<?xml version='1.0' encoding='utf-8'?>
<chapter num="05" heading="Dental Benefit Plan Coverage — Mandatory Point-of-Service Option" title_num="31" subtitle_num="12">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter applies to health maintenance organizations and dental plan organizations operating in this State.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Required Notice.">
    <paragraph num="A.">
      <text>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:</text>
      <paragraph num="(1)">
        <text>Shall offer the group policyholder a dental point-of-service option for the individual group member to accept or reject;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>May not impose a minimum participation level on the mandatory dental point-of-service option; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>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.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The notice shall read as follows:</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Record Retention.">
    <text>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.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109 and 15-114, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="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)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 09.31.21 to COMAR 31.12.05 effective September 7, 1998 (25:18 Md. R. 1439)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective August 3, 2015 (42:15 Md. R. 1019)</annotation>
  </annotations>
</chapter>