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Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-63-115. Agreement between insurers and dentists establishing fees for noncovered service prohibited--Definitions

Current as of March 28, 2024 | Updated by Findlaw Staff

(a) As used in this section:

(1) “Dental plan” means a contract, plan, or policy of insurance issued by an insurer that provides for a dental benefit;

(2) “Insurer” means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity; and

(3)(A) “Noncovered service” means a service that is not reimbursable under a dental plan.

(B) “Noncovered service” does not include a service that is reimbursable subject to a deductible, waiting period, frequency limitation, annual or lifetime maximum, or other contractual limitation.

(b) An agreement between an insurer and a dentist establishing the fee a dentist may charge for a noncovered service is unenforceable.

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Cite this article: FindLaw.com - Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-63-115. Agreement between insurers and dentists establishing fees for noncovered service prohibited--Definitions - last updated March 28, 2024 | https://codes.findlaw.com/ar/title-23-public-utilities-and-regulated-industries/ar-code-sect-23-63-115/

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