Code of Virginia - Title 38.2 Insurance - Chapter 61 Dental Plan Organizations

  • 38.2-6100 Applicability of chapter
    A. Except as otherwise provided by law, no dental plan organization shall be organized, conducted, or offered in the Commonwealth other than in the manner ...
  • 38.2-6101 Definitions
    As used in this chapter: "Contract holder" means (i) with respect to group contracts, the organization or entity to which the dental benefit contract is ...
  • 38.2-6102 License application
    A. No person shall establish or operate a dental plan organization in the Commonwealth without first obtaining a license from the Commission. Any business entity, ...
  • 38.2-6103 Issuance of license; capital and surplus; impairment
    A. The Commission shall issue a license to a dental plan organization after the filing of a complete application and payment of a $500 nonrefundable ...
  • 38.2-6104 License renewals
    A. Each dental plan organization organized under this chapter shall obtain an annual renewal of its license from the Commission by July 1 of each ...
  • 38.2-6105 Required dental benefit contract provisions
    A. Each dental benefit contract shall contain the following provisions: 1. An effective date of the contract; 2. A provision describing the payment of required ...
  • 38.2-6106 Optional provisions
    Dental benefit contracts may contain the following provisions: 1. A provision including the dental plan organization's intention to charge a specified missed appointment fee. The ...
  • 38.2-6107 Grace period requirements
    The contract holder shall be given a 31-day grace period for the payment of any premium falling due after the first premium during which coverage ...
  • 38.2-6108 Plan dentist contracts; preferred providers; assignment of benefits
    A. Each contract with a plan dentist shall contain the following provisions: 1. A hold harmless clause that satisfies the requirements of subdivision C 9 ...
  • 38.2-6109 Delivery of contract forms
    The dental plan organization: 1. Shall provide a written dental benefit contract to each group contract holder within 15 days of acceptance of the group's ...
  • 38.2-6110 Filing requirements for premium rates and subscription fees
    A. The filing with the Commission of any dental benefit contract or rider or endorsement by a dental plan organization shall be accompanied by the ...
  • 38.2-6111 Examinations
    A. The Commission shall examine the affairs of each dental plan organization as provided for in § 38.2-1317. B. Instead of making its own examination, ...
  • 38.2-6112 Licensing of agents
    Dental benefit contracts may be solicited only through health insurance agents and limited lines life and health agents licensed in accordance with Chapter 18 (§ ...
  • 38.2-6113 Application of other laws
    A. Except to the extent that such application would be inconsistent with any provision of this chapter, the provisions of Chapter 5 (§ 32.1-123 et ...

Last modified: April 3, 2009