Pennsylvania HB1325 mandates dental insurance companies to report medical loss ratios and sets penalties for non-compliance.
HB1325 requires health insurers in Pennsylvania to calculate and report their medical loss ratios for dental policies annually. This ratio is determined by dividing the amount spent on patient care by the total premium revenue, excluding certain costs. Insurers must submit these reports to the Pennsylvania Insurance Department by April 30 each year. The bill also outlines penalties for violations, including license suspension, civil penalties, and cease and desist orders.
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