Sec. 1451.205. DISCLOSURE OF BENEFIT TERMS. An employee benefit plan or health insurance policy shall:
(1) if applicable, disclose that the benefit for dental care services offered is limited to the least costly treatment; and
(2) specify in dollars and cents the amount of the payment or reimbursement to be provided for dental care services or define and explain the standard on which payment of benefits or reimbursement for the cost of dental care services is based, such as:
(A) "usual and customary" fees;
(B) "reasonable and customary" fees;
(C) "usual, customary, and reasonable" fees; or
(D) words of similar meaning.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Section: Previous 1451.154 1451.155 1451.156 1451.201 1451.202 1451.203 1451.204 1451.205 1451.206 1451.2065 1451.207 1451.251 1451.252 1451.253 1451.254 NextLast modified: September 28, 2016