AN ACT RELATING TO INSURANCE CONTRACTS WITH PROVIDERS OF DENTAL SERVICES AMENDING CHAPTER 18, TITLE 41, IDAHO CODE, BY THE ADDITION OF A NEW SECTION 411849, IDAHO CODE, TO PROVIDE PROVISIONS FOR CONTRACTS WITH PROVIDERS OF DENTAL SERVICES TO DEFINE "COVERED SERVICES" AND TO PROVIDE APPLICATION AMENDING CHAPTER 34, TITLE 41, IDAHO CODE, BY THE ADDITION OF A NEW SECTION 413444, IDAHO CODE, TO PROVIDE PROVISIONS FOR CONTRACTS WITH PROVIDERS OF DENTAL SERVICES, TO DEFINE "COVERED SERVICES" AND TO PROVIDE APPLICATION.
Be It Enacted by the Legislature of the State of Idaho:
SECTION 1.
That Chapter 18, Title 41, Idaho Code, be, and the same is hereby amended by the addition thereto of a NEW SECTION, to be known and designated as Section 411849,
Idaho Code, and to read as follows:
- CONTRACTS WITH PROVIDERS OF DENTAL SERVICES.
(1) No person contracting with dentists to provide coverage or reimbursement for dental services may require, as an element of any dental care provider participation contract, that any provider agree to adopt fees set by the person for services that are not covered services under the contract.
"Covered services" as used in this section means services under the applicable dental plan, dental plan contract or plan benefits subject to such contractual limitations on benefits of the dental plan, dental plan contracts or plan benefits as may apply.
(2) This section shall apply to any contract with providers for dental services that is issued after January 1, 2011. Contracts that are in existence on January 1, 2011, shall be brought into compliance on the next anniversary date, renewal date, or the expiration date of the applicable collective bargaining contract, if any, whichever date is latest.
SECTION 2.
That Chapter 34, Title 41, Idaho Code, be, and the same is hereby amended by the addition thereto of a NEW SECTION, to be known and designated as Section 413444, Idaho Code, and to read as follows:
- CONTRACTS WITH PROVIDERS OF DENTAL SERVICES.
(1) No person contracting with dentists to provide coverage or reimbursement for dental services may require, as an element of any dental care provider participation contract, that any provider agree to adopt fees set by the person for services that are not covered services under the contract. "Covered services" as used in this section means services under the applicable dental plan, dental plan contract or plan benefits subject to such contractual limitations on benefits of the dental plan, dental plan contracts or plan benefits as may apply.
(2) This section shall apply to any contract with providers for dental services that is issued after January 1, 2011. Contracts that are in existence on January 1, 2011, shall be brought into compliance on the next anniversary date, renewal date, or the expiration date of the applicable collective bargaining contract, if any, whichever date is latest.
