Virginia Code 38.2-6108: Plan dentist contracts; preferred providers; assignment of benefits
A. Each contract with a plan dentist shall contain the following provisions:
Terms Used In Virginia Code 38.2-6108
- Contract: A legal written agreement that becomes binding when signed.
- Dental plan: means a contractual arrangement for dental services provided or arranged for, that pays benefits or is administered on an individual or group basis. See Virginia Code 38.2-6101
- Dental plan organization: means a company that provides directly or arranges for a dental plan. See Virginia Code 38.2-6101
- Plan dentist: means any dentist, licensed by the Virginia Board of Dentistry, who has contracted with the dental plan organization or with an entity acting on behalf of the dental plan organization to provide dental services to the enrollees. See Virginia Code 38.2-6101
1. A hold harmless clause that satisfies the requirements of subdivision C 9 of § 38.2-5805.
2. A provision specifying when the contract becomes effective.
3. A provision specifying the date the contract terminates.
4. A provision specifying the renewal terms.
5. Provisions incorporating the rights, remedies and obligations applicable to providers and dental plan organizations set forth in §§ 38.2-3407.1, 38.2-3407.10, 38.2-3407.15, and 38.2-5805.
B. A dental plan organization that offers or administers a plan under which preferred provider policies or contracts are issued shall comply with the requirements of § 38.2-3407 in contracting with dentists for services in connection with the preferred provider policies or contracts.
C. All dental plan organizations shall comply with the provisions of § 38.2-3407.13 relating to assignments of benefits by subscribers and enrollees.
2004, c. 668.