Annual medical loss ratio report; posting; definition

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20-126. Annual medical loss ratio report; posting; definition

A. On or before March 31 of each year, the department shall prepare an annual report on the medical loss ratio for each dental insurer doing business in this state. In calculating the medical loss ratio, the department shall use data submitted by dental insurers in existing required regulatory filings, including all of the following:

1. Adjusted incurred annual dental claims in this state.

2. Annual dental insurance premiums earned in this state.

3. Annual incurred federal and state taxes, licensing fees and regulatory fees on dental premiums in this state.

B. The department shall post the calculated annual medical loss ratio for each dental insurer on the department's website.

C. For the purposes of this section, " dental insurer" means a dental service corporation pursuant to chapter 4, article 3 of this title, health care services organization pursuant to chapter 4, article 9 of this title, disability insurer pursuant to chapter 6, article 4 of this title or group or blanket disability insurer pursuant to chapter 6, article 5 of this title that offers, issues or renews a contract, evidence of coverage or policy covering dental services.


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