Ch. 35

1997 LAWS OF MARYLAND

AMOUNT LESS THAN THE SUM OR RATE NEGOTIATED IN THE CARRIER'S PROVIDER
CONTRACT WITH THE HEALTH CARE PRACTITIONER.

(C) BONUSES AND OTHER INCENTIVE-BASED COMPENSATION.

THIS SECTION DOES NOT PROHIBIT A CARRIER FROM PROVIDING BONUSES OR
OTHER INCENTIVE-BASED COMPENSATION TO A HEALTH CARE PRACTITIONER IF
THE BONUS OR OTHER INCENTIVE-BASED COMPENSATION DOES NOT:

(1) VIOLATE § 19-705.1 OF THE HEALTH - GENERAL ARTICLE; OR

(2) DETER THE DELIVERY OF MEDICALLY APPROPRIATE CARE. TO AN
ENROLLEE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 490DD.

In subsection (a)(2)(v) of this section, the former reference to an
"organization" is deleted as included in the defined term "person".

Chapter 605, § 6(b) of the Acts of 1995 provided that this section, as enacted
by Ch. 605, applied to contracts that are issued or renewed on or after July 1,
1996.

Defined terms: "Insurer" § 1-101
"Person" § 1-101

15-114. DENTAL PLANS.
(A) DEFINITIONS.

(1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2) "CARRIER" MEANS:

(I) AN INSURER;

(II) A NONPROFIT HEALTH SERVICE PLAN;

(III) A HEALTH MAINTENANCE ORGANIZATION;

(IV) A DENTAL PLAN ORGANIZATION; OR

(V) ANY OTHER PERSON THAT PROVIDES DENTAL BENEFIT PLANS
SUBJECT TO REGULATION BY THE STATE.

(3) "DENTAL POINT-OF-SERVICE OPTION" MEAN'S A DELIVERY SYSTEM
THAT ALLOWS AN INSURED, ENROLLEE, OR OTHER COVERED PERSON UNDER A
DENTAL BENEFIT PLAN TO RECEIVE DENTAL SERVICES OUTSIDE A PROVIDER
PANEL.

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