2013 -- S 0644

=======

LC01554

=======

STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2013

____________

A N A C T

RELATING TO INSURANCE - CONSUMER DISCLOSURE OF DENTAL

REIMBURSEMENT CONTRACT LIMITATIONS

     Introduced By: Senators Lynch, Doyle, Sosnowski, Miller, and Felag

     Date Introduced: March 06, 2013

     Referred To: Senate Health & Human Services

It is enacted by the General Assembly as follows:

1-1

     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness

1-2

Insurance Policies" is hereby amended by adding thereto the following section:

1-3

     27-18-63.1. Identification cards - Dental consumer notification. – Every health insurer

1-4

or health plan providing dental benefits to subscribers shall include on the identification card

1-5

provided to its subscribers on the front of such cards the following language when the underlying

1-6

plan contains a non-duplication of benefits clause: "No duplication of benefits."

1-7

     SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

1-8

Corporations" is hereby amended by adding thereto the following section:

1-9

     27-19-54.1. Identification cards - Dental consumer notification. – Every nonprofit

1-10

hospital service corporation providing dental benefits to subscribers shall include on the

1-11

identification card provided to its subscribers on the front of such cards the following language

1-12

when the underlying plan contains a non-duplication of benefits clause: "No duplication of

1-13

benefits."

1-14

     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

1-15

Corporations" is hereby amended by adding thereto the following section:

1-16

     27-20-49.1. Identification cards - Dental consumer notification. – Every nonprofit

1-17

medical service corporation providing dental benefits to subscribers shall include on the

1-18

identification card provided to its subscribers on the front of such cards the following language

1-19

when the underlying plan contains a non-duplication of benefits clause: "No duplication of

2-1

benefits."

2-2

     SECTION 4. Chapter 27-20 of the General Laws entitled "Nonprofit Dental Service

2-3

Corporations" is hereby amended by adding thereto the following section:

2-4

     27-20-18.1. Identification cards - Dental consumer notification. – Every nonprofit

2-5

dental service corporation providing dental benefits to subscribers shall include on the

2-6

identification card provided to its subscribers on the front of such cards the following language

2-7

when the underlying plan contains a non-duplication of benefits clause: "No duplication of

2-8

benefits."

2-9

     SECTION 5. Chapter 27-41 of the General Laws entitled "Health Maintenance

2-10

Organizations" is hereby amended by adding thereto the following section:

2-11

     27-41-66.1. Identification cards - Dental consumer notification. – Every health

2-12

maintenance organization providing dental benefits to subscribers shall include on the

2-13

identification card provided to its subscribers on the front of such cards the following language

2-14

when the underlying plan contains a non-duplication of benefits clause: "No duplication of

2-15

benefits."

2-16

     SECTION 6. This act shall take effect upon passage.

=======

LC01554

=======

EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N A C T

RELATING TO INSURANCE - CONSUMER DISCLOSURE OF DENTAL

REIMBURSEMENT CONTRACT LIMITATIONS

***

3-1

     This act would require health care providers with dental benefit plans to clearly disclose

3-2

on plan issued identification cards issued to subscribers or insureds whether the plan prohibits

3-3

duplication of benefits when the consumer would otherwise be entitled to coverage under two

3-4

policies.

3-5

     This act would take effect upon passage.

=======

LC01554

=======