Dental benefit plans; creating the Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act; definitions; formula; reporting to Insurance Department; data verification; rebate calculation; rates; effective date.

Eliminated the requirement for carriers to provide annual rebates to consumers if their loss ratio exceeded a certain threshold.

Added a specific requirement for the Commissioner to identify and report 'outlier' dental plans that perform significantly worse than the market average.

Changed the reporting structure to focus on a three-year average for calculating market averages and identifying outliers.

Removed exemptions that previously allowed certain dental plans to opt out of the loss ratio reporting requirements.

Simplified the definitions and calculation methods, removing complex administrative cost exclusions found in the previous version.

The bill title and header were changed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute,' indicating a shift in the committee's approach from monitoring to setting rules.

A new provision was added to exempt certain dental plans from the requirements of the act, reducing the number of entities subject to these regulations.

The definition of 'earned premium' was expanded to include fees or contributions associated with the dental plan, clarifying what revenue counts toward calculations.

Reporting requirements were updated to require filing a Medical Loss Ratio (MLR) report with the Oklahoma Insurance Department, replacing the previous requirement to file a Dental Loss Ratio (DLR) report, aligning the state with federal standards.

New requirements prohibit certain rate establishment practices and mandate annual rebates for specific plan years, adding financial constraints on insurers.

Updated the federal regulation citation to include '42 U.S.C.' for accuracy.

Changed the document header from 'FULLPCS1' to 'FULLPCS2' and updated the revision timestamp.

Updated the page number reference from 'Req. No. 13010' to 'Req. No. 13201' across multiple pages.

The requirement for specialized dental health care service plan contracts to file a Dental Loss Ratio annual report was removed in the new version.

The requirement for the Commissioner to report data to the Legislature was removed in the new version.

The method for defining 'Expenditures for clinical dental services' and 'Activities that improve dental care quality' was changed from a statutory mandate to a power granted to the Commissioner to define by rule.

The bill title and introductory sections were updated to reflect the committee substitute status and new legislative session details.

The bill's title was changed from a generic description to the specific 'Oklahoma Medical Loss Ratios for Dental (DLR) Health Care Services Plans Act'.

The header information was updated to reflect the 'Engrossed' status and the 60th Legislature (2025), replacing the 'Introduced' status and previous session details.

The introductory summary of the act's purpose was rewritten to match the new official title and remove repetitive phrasing about defining terms.