Chapter 052

2009 -- S 0390 SUBSTITUTE A

Enacted 06/26/09

A N A C T

RELATING TO INSURANCE - DENTAL SERVICE CORPORATIONS

Introduced By: Senators Lynch, and Goodwin

Date Introduced: February 12, 2009

It is enacted by the General Assembly as follows:

SECTION 1. Chapter 23-17.13 of the General Laws entitled "Health Care Accessibility

and Quality Assurance Act" is hereby amended by adding thereto the following section:

23-17.13-6. Contracts with providers for dental services. – (a) No contract between a

dental plan of a health care entity and a dentist for the provision of services to patients may

require that a dentist provide services to its subscribers at a fee set by the health care entity unless

said services are covered services under the applicable subscriber agreement. "Covered services,"

as used herein, means services reimbursable under the applicable subscriber agreement, subject to

such contractual limitations on subscriber benefits as may apply, including, for example,

deductibles, waiting period or frequency limitations.

(b) For the purposes of this section "dental plan" shall include any policy of insurance

which is issued by a health care entity which provides for coverage of dental services not in

connection with a medical plan.

SECTION 2. This act shall take effect upon passage.

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LC01713/SUB A/2

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