514C.3B  Dental coverage — fee schedules.
  1.  A contract between a dental plan and a dentist for the provision of services to covered individuals under the plan shall not require that a dentist provide services to those covered individuals at a fee set by the dental plan unless such services are covered services under the dental plan.
  2.  A person or entity providing third-party administrator services shall not make available any dentists in its dentist network to a dental plan that sets fees for dental services that are not covered services.
  3.  For the purposes of this section:
  a.  “Covered services” means services reimbursed under the dental plan.
  b.  “Dental plan” means any policy or contract of insurance which provides for coverage of dental services not in connection with a medical plan that provides for the coverage of medical services.
  4.  Nothing in this section shall be construed as limiting the ability of an insurer or a third-party administrator to restrict any of the following as they relate to covered services:
  a.  Balance billing.
  b.  Waiting periods.
  c.  Frequency limitations.
  d.  Deductibles.
  e.  Maximum annual benefits.
2010 Acts, ch 1179, §1