Sec. 38a-577. (Formerly Sec. 38-174ii). Consumer dental health plans. Definitions. - Connecticut Statutes

      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.