Delaware Administrative Code
Title 18 - Insurance
1400 - Health Insurance Specific Provisions
1402 - Dental Plan Organization [Formerly Regulation 39]
Section 1402-3.0 - Definitions
Current through Register Vol. 28, No. 3, September 1, 2024
3.1 Definitions as used in 18 Del.C. § 3802:
"Dental plan" means any contractual arrangement for dental services provided directly or arranged for or administered directly on a prepaid or postpaid individual or group capitation basis;
"Dental plan organization" means any person who undertakes to provide directly or to arrange for or administer one or more dental plans providing dental services;
"Dental services" means services included in the practice of dentistry as defined in 24 Del.C. § 1121;
"Enrollee" means an individual and his dependents who are enrolled in a dental plan organization; and
"Evidence of coverage" means any certificate, agreement or contract issued to an enrollee setting out the dental services to which the enrollee is entitled.
