from these provisions.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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