Dental Plan “Covered Services”

On July 22, 2019, the Department of Insurance released Bulletin CB-143. This bulletin clarifies a Nebraska law that prohibits prepaid dental service plans, insurance policies, self-funded employee benefit plans and prepaid limited heath organization plans from dictating the price of dental services that they do not cover. The bulletin clarifies that plans can rely on two interpretations of the term "covered services " when complying with this law. They can either define “covered services” to mean services that the insurer or plan actually paid for on behalf of a participant or it can be defined to mean any service that could be covered under the contract.

The Department intends to allow either interpretation until the legislature clarifies their intended definition. Employers sponsoring dental plans offered to Nebraska residents should be aware of this clarification.

Bulletin CB-143 »