Filing and Approval of Summary Description

Section 5425 Section 4525.50  Filing and Approval of Summary Description Pursuant to Section 143 of the Code a managed care dental plan shall file a summary description of coverage for approval by the Department, prior to its use, for each plan it establishes, operates, or maintains.  The summary description shall contain all terms of coverage required by Section 25 of the Dental Care Patient Protection Act [215 ILCS 109/25].  In addition, each managed care dental plan is required to file a list of all participating dentists for informational purposes in accordance with the filing requirements of 50 Ill. Adm. Code 916.  Subsequent filings of the summary description will only be required pursuant to Section 4525.80 of this Part, if material modifications occur and are to be submitted to the Life, Accident and Health Compliance Unit of the Department in accordance with the filing requirements of 50 Ill. Adm. Code 916.