SB 131

Under this bill: 1) an insurer that offers a limited-scope policy that provides

coverage for dental and related services may not require a dentist who provides

services under the policy to provide a service to an insured under the policy at a fee

set by the insurer if the service is not covered under the policy (noncovered service);

2) an administrator providing third-party administration services or a provider

network for a plan that provides coverage for dental and related services may not

require any dentist in the administrator's provider network to charge set fees for

noncovered services provided to enrollees of the plan; and 3) a dentist who provides

services to an insured under a limited-scope policy that provides coverage for dental

and related services may not charge the insured more than the dentist's usual

nondiscounted fee for a noncovered service. The bill prohibits a limited-scope policy

that provides coverage for dental and related services from providing nominal or de

minimis coverage for a dental or related service, making the service a covered

service, for the sole purpose of avoiding the requirement under the bill that prohibits

setting fees for noncovered services.