2019 Arkansas Code
Title 23 - Public Utilities and Regulated Industries
Subtitle 3 - Insurance
Chapter 63 - Insurance Companies Generally
Subchapter 1 - General Provisions
§ 23-63-115. Agreement Between Insurers and Dentists Establishing Fees for Noncovered Service Prohibited - Definitions

Universal Citation: AR Code § 23-63-115 (2019)
  • (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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