Connecticut § 38a-577 (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions.

Connecticut Statutes

§ 38a-577 — (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions.

Connecticut·Title 38a Insurance·Ch. 700c Health Insurance

(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

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(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.

Connecticut § 38a-577 ((Formerly Sec. 38-174ii). Consumer dental health plans. Definitions.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

(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).