What’s new with dental loss ratio

A number of states have enforced, enacted and introduced dental loss ratio legislation this year, with dentists in a handful of additional states advocating for the change.

Here are six updates on dental loss ratio, as reported by Becker’s so far in 2026:

1.Massachusetts became the first state to enforce dental loss ratio standards, requiring six dental insurance companies to return $8.4 million to consumers enrolled in their dental plan.

2.Mississippi enacted a dental loss ratio reporting law requiring insurers to disclose the percentage of premium dollars spent on patient care.

3.The New York State Dental Association advocated for the state to create a dental loss ratio for dental insurers.

4.The Idaho Legislature introduced a bill that would require dental healthcare service plans to report their dental loss ratios.

5.A coalition of dentists urged the Alabama Legislature to pass matching bills establishing a dental loss ratio in the state.

6.A West Virginia lawmaker introduced a bill that includes the establishment of a dental loss ratio in the state.

Source: What’s new with dental loss ratio / Becker’s Dental

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