The license of a retired volunteer dentist or a retired volunteer dental hygienist shall be used only for volunteer services and not for compensation. To qualify for a retired volunteer dentist's or dental hygienist's license, a dentist or dental hygienist shall: Be of good moral character; Have had an active general license to practice dentistry or dental hygiene in Maryland within the past 2 years; Meet the qualifications otherwise required by Health Occupations Article, Title 4, Annotated Code of Maryland, for an active general license to practice dentistry or dental hygiene in the State, except that the North East Regional Board examination requirements are waived by the Board; Complete the continuing education requirements for an active general license to practice dentistry or dental hygiene in the State; and Provide dental or dental hygiene services as set forth in Regulation .06 of this chapter. To apply for a retired volunteer license to practice dentistry or dental hygiene, a dentist or dental hygienist shall submit: A completed application on a form provided by the Board; A photograph of the applicant not to exceed 3 inches by 3 inches accompanied by a notarized statement stating that the “photograph is a true photograph of me”; A certified letter with a raised embossed seal from the licensing authority of each state in which the applicant holds an active dental or dental hygiene license, or ever held an active dental or dental hygiene license, indicating that the license is or was in good standing and whether the applicant: Is being investigated; Has charges pending against the applicant's license; Has been disciplined; or Has been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under Health Occupations Article, §4-315, Annotated Code of Maryland; A copy of the applicant's National Practitioner Data Bank file; A notarized affidavit stating that the dentist or dental hygienist will donate at least 100 hours of dental or dental hygiene services without compensation; Evidence that the dentist or dental hygienist is covered by malpractice insurance as set forth in Regulation .04 of this chapter; Documentation of change of name if the name on any of the documents submitted to the Board differs from the applicant's name; and Any other documents or information pertinent to licensure required by the Board. An applicant for a retired volunteer dentist's or dental hygienist's license and an applicant for the renewal of a retired volunteer dentist's or dental hygienist's license shall be covered by malpractice insurance. If the malpractice insurance consists of a personal policy of malpractice insurance, the dentist or dental hygienist shall provide the Board with evidence of the insurance which shall consist of: The name of the insurance provider; The name, address, and telephone number of the insured's agent, or if the insured has no agent, the address and telephone number of the insurance provider; The policy number; The amounts of coverage; and The expiration date of the policy. If the malpractice insurance is provided from or through the institution at which the applicant is to provide volunteer services, the dentist or dental hygienist shall provide the Board with evidence of the insurance which shall consist of: The name of the insurance provider; The amounts of coverage; The expiration date of the policy or coverage; and A letter from the institution verifying the intent of the institution to provide malpractice insurance. A dentist or dental hygienist shall be granted a retired volunteer dentist's or dental hygienist's license if the dentist or dental hygienist: Meets the qualifications for licensure as a retired volunteer dentist or dental hygienist; and Is covered by a personal policy of malpractice insurance. A dentist or dental hygienist shall be granted a retired volunteer dentist's or dental hygienist's license that is site-specific to the institution at which the dentist or dental hygienist is to provide the volunteer services if the dentist or dental hygienist: Meets the qualifications for licensure as a retired volunteer dentist or dental hygienist; and Is covered with malpractice insurance from or through the institution at which the dentist or dental hygienist is to provide volunteer services. A dentist or dental hygienist who has been granted a site-specific retired volunteer dentist's or dental hygienist's license shall practice dentistry or dental hygiene only at the institution named on the license. A dentist or dental hygienist with a retired volunteer license to practice dentistry or dental hygiene in the State shall practice only: In a dental office; In a dental clinic; In an ambulatory care facility; In a hospital; or For an entity providing medical care to the poor, the elderly, or handicapped that is operated: By the State; By a local government; By a bona fide charitable organization; or In any other setting approved by the Board. A dentist or dental hygienist with a retired volunteer license may not receive compensation for practicing dentistry or dental hygiene in the State. A retired volunteer license to practice dentistry and a retired volunteer license to practice dental hygiene expire on June 30 of the second year following the effective date of the license. Before a retired volunteer license to practice dentistry or dental hygiene expires, the licensee may renew it for an additional term if the licensee: Submits a completed renewal application on a form provided by the Board; Completes the continuing education requirements for an active general license to practice dentistry or dental hygiene in the State; Submits proof satisfactory to the Board that the dentist has donated at least 100 hours of dental services, or that the dental hygienist has donated at least 100 hours of dental hygiene services, without compensation; Provides evidence that the dentist or dental hygienist is covered by malpractice insurance as set forth in Regulation .04 of this chapter; Submits a copy of the licensee's National Practitioner Data Bank file; Submits documentation of change of name if the name on any of the documents submitted to the Board differs from the licensee's name; and Submits any other documents or information pertinent to licensure required by the Board. A dentist or a dental hygienist who has been granted a site-specific retired volunteer dentist's or dental hygienist's license shall immediately surrender the license to the Board when the dentist or dental hygienist ceases to: Provide volunteer dental or dental hygiene services at the institution named on the license; or Be covered by malpractice insurance from or through the institution named on the license. A dentist or a dental hygienist who has been granted a retired volunteer dentist's or dental hygienist's license that is not site-specific shall immediately surrender the license to the Board when the dentist or dental hygienist ceases to be covered by malpractice insurance. There is no fee for an initial retired volunteer license to practice dentistry or dental hygiene, and there is no fee for the renewal of a retired volunteer license to practice dentistry or dental hygiene. Violations of this chapter pertaining to the use of a retired volunteer license constitute unprofessional conduct and may result in disciplinary action against the licensee as set forth in Health Occupations Article, §4-315, Annotated Code of Maryland. Health Occupations Article,§§4-101, 4-302, 4-304, and 4-308, Annotated Code of Maryland; Ch. 237, Acts of 2003 Effective date: June 25, 2001 (28:12 Md. R. 1110) Regulations .01—.07 repealed and new Regulations .01—.08 adopted effective December 11, 2003 (30:24 Md. R. 1743) Chapter revised effective July 18, 2005 (32:14 Md. R. 1276)