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OH HB95
Bill
Status
6/10/2015
Primary Sponsor
Anthony DeVitis
Click for details
AI Summary
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Prohibits health insurers from establishing or approving fee schedules for dental services that are not covered under the enrollee's plan or participating provider agreement.
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Amends unfair and deceptive practices in insurance law to define this fee-setting restriction as a prohibited practice for dental insurers and dental benefit plans.
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Applies to all contracting entities offering dental services except those subject to federal ERISA regulation.
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Requires health insurers to disclose compensation terms, fee schedules, and contract information to participating dental providers before or upon request.
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Includes legislative findings that insurers cannot circumvent the law by imposing minimal reimbursement through deductibles, copayments, or coinsurance on uncovered dental services.
Legislative Description
Permits dental insurer to fee schedule only covered services
Health and Human Services : Health Care
Last Action
Refer to Committee: Insurance
6/16/2015