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Insurance Regulatory Insights
Week of March 4, 2025
Telos Actuarial brings you this week’s legislative and regulatory insurance insights from around the nation.
The newsletter is grouped into two categories:
New: proposed law recently introduced for consideration by Legislature
Movement: bill has progressed in legislative process
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New: proposed law recently introduced for consideration by Legislature
Medicare Supplement
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
MA | New | Provides the "Massachusetts Consumer’s Guide to Medicare" which is required to be attached and provided with the federal publication to persons eligible for Medicare. | |
OR | New | Prohibits denial of a Med Supp policy due to a preexisting condition and charging different rates based on health status, geographic location, claims experience, age, and medical condition: 1) prior to or during the 6-month period beginning with the first day of the month the individual enrolled in Medicare Part B; or 2) during an annual 90-day OE period that begins January 1 each year. |
Dental
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
AL | New | Requires insurers that provide dental coverage to allow covered beneficiaries to carry over the amount of unspent annual benefit maximum dollars into the next year for payment or reimbursement of dental care services. | |
AL | New | Proposed bill outlining dental loss ratio calculation and annual reporting requirements. The minimum dental loss ratio will be 85%, and the commissioner may take remediation, including rebate requirements, if carriers report a dental loss ratio below this amount. |
Movement: bill has progressed in legislative process
Medicare Supplement
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
GA | Movement | An individual may enroll in a Med Supp policy when currently enrolled in Medicare by reason of disability or ESRD during a one-time OE period of six months beginning on January 1, 2026. An insurer shall not charge premium rates for a standardized Plan A, B, or D Med Supp policy for an U65 individual that exceeds premium rates charged for a 65+ individual. | |
UT | Movement | Proposed bill creating a Med Supp OE period annually beginning on an enrollee's birthday and ending 60 days later, where an enrollee can switch to a comparable or lower tier plan offered by the same issuer as their current plan, without medical underwriting. | |
IN | Movement | Proposed bill that requires beginning January 1, 2026, Med Supp policyholders, who are at least 65 years of age, are eligible for an annual OE period within 60 days of their birthday, where they can purchase the same lettered, including any variation of the letter, Med Supp plan made available by an issuer different than their current policy. |
Dental
State | Bill/Notice Number | Status | Summary |
---|---|---|---|
OK | Movement | Requires annual dental loss ratio filing and rate submissions. Expected rate increases should be filed with the commissioner at least 60 days prior to proposed implementation. Provides a formula for calculating minimum dental loss ratios, provides minimum requirements, and requires an annual rebate if loss ratio is less than 85% (large group) and 80% (individual and small group). | |
OK | Movement | Proposed bill outlining dental loss ratio calculation requirements. Would require carriers to annually file a dental loss ratio form for the preceding calendar year beginning July 31, 2026. | |
MT | Movement | Dental insurers shall file an annual statement of dental loss ratio annually by March 1. Dental loss ratios shouldn't be less than 80%, and if less than 80%, the carrier shall refund the excess premium to its covered individuals/groups before August 1 of the calendar year following the year for which the ratio described. |
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