S 4063 New Jersey Senate · 2024-2025 Regular Session

Requires dental insurance carriers to report on medical loss ratio data annually.

This bill requires dental insurance companies in New Jersey to annually report detailed data on how premiums are spent, including the percentage of premiums used for patient care versus overhead. It directly affects all dental carriers (insurers offering standalone dental plans) by mandating they submit reports containing covered members, deductibles, and coverage limits to the Commissioner of Banking and Insurance. The reports must mirror federal medical loss ratio standards, and the data will be made publicly searchable online to allow comparison between carriers. If a carrier’s ratio falls significantly below the average (an "outlier"), the commissioner may require premium rebates to policyholders, with rebates due by September 30 of the following year.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 30, 2025 Last action Jan 30, 2025
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Jan 30, 2025
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Joe Cryan
Joe Cryan
DDemocratic
NJ
20