SP0159, LD 567, item 1, An Act To Prevent Insurer Limits on Certain Dental Fees

An Act To Prevent Insurer Limits on Certain Dental Fees

Be it enacted by the People of the State of Maine as follows:

Sec. 1. 24 MRSA §2317-B, sub-§12-G is enacted to read:

12-G. Title 24-A, sections 2767 and 2847-S. Limits on fees for dental services, Title 24-A, sections 2767 and 2847-S.

Sec. 2. 24-A MRSA §2767 is enacted to read:

§ 2767. Limits on fees for dental services

An insurance policy or contract for insurance between an insurer and a dentist may not restrict, limit or otherwise control a fee that the dentist charges a patient for services not covered by the policy or contract or the portion of a total fee for a covered service that exceeds the amount covered by the policy or contract.

Sec. 3. 24-A MRSA §2847-S is enacted to read:

§ 2847-S. Limits on fees for dental services

1. Dental contracts. An insurance policy or contract for insurance between an insurer and a dentist may not restrict, limit or otherwise control a fee that the dentist charges a patient for services not covered by the policy or contract or the portion of a total fee for a covered service that exceeds the amount covered by the policy or contract.

2. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2012. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.

SUMMARY

This bill prevents insurers from limiting dental fees that are not covered by the insurer or the portion of a dental fee that exceeds the amount covered.

SP0159 LD 567	First Regular Session - 125th Maine Legislature		LR 1372 Item 1
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