Agreement between insurers and dentists establishing fees for noncovered service prohibited — Definitions

1. Law
2. Arkansas Code
3. Public Utilities and Regulated Industries
4. Insurance
5. Insurance Companies Generally
6. General Provisions
7. Agreement between insurers and dentists establishing fees for noncovered service prohibited — Definitions

1. (a) As used in this section:

   1. (1) “Dental plan” means a contract, plan, or policy of insurance issued by an insurer that provides for a dental benefit;

   2. (2) “Insurer” means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity; and

   3. (3)

      1. (A) “Noncovered service” means a service that is not reimbursable under a dental plan.

      2. (B) “Noncovered service” does not include a service that is reimbursable subject to a deductible, waiting period, frequency limitation, annual or lifetime maximum, or other contractual limitation.

2. (b) An agreement between an insurer and a dentist establishing the fee a dentist may charge for a noncovered service is unenforceable.

Download our app to see the most-to-date content.