§ 15-702. Dentists, physicians, and podiatrists under self-funded group insurance plans  


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  •    (a) Scope of section. -- This section applies to each self-funded group insurance plan that:

       (1) (i) is formed by an order, society, or association that is incorporated or has a main office in the State; or

          (ii) covers individuals who reside or work in the State; and

       (2) is issued, renewed, amended, or reissued on or after July 1, 1972.

    (b) Reimbursement for services. -- Notwithstanding any other provision of a self-funded group insurance plan subject to this section, if the plan provides for reimbursement for a service that is within the lawful scope of practice of a physician, dentist, or podiatrist, the plan may not prohibit a person covered by the plan from being reimbursed for the service regardless of whether the service is performed by a physician, dentist, or podiatrist.


HISTORY: An. Code 1957, art. 48A, § 490 1/2; 1997, ch. 35, § 2.