SB 1418 Summary

• Requires dental service corporations to specify in contracts with providers and subscribers how they coordinate claims payments with other health care benefit plans covering the subscriber.

• Requires dental service corporations to pay full benefits according to their subscription contract when they are the primary carrier, while secondary carriers pay any remaining costs not to exceed the plan's allowance or the full service fee.

• Requires prepaid dental plan organizations to specify in contracts with providers and enrollees how they coordinate claims payments with other health care benefit plans.

• Requires prepaid dental plan organizations to pay full benefits when primary, while secondary carriers pay remaining costs not to exceed the plan's allowance or full service fee.

• Authorizes the director to adopt rules to enforce coordination of benefits requirements for dental plans.