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KRS 304.17C-130

Definitions for KRS 304.17C-130 to 304.17C-138

Effective: July 14, 2022 History: Created 2022 Ky

As used in KRS 304.17C-130 to 304.17C-138:

(1) "Covered person" means an individual who is covered by a dental benefit plan;

(2) "Dental benefit plan" means a limited health service benefit plan that provides coverage for dental services;

(3) "Dental carrier" means a health insurer that provides coverage for dental services;

(4) "Dental services":

(a) Means services for the diagnosis, prevention, treatment, or cure of a dental condition, illness, injury, or disease; and (b) Does not include services delivered by a provider that are billed as medical expenses under a health insurance plan;

(5) "Dentist" means any dentist licensed or otherwise authorized in this state to furnish dental services;

(6) "Health insurer" means any insurance company, health maintenance organization, self-insurer or multiple employer welfare arrangement not exempt from state regulation by ERISA, provider-sponsored integrated health delivery network, self- insured employer-organized association, nonprofit hospital, medical-surgical, dental, and health service corporation, or limited health service organization authorized to transact health insurance business in Kentucky; and (7) "Provider":

(a) Means an individual or entity, acting within the scope of the individual or entity's licensure or certification, that provides dental services or supplies defined by the dental benefit plan; and (b) Does not include a physician organization or physician hospital organization that leases or rents its network to a third party.

Official source: Kentucky General Assembly. Reproduced from public-domain Kentucky statutes; confirm against the official source for the current text. Not legal advice.