2014 -- H 7470

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LC004372

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2014

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A N   A C T

RELATING TO INSURANCE - NONPROFIT DENTAL SERVICE CORPORATIONS

     

     Introduced By: Representatives Keable, Blazejewski, Johnston, Guthrie, and Kazarian

     Date Introduced: February 12, 2014

     Referred To: House Corporations

     It is enacted by the General Assembly as follows:

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     SECTION 1. Section 27-20.1-20 of the General Laws in Chapter 27-20.1 entitled

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"Nonprofit Dental Service Corporations" is hereby amended to read as follows:

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     27-20.1-20. Plan change notices. -- Every entity providing a nonprofit dental service

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plan as defined in this chapter shall notify: all

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     (a) All dentists providing services under a group or individual policy, contract or health

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benefit plan for coverage of dental services, in writing, of any changes to its rules and regulations,

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guidelines, policies or procedures concerning coverage of or payment for dental services. Said

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notice of changes in terms shall be communicated to the participating dentists by the dental plan

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in electronic mail format or, in addition, beginning January 1, 2012 and upon the written request

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of the dentist, received by the nonprofit dental service plan on or before December 31, 2011, by

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U.S. mail, showing the changes in redline format and shall be provided to the participating

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dentists no later than fifteen (15) days before the effective date of said changes.; and

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     (b)(1) All plan purchasers purchasing dental services for employees under a group or

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individual policy contract or health benefit plan for coverage of dental services, in writing, of any

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changes to its rules and regulations, guidelines, policies or procedures concerning coverage of or

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payment for dental services.

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     (2) Said notice of changes in terms shall be communicated to all plan purchasers

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purchasing dental services for employees in writing by the dental plan showing the changes in

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redline format and shall be provided to the participating plan purchasers no later than fifteen (15)

 

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days before the effective date of said changes.

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     (3) The notice shall demonstrate how these changes in coverage will impact the cost of

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the plan, including demonstrable cost savings to the plan purchasers.

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     (c)(1) All covered members under a group or individual policy contract or health benefit

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plan for coverage of dental services, in writing, of any changes to its rules and regulations,

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guidelines, policies or procedures concerning coverage of or payment for dental services.

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     (2) Said notice of changes in terms shall be communicated to the covered members in

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writing by the dental plan showing the changes in redline format and shall be provided to the

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covered members no later than fifteen (15) days before the effective date of said changes.

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     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE - NONPROFIT DENTAL SERVICE CORPORATIONS

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     This act would require nonprofit dental service plan providers to provide notice of any

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changes relating to coverage under the plan to dentist providing coverage under the plan.

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     This act would take effect upon passage.

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