PARRIS N. GLENDENING, Governor                             Ch. 283

(1)     Reviewing applications for participation in the carrier's provider panel
in accordance with the provisions of this section;

(2)     Notifying an enrollee of:

(i) The termination from the carrier's provider panel of the enrollee's
primary care provider who was furnishing health care services to the enrollee; and

(ii) The right of an enrollee upon request to continue to receive health
care services for a period of up to 90 days from the date of a primary care provider's
notice of termination from a carrier's provider panel for reasons unrelated to fraud,
patient abuse, incompetency, or loss of licensure status by the provider;

(3)     Notifying primary care providers in the carrier's provider panel of the
termination of a specialty referral services provider; and

(4)     Notifying a provider at least 90 days prior to the date of the termination
of the provider for reasons unrelated to fraud, patient abuse, incompetency, or loss of
licensure status by the provider.

490EE.

(b) (I) If an employer, association, or other private group arrangement offers dental
benefit plan coverage to employees or individuals only through a carrier's provider panel, the
carrier with which the employer, association, or other private group arrangement is contracting
for the coverage shall offer, or contract with another carrier to offer, a dental point-of-service
option to the employer, association, or other private group arrangement as an additional
benefit for an employee or individual, at the employee's or individual's option, to accept or
reject.

(2) WHEN A CARRIER'S DENTAL PROVIDER PANEL IS THE SOLE DELIVERY
SYSTEM OFFERED TO EMPLOYEES BY AN EMPLOYER THE CARRIER:

(I) SHALL OFFER THE EMPLOYER A DENTAL POINT-OF-SERVICE
OPTION FOR THE INDIVIDUAL EMPLOYEE TO ACCEPT OR REJECT;

(II) MAY NOT IMPOSE A MINIMUM PARTICIPATION LEVEL ON THE
DENTAL POINT-OF-SERVICE OPTION; AND

(III) AS PART OF THE GROUP ENROLLMENT APPLICATION, SHALL
PROVIDE TO EACH EMPLOYER A DISCLOSURE STATEMENT FOR EACH DENTAL
POINT-OF-SERVICE OPTION OFFERED THAT CONFORMS TO REGULATIONS, FOR THE
POINT-OF-SERVICE OPTION REQUIRED UNDER § 19-710.2 OF THE HEALTH - GENERAL
ARTICLE, ADOPTED BY:

1. THE HEALTH CARE ACCESS AND COST COMMISSION FOR
THE SMALL GROUP MARKET; AND

2. THE MARYLAND INSURANCE ADMINISTRATION FOR THE
NON-SMALL GROUP MARKET.

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