S0373B1287A08388 SFR:CMD 06/21/18 #90 A08388
AMENDMENTS TO SENATE BILL NO. 373
Sponsor: REPRESENTATIVE PICKETT
Printer's No. 1287
Amend Bill, page 3, lines 9 through 29, by striking out all
of said lines and inserting
(3) Except as provided in paragraph (4), a check for payment
of a claim covered under any dental care insurance policy issued
or renewed on or after the effective date of this paragraph for
covered dental care services provided by a licensed dental
provider, where the dental provider is not a participating
provider under a contact with a dental insurer, shall be made
out to both the dental provider and the insured. The checks
shall be sent to the insured. An out-of-network dental provider
shall not require the insured to pay any amount above any
applicable copayments, coinsurances or deductibles at the time
of service.
(4) Dental insurance policies issued or renewed on or after
the effective date of this paragraph, and dental claims forms
under those policies, shall allow an out-of-network provider of
the dental service to request that the dental insurer ' s payment
be made only to the provider. Where the insured, with written
attestation, agrees to the assignment of payment, the provider
shall not require the insured to pay an amount in excess of the
insurer ' s rate for the same service performed by a network
provider, except for any applicable copayments, coinsurances or
deductibles.
(5) Nothing in paragraph (3) or (4) shall preclude a dental
insurer and an out-of-network dental provider from agreeing to
an alternate payment arrangement. The provider shall not require
the insured to pay an amount in excess of the insurer ' s rate,
except for any applicable copayments, coinsurances or
deductibles.
Amend Bill, page 4, lines 4 through 19, by striking out all
of said lines
Amend Bill, page 4, line 20, by striking out "60" and
inserting
240
2018/90SFR/SB0373A08388 - 1 -
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See A08388 in
the context
of SB0373