On Apr. 18, ND LEG enacted bill on dental loss ratio and insurer rates.
ND LEG enacted HB 1481, adding sections, Dental insurer rates - approval and Dental loss ratio transparency - annual report to the Commissioner under ND INS 26.1-36.9.
Document dated Apr. 18, 2025, was received on Apr. 24, 2025 due to a fixed feed.
Bill Provisions
States insurance commissioner can disapprove a dental insurer’s proposed rate change
If administrative expenses (excluding taxes/assessments) increase more than 4%.
Or surplus contribution exceeds 2% of total revenue or if the DLR falls below 75%.
Dental loss ratio (DLR) is percentage of premium income spent on actual dental care.
If the DLR is below 75%, the excess premium must be refunded or credited to future.
Mandates that insurers must notify affected policyholders about the refund or credit.
The bill explains DLR calculation, refund and waiver provisions, and exemptions.
Legislative History
On Jan. 17, 2025, bill introduced in the House; on Feb. 20, 2025, bill passed House.
On Feb. 21, 2025, bill introduced into Senate; on Mar. 27, 2025, bill passed Senate.
On Apr. 15, 2025, delivered to governor; on Apr. 18, 2025, bill signed by the governor.
Effectiveness
Per ND Constitution, upon approval by governor, bill becomes effective Aug. 1, 2025.
New section entitled Dental insurer rates - approval comes into effect Jul. 1, 2027.
Regulators
ND LEG
Entity Types
Ins
Reference
Bill HB1481, 4/18/2025; Citation: ND INS 26.1-36.9;
