Louisiana § RS 22:1164 - Dental loss ratio calculations

Full text of Louisiana Louisiana Civil Code § RS 22:1164 — Dental loss ratio calculations, with citation guidance and answers to common questions.

§ RS 22:1164. Dental loss ratio calculations

            The dental loss ratio is calculated by dividing the numerator by the denominator as follows:

            (1)(a) The numerator is the sum of the amount incurred for clinical dental services provided to enrollees, the amount incurred on activities that improve dental care quality, and other incurred claims as defined in 45 CFR 158.140(a).

            (b) The activities to improve dental care quality shall not exceed five percent of the carrier's net revenue.

            (c) Administrative and overhead costs shall not be included in the numerator.

            (2) The denominator is the total amount of premium revenue except for federal and state taxes, licensing and regulatory fees paid, and any nonprofit community benefit expenditures, as defined in 45 CFR 158.162(c), and any other payments required by federal law.

            Acts 2024, No. 357, §1, eff. Jan. 1, 2025.

Source: official Louisiana text · Last verified 2026-08-27

Frequently Asked Questions About Louisiana § RS 22:1164

What does Louisiana Civil Code § RS 22:1164 cover?

Section RS 22:1164 ("Dental loss ratio calculations") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Louisiana § RS 22:1164?

A common citation format is "Louisiana Civil Code § RS 22:1164" (Louisiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Louisiana law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.

How does Louisiana § RS 22:1164 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Louisiana.