Chapter 05. Dental Benefit Plan Coverage — Mandatory Point-of-Service Option
Regulation .01 Scope.LinkCopy Citation
This chapter applies to health maintenance organizations and dental plan organizations operating in this State.
Regulation .02 Required Notice.LinkCopy Citation
A.
When a health maintenance organization or dental plan organization dental provider panel is the sole dental provider panel offered to group members by a group policyholder, the dental plan organization or the health maintenance organization:
(1)
Shall offer the group policyholder a dental point-of-service option for the individual group member to accept or reject;
(2)
May not impose a minimum participation level on the mandatory dental point-of-service option; and
(3)
As part of the application, shall provide to each group policyholder the disclosure statement described in §B of this regulation, for each dental point-of-service option offered.
B.
The notice shall read as follows:
Regulation .03 Record Retention.LinkCopy Citation
Each health maintenance organization or dental plan organization shall maintain copies of the notice and the group policyholder response for a period of 3 years or until its next market conduct examination, whichever occurs first.
Chapter annotations
Authority: Insurance Article, §§2-109 and 15-114, Annotated Code of Maryland
History: Effective date:
History: Regulations .01—.03 adopted as an emergency provision effective July 1, 1996 (23:14 Md. R. 1005); adopted permanently effective November 4, 1996 (23:22 Md. R. 1496)
History: Chapter recodified from COMAR 09.31.21 to COMAR 31.12.05 effective September 7, 1998 (25:18 Md. R. 1439)
History: Regulation .02B amended effective August 3, 2015 (42:15 Md. R. 1019)