REPORT TITLE:
Dentists


DESCRIPTION:
Permits a patient to direct an insurer plan to directly reimburse
a dental provider. (HB2833 HD1)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                                        2833
HOUSE OF REPRESENTATIVES                H.B. NO.           H.D. 1
TWENTIETH LEGISLATURE, 2000                                
STATE OF HAWAII                                            
                                                             
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                   A  BILL  FOR  AN  ACT

RELATING TO DENTAL INSURANCE.



BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 1      SECTION 1.  Chapter 431, Hawaii Revised Statutes, is amended
 
 2 by adding a new section to article 10A to be appropriately
 
 3 designated and to read as follows:
 
 4      "§431:10A-     Dental services; reimbursement.  (a)  An
 
 5 insured may assign reimbursement for dental services directly to
 
 6 the provider of services.
 
 7      (b)  Upon notification by the insured, the insurer shall
 
 8 reimburse the provider for dental services provided to the
 
 9 insured.  The insurer shall reimburse the provider based upon
 
10 insurer's benefit fee schedule and guidelines regardless of
 
11 whether or not the provider is a participating provider with the
 
12 insurer.
 
13      (c)  Nothing in this section shall be construed to limit any
 
14 insurer from determining the scope of its benefits, services, or
 
15 any other terms contained in the insurer's contracts except as
 
16 provided in this section.
 
17      (d)  As used in this section:
 
18      "Participating provider" means a provider that contracts
 
19 with an insurer to provide services to insureds.
 

 
Page 2                                                     2833
                                     H.B. NO.           H.D. 1
                                                        
                                                        

 
 1      "Provider" means a dentist licensed to practice in Hawaii
 
 2 under chapter 448."
 
 3      SECTION 2.  New statutory material is underscored.
 
 4      SECTION 3.  This Act shall take effect upon its approval.