# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 12 — Health Maintenance Organizations; Entities That Act as Health Insurers

### Chapter 05 — Dental Benefit Plan Coverage — Mandatory Point-of-Service Option

**Authority:** Insurance Article, §§2-109 and 15-114, Annotated Code of Maryland

**Administrative History:** Effective date:

**Administrative 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)

**Administrative History:** Chapter recodified from COMAR 09.31.21 to COMAR 31.12.05 effective September 7, 1998 (25:18 Md. R. 1439)

**Administrative History:** Regulation .02B amended effective August 3, 2015 (42:15 Md. R. 1019)

#### Regulation .01 Scope.

*COMAR 31.12.05.01*

This chapter applies to health maintenance organizations and dental plan organizations operating in this State.

#### Regulation .02 Required Notice.

*COMAR 31.12.05.02*

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.

*COMAR 31.12.05.03*

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.