2017 New Mexico Statutes
Chapter 59A - Insurance Code
Article 48 - Prepaid Dental Plans
Section 59A-48-2 - Definitions.
59A-48-2. Definitions.
As used in this article:
A. "member" means an individual who is enrolled in a group prepaid dental plan as a principal subscriber together with such person's dependents who are entitled to dental care services under the plan solely because of their status as dependents of the principal subscriber;
B. "membership coverage" means any certificate or contract issued to a member setting out the dental coverage to which such member is entitled;
C. "prepaid dental plan" means any contractual arrangement whereby any prepaid dental plan organization undertakes to provide directly or to arrange for prepaid dental services and to pay or make reimbursement for any remaining portion of such prepaid dental services on a prepaid basis through insurance or otherwise;
D. "prepaid dental plan organization" means any person who undertakes to conduct one or more prepaid dental plans providing only dental services; provided, that this article shall not apply to nonprofit health care plans or accident and health insurance programs;
E. "prepaid dental services" means services included in the practice of dentistry as defined in the Dental Act [repealed]; and
F. "provider" means any person licensed under the Dental Act [repealed] or otherwise authorized to furnish prepaid dental services in New Mexico.
History: Laws 1984, ch. 127, 881.
