Subdivision 1. Applicability.
For purposes of sections
, the terms defined
in this section have the meanings given them.
Subd. 2. Dental care services.
"Dental care services" means services performed by a
licensed dentist or any person working under the dentist's supervision as permitted under chapter
150A, which an enrollee might reasonably require to maintain good dental health, including
preventive services, diagnostic services, emergency dental care, and restorative services.
Subd. 3. Dental plan.
"Dental plan" means a policy, contract, or certificate offered by a
dental organization for the coverage of dental care services. Dental plan means individual or
Subd. 4. Dentist.
"Dentist" means a person licensed to practice dentistry under chapter 150A.
Subd. 5. Emergency dental care.
"Emergency dental care" means the provision of dental
care services for a sudden, acute dental condition that would lead a prudent layperson to
reasonably expect that the absence of immediate care would result in serious impairment to the
dentition or would place the person's oral health in serious jeopardy.
Subd. 6. Enrollee.
"Enrollee" means an individual covered by a dental organization and
includes an insured, policyholder, subscriber, contract holder, member, covered person, or
Subd. 7. Dental organization.
"Dental organization" means a health insurer licensed under
chapter 60A; a health service plan corporation licensed under chapter 62C; a health maintenance
organization licensed under chapter 62D; a community integrated service network licensed under
chapter 62N; or a third party administrator that:
(i) provides, either directly or through contracts with providers or other persons, dental
(ii) arranges for the provision of these services to enrollees on the basis of a fixed, prepaid
sum without regard to the frequency or extent of services furnished to any particular enrollee; or
(iii) administers dental plans.
History: 2000 c 410 s 1