2019 Connecticut General Statutes
Title 38a - Insurance
Chapter 700c - Health Insurance
Section 38a-577 - (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions.
(a) For the purposes of sections 38a-577 to 38a-590, inclusive:
(1) “Capitation” means a payment system in which a dentist or group of dentists earn a fixed monthly fee from an enrolled individual or group of employees in return for providing a specific range of services for a contract year;
(2) “Commissioner” means the Insurance Commissioner;
(3) “Dental plan” means any contractual arrangement for dental services provided directly or arranged for or administered directly on a prepaid individual or group capitation basis;
(4) “Dental plan organization” means any dentist or group of dentists who undertake to provide directly or to arrange for or administer one or more dental plans providing dental services;
(5) “Dentist” means a person duly licensed under the provisions of chapter 379; and
(6) “Evidence of coverage” means any certificate, agreement or contract issued to an enrollee in a dental plan which sets forth the dental services to which the enrollee is entitled.
(b) The provisions of sections 38a-577 to 38a-590, inclusive, shall not apply to a licensed insurance company, licensed hospital service corporation or licensed medical service corporation or a health care center.
(P.A. 88-272, S. 1; P.A. 15-118, S. 23.)
History: Sec. 38-174ii transferred to Sec. 38a-577 in 1991; P.A. 15-118 made technical changes in Subsec. (b).
