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Missouri House Bill 2471 requires dental insurance plans to file loss ratio reports and pay rebates to enrollees

Original title: DENTAL PLANS

Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsors: Jeff Farnan and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Missouri House Bill 2471 requires dental insurance plans to submit annual reports to the Department of Commerce and Insurance and issue pro-rata rebates to enrollees if less than 85 percent of premium revenues are spent on actual patient care. The bill establishes strict definitions for the numerator (clinical services) and denominator (earned premiums) used to calculate the ratio. Insurers must file reports by March 1 and issue rebates by August 1 annually.

Why it matters

Dental insurance enrollees will receive direct financial rebates if insurers spend more than 15 percent of premium collections on administrative overhead rather than direct clinical care. Insurers face mandatory annual reporting deadlines and potential regulatory penalties for failing to issue required payments.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Dental Plan Enrollees

Enrollees receive pro-rata annual rebates if their dental plan's loss ratio falls below 85 percent.

Directly affected

Dental Plans

Dental plans must file annual loss ratio reports with the Department of Commerce and Insurance by March 1 and issue rebates when spending on patient care drops below the statutory threshold.

Directly affected

Department of Commerce and Insurance

The department must receive, review, approve, and make public all dental loss ratio reports submitted by dental plans.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is a dental loss ratio?
It is the percentage of premium amounts received by a dental plan that is expended on actual patient care rather than overhead or administrative costs.
When must dental plans issue rebates to enrollees?
Dental plans must provide annual rebates to enrollees before August first of the year following the year for which the report was issued, provided the loss ratio is less than 85 percent.
Are state-sponsored health insurance programs covered by this bill?
No, health care services under MO HealthNet, the state children's health insurance program, and other state-sponsored health insurance programs are excluded.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions
  1. May 15, 2026HouseCommittee
    Referred: Emerging Issues(H)
  2. Jan 8, 2026HouseFloor
    Read Second Time (H)
  3. Jan 7, 2026HouseIntroduced
    Read First Time (H)
  4. Dec 16, 2025HouseIntroduced
    Prefiled (H)

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Bill Irwin, Joseph Engler, General Assembly and 3 more
PersonBill Irwin“Cosponsor, District 055”Map →
PersonJoseph Engler“Chief Clerk of the House”Map →
OrganizationGeneral Assembly“103rd General Assembly of the State of Missouri”Map →
OrganizationDepartment of Commerce and Insurance“State agency receiving dental loss ratio reports and overseeing compliance”Map →
PersonBill Lucas“Cosponsor, District 115”Map →
PersonJeff Farnan“Representative, District 001, introduced HB 2471”Map →

Sources

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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