HB1955eng 100TH GENERAL ASSEMBLY

HB1955 Engrossed LRB100 04571 SMS 14577 b

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Dental Service Plan Act is amended by changing Section 32 as follows:

(215 ILCS 110/32) (from Ch. 32, par. 690.32)

Sec. 32. A dental service plan corporation may enter into agreements with dentists qualified as set forth herein, under which such dentists become participating dentists in a plan operated by the corporation. Such corporation may make to such dentists such payments as have accrued to them by reason of services performed under the plan. Payment for dental services may be made to participating or nonparticipating dentists, or to nonparticipating licensed physicians, at rates adopted by the board of trustees. A dental service plan corporation may enter into contracts for the payment of dental services to the subscribers or members of similar dental service plan corporations of other states, subject to the supervision of such other states, and shall have the right to reimburse any other dental service plan corporation or dentists of another state or of the geographic areas of this State in which the corporation does not transact business for services rendered to its subscribers, or beneficiaries named in the certificates issued to such subscribers, at the same rate paid participating dentists under the certificate of the subscriber.

All payments from a dental service plan corporation for services performed under a dental service plan must be paid directly to the participating or nonparticipating dental practice, professional entity, or provider performing the service at the rate that has been adopted and agreed to under the plan as long as the assignment of benefits clause of the policy has been signed by the patient. Nothing in this Section shall require the dental service plan corporation to pay for services not covered under the plan.

(Source: Laws 1965, p. 2179.)