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OH HB95

Bill

Status

Engrossed

6/10/2015

Primary Sponsor

Anthony DeVitis

Click for details

Origin

House of Representatives

131st General Assembly (2015-2016)

AI Summary

  • 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.

  • 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.

  • Applies to all contracting entities offering dental services except those subject to federal ERISA regulation.

  • Requires health insurers to disclose compensation terms, fee schedules, and contract information to participating dental providers before or upon request.

  • 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

Committee Referrals

Insurance6/16/2015
Health and Aging3/4/2015

Full Bill Text

No bill text available