Current through L. 2024, ch. 259
Section 20-1404.04 - Contracts; dentists; covered services; definitionA. A contract, entered into or renewed on or after January 1, 2011, between a blanket disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to provide services to an individual covered under a blanket disability policy based on a fee set by the blanket disability insurer unless the services for which the fee applies is a covered service under the individual's blanket disability policy.B. This section does not restrict the ability of a blanket disability insurer to establish dental benefits for services offered by plans that are administered but not insured by the blanket disability insurer.C. For the purposes of this section, "covered service" means a service for which any reimbursement is available under a blanket disability policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation.