Minnesota Legislature
SF 2612
as introduced - 86th Legislature (2009 - 2010) Posted on 02/12/2010 09:57am
Current Version - as introduced
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A bill for an act
relating to insurance; regulating dental insurance provider agreements; amending
Minnesota Statutes 2008, section 62Q.76, subdivision 1; proposing coding for
new law in Minnesota Statutes, chapter 62Q.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2008, section 62Q.76, subdivision 1, is amended to read:
Sec. 2.
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[62Q.791] CONTRACTS WITH DENTAL CARE PROVIDERS.
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Notwithstanding any other provisions of law, no dental plan or dental provider
agreement of any dental organization for provision of dental care services may:
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(1) require, directly or indirectly, that a participating dentist provide services to its
enrollees at a fee set by the dental organization, unless the services provided are covered
dental care services for enrollees under the dental plan or provider agreement; or
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(2) prohibit, directly or indirectly, the participating dentist from offering or providing
dental services that are not covered dental care services under the dental plan or provider
agreement or not reimbursable at the expense of the dental organization, on terms and
conditions acceptable to the enrollee and the participating dentist.
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For purposes of this section, "covered dental care services" means dental care
services that are expressly covered under the dental plan or provider agreement, including
dental care services that are subject to contractual limitations such as deductibles, annual
maximums, and waiting periods.
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This section is effective August 1, 2010, and applies to dental
plans and provider agreements entered into on or after that date.
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