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31.12.05.00.htm 31.12.05.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 12 HEALTH MAINTENANCE ORGANIZATIONS; ENTITIES THAT ACT AS HEALTH INSURERS Chapter 05 Dental Benefit Plan Coverage ― Mandatory Point-of-Service Option Authority: Insurance Article, §2-109 and 15-114, Annotated Code of Maryland
31.12.05.01.htm 31.12.05.01. 01 Scope.. This chapter applies to health maintenance organizations and dental plan organizations operating in this State.
31.12.05.02.htm 31.12.05.02. 02 Required Notice.. A. When a health maintenance organization or dental plan organization dental provider panel is the sole dental provider panel offered to group members by a group policyholder, the dental plan organization or the health maintenance organization:1) Shall offer the group policyholder a dental point-of-service option for the individual group member to accept or reject;
31.12.05.03.htm 31.12.05.03. 03 Record Retention.. Each health maintenance organization or dental plan organization shall maintain copies of the notice and the group policyholder response for a period of 3 years or until its next market conduct examination, whichever occurs first.
31.12.05.9999.htm 31.12.05.9999. Administrative History Effective date:. Regulations .01―03 adopted as an emergency provision effective July 1, 1996 (23:14 Md. R. 1005) adopted permanently effective November 4, 1996 (23:22 Md. R. 1496) ―Chapter recodified from COMAR 09.31.21 to COMAR 31.12.05 effective September 7, 1998 (25:18 Md. R. 1439)Regulation .02B amended effective August 3, 2015 (42:15 Md. R. 1019).
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