§ 24-A §4261 — Fees for covered dental services

1.
Definitions.
As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
2.
Prohibition of required fees for dental services not covered.
A health maintenance organization that issues individual or group dental insurance or individual or group contracts that include coverage for dental services may not require, directly or indirectly, that a participating dental provider provide dental services at a fee set by, or subject to the approval of, the health maintenance organization for a service that is not a covered dental service.
3.
Fees for covered dental services.
A fee for a covered dental service must be set by the health maintenance organization in good faith and may not be nominal.

Legislative History

PL 2025, c. 298, §4 (NEW).