As used in this article:
A. "member" means an individual who is enrolled in a group prepaid dental plan as a principal subscriber together with such person's dependents who are entitled to dental care services under the plan solely because of their status as dependents of the principal subscriber;
B. "membership coverage" means any certificate or contract issued to a member setting out the dental coverage to which such member is entitled;
C. "prepaid dental plan" means any contractual arrangement whereby any prepaid dental plan organization undertakes to provide directly or to arrange for prepaid dental services and to pay or make reimbursement for any remaining portion of such prepaid dental services on a prepaid basis through insurance or otherwise;
D. "prepaid dental plan organization" means any person who undertakes to conduct one or more prepaid dental plans providing only dental services; provided, that this article shall not apply to nonprofit health care plans or accident and health insurance programs;
E. "prepaid dental services" means services included in the practice of dentistry as defined in the Dental Act [61-5-1 to 61-5-9, 61-5-11 to 61-5-22 NMSA 1978][repealed]; and
F. "provider" means any person licensed under the Dental Act [repealed] or otherwise authorized to furnish prepaid dental services in New Mexico.
History: Laws 1984, ch. 127, § 881.
Bracketed material. — The bracketed material was inserted by the compiler and is not part of the law. Laws 1994, ch. 55, § 41 repealed the Dental Act, effective July 1, 1994. For present comparable provisions, see 61-5A-1 NMSA 1978 et seq.
Structure New Mexico Statutes
Article 48 - Prepaid Dental Plans
Section 59A-48-1 - Short title.
Section 59A-48-2 - Definitions.
Section 59A-48-3 - Certificate of authority required.
Section 59A-48-4 - Application for certificate of authority.
Section 59A-48-5 - Issuance of certificate of authority.
Section 59A-48-6 - Deposit requirement; exception.
Section 59A-48-7 - Reserve requirement; exception.
Section 59A-48-8 - Membership coverage.
Section 59A-48-9 - Examination of prepaid dental plan organization.
Section 59A-48-10 - Annual report to superintendent.
Section 59A-48-12 - Operational expenses.
Section 59A-48-13 - Prohibited practices.
Section 59A-48-14 - Agents and solicitors.
Section 59A-48-15 - Suspension or revocation of certificate of authority.
Section 59A-48-16 - Approval of advertising and sales material.
Section 59A-48-17 - Solicitation not violation of certain laws relating to providers.
Section 59A-48-18 - Conservation, rehabilitation, liquidation.