Sec. 38a-577. (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions.
Sec. 38a-577. (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions. (a) For the purposes of sections 38a-577 to 38a-590, inclusive:
(1) "Capitation" means a payment system in which a dentist or group of dentists
earn a fixed monthly fee from an enrolled individual or group of employees in return
for providing a specific range of services for a contract year;
(2) "Commissioner" means the Insurance Commissioner;
(3) "Dental plan" means any contractual arrangement for dental services provided
directly or arranged for or administered directly on a prepaid individual or group capitation basis;
(4) "Dental plan organization" means any dentist or group of dentists who undertake
to provide directly or to arrange for or administer one or more dental plans providing
dental services;
(5) "Dentist" means a person duly licensed under the provisions of chapter 379; and
(6) "Evidence of coverage" means any certificate, agreement or contract issued to
an enrollee in a dental plan which sets forth the dental services to which the enrollee is
entitled.
(b) The provisions of sections 38a-577 to 38a-590, inclusive, shall not apply to a
licensed insurance company, a licensed hospital or medical service corporation or a
health maintenance organization.
(P.A. 88-272, S. 1.)
History: Sec. 38-174ii transferred to Sec. 38a-577 in 1991.