Sec. 1451.205. DISCLOSURE OF BENEFIT TERMS

Latest version.

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.

                    
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