Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.
Summary
This bill amends the New York Insurance Law to require insurers and corporations that issue, sell, renew, or offer specialized dental benefits plan policies or contracts to file an annual report with the Superintendent of Financial Services. The report must be organized by market and product type and include, at a minimum, the number of covered persons, including those who meet or exceed the annual coverage limit, plan cost-sharing and deductible amounts, and the annual maximum coverage limit. The reporting is based on the fiscal year in which the dental coverage is provided.
The bill also requires the superintendent to compile the submitted data into a report for the Speaker of the Assembly and the Temporary President of the Senate. Beginning January 1 after the first report is filed, the superintendent must make collected dental loss ratio information publicly available on a searchable website by plan type. The act takes effect immediately and applies to policies issued or in effect on or after January 1, 2026.
Impact
The bill would add new reporting obligations to Insurance Law sections 3231 and 4308, affecting both insurers and nonprofit/dental benefit corporations that offer specialized dental plans. It would not directly change benefit mandates or coverage levels, but it would increase regulatory disclosure requirements and public transparency around dental plan design, utilization, cost-sharing, and loss ratio information. The Superintendent of Financial Services would gain a new duty to collect, summarize, and publish this data.
Sentiment
Based on the bill text and available context, the measure appears to be a transparency and oversight bill rather than a controversial benefit-expansion measure. No committee transcript or vote record is available, so there is no documented floor or committee debate to indicate opposition or support. The structure of the bill suggests a generally policy-oriented approach focused on data collection and public reporting.
Contention
The main potential point of contention is the new administrative and reporting burden on insurers and corporations offering specialized dental benefit plans, particularly the requirement to track and submit detailed plan-level data annually. Another possible issue is the public release of dental loss ratio information, which some plan issuers may view as sensitive or burdensome to disclose. No specific objections, amendments, or recorded votes are available in the provided materials, so any contention is inferred from the bill’s requirements rather than documented debate.
Same As
Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.
Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.
Addresses non-covered dental services by requiring all policies providing coverage of and all contracts for dental services issued to include a disclosure stating that a participating provider may charge their normal fee for services that are not covered; requires a cost estimate to be provided.
Addresses non-covered dental services by requiring all policies providing coverage of and all contracts for dental services issued to include a disclosure stating that a participating provider may charge their normal fee for services that are not covered; requires a cost estimate to be provided.
Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers must report utilization and cost data annually. Certain limited benefit policies are exempt.
Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers would be required to report utilization and cost data annually and certain limited benefit policies would be exempt.
Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers would be required to report utilization and cost data annually and certain limited benefit policies would be exempt.
Dental benefit plans; establishing formula for medical loss ratio; exempting certain dental plans; requiring annual rebate for certain plan years by certain plans. Effective date.
Dental benefit plans; establishing formula for medical loss ratio; exempting certain dental plans; requiring annual rebate for certain plan years by certain plans. Effective date.