Statutes, codes, and regulations
United States Code
Title 5 - GOVERNMENT ORGANIZATION AND EMPLOYEESPart III - EMPLOYEESSubpart G - INSURANCE AND ANNUITIES
Chapter 89A - ENHANCED DENTAL BENEFITS
Section 8954 - Benefits

5 U.S.C. § 8954

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Current through P.L. 118-107 (published on www.congress.gov on 11/21/2024)
Section 8954 - Benefits
(a) The Office may prescribe reasonable minimum standards for enhanced dental benefits plans offered under this chapter and for qualified companies offering the plans.
(b) Each contract may include more than 1 level of benefits that shall be made available to all eligible individuals.
(c) The benefits to be provided under enhanced dental benefits plans under this chapter may be of the following types:
(1) Diagnostic.
(2) Preventive.
(3) Emergency care.
(4) Restorative.
(5) Oral and maxillofacial surgery.
(6) Endodontics.
(7) Periodontics.
(8) Prosthodontics.
(9) Orthodontics.
(d) A contract approved under this chapter shall require the qualified company to cover the geographic service delivery area specified by the Office. The Office shall require qualified companies to include dentally underserved areas in their service delivery areas.
(e) If an individual has dental coverage under a health benefits plan under chapter 89 and also has coverage under a plan under this chapter, the health benefits plan under chapter 89 shall be the first payor of any benefit payments.

5 U.S.C. § 8954

Added Pub. L. 108-496, §2, Dec. 23, 2004, 118 Stat. 4003.

STATUTORY NOTES AND RELATED SUBSIDIARIES

EFFECTIVE DATESection effective Dec. 23, 2004, and applicable to contracts that take effect with respect to the calendar year 2006, see section 7 of Pub. L. 108-496 set out as a note under section 8951 of this title.

Office
The term "Office" means the Office of Personnel Management.
qualified company
The term "qualified company" means a company (or consortium of companies or an employee organization defined under section 8901(8)) that offers indemnity, preferred provider organization, health maintenance organization, or discount dental programs and if required is licensed to issue applicable coverage in any number of States, taking any subsidiaries of such a company into account (and, in the case of a consortium, considering the member companies and any subsidiaries thereof, collectively).