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5 U.S.C. § 8954 — Benefits

submitted 22 years ago by Pub. L. 108-496 to r/title-5-GOVERNMENT-ORGANIZATION-AND-EMPLOYEES · 166 words · no verdicts yet

in plain englishAI-generated · not legal advice

This section permits minimum standards for enhanced dental plans and lists the types of dental benefits they may provide. It also requires geographic coverage and makes chapter 89 the first payer when both kinds of coverage exist.

(a) The Office may prescribe reasonable minimum standards for enhanced dental benefits plans offered under this chapter and for qualified companies offering the plans. (b) Each contract may include more than 1 level of benefits that must be made available to all eligible people. (c) The benefits to be provided under enhanced dental benefits plans under this chapter can be of the following types: (1) Diagnostic. (2) Preventive. (3) Emergency care. (4) Restorative. (5) Oral and maxillofacial surgery. (6) Endodontics. (7) Periodontics. (8) Prosthodontics. (9) Orthodontics. (d) A contract approved under this chapter must require the qualified company to cover the geographic service delivery area specified by the Office. The Office must require qualified companies to include dentally underserved areas in their service delivery areas. (e) If an person has dental coverage under a health benefits plan under chapter 89 and also has coverage under a plan under this chapter, the health benefits plan under chapter 89 must be the first payor of any benefit payments.
the actual law source: uscode.house.gov ↗public domain
(a)

The Office may prescribe reasonable minimum standards for enhanced dental benefits plans offered under this chapter and for qualified companies offering the plans.

(b)

Each contract may include more than 1 level of benefits that shall be made available to all eligible individuals.

(c)

The benefits to be provided under enhanced dental benefits plans under this chapter may be of the following types:

(1)

Diagnostic.

(2)

Preventive.

(3)

Emergency care.

(4)

Restorative.

(5)

Oral and maxillofacial surgery.

(6)

Endodontics.

(7)

Periodontics.

(8)

Prosthodontics.

(9)

Orthodontics.

(d)

A contract approved under this chapter shall require the qualified company to cover the geographic service delivery area specified by the Office. The Office shall require qualified companies to include dentally underserved areas in their service delivery areas.

(e)

If an individual has dental coverage under a health benefits plan under chapter 89 and also has coverage under a plan under this chapter, the health benefits plan under chapter 89 shall be the first payor of any benefit payments.

Source credit: (Added Pub. L. 108–496, § 2, Dec. 23, 2004, 118 Stat. 4003.)

history & why it existsrecord from the source credit
  • 2004Enacted · Pub. L. 108-496 · 118 Stat. 4003

A history note hasn’t been published yet. The record shows enactment by Pub. L. 108-496 on 2004-12-23.

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