# Conn. Gen. Stat. § 38a-472c: Sec. 38a-472c. Dental policies. Estimate of reimbursement. Material adjustments to fee schedules for in-network providers. Notice

> Connecticut · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472c

## Section

- **Citation:** Conn. Gen. Stat. § 38a-472c
- **Heading:** Sec. 38a-472c. Dental policies. Estimate of reimbursement. Material adjustments to fee schedules for in-network providers. Notice
- **Jurisdiction:** Connecticut
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Connecticut Code / Title 38a / Chapter 700c / Section 38a-472c

## Text

(b) No person that issues a policy described in subsection (a) of this section that uses a provider network for such policy shall materially adjust the fee schedule for in-network providers more than once annually.

(c) Each person that makes a material adjustment described in subsection (b) of this section shall issue a notice to each in-network provider at least ninety days before the effective date of such adjustment. Each such notice shall be sent by mail, electronic mail or facsimile, and disclose:

(1) The percentage effect that such adjustment will have on such provider's fees; or

(2) A measure, other than the measure described in subdivision (1) of this subsection, that will enable such provider to understand how such adjustment will affect such provider's fees for the twenty covered procedures that such provider most frequently performed, and for which such provider sought reimbursement, during the twelve months immediately preceding the date of such notice.

## Nearby sections

- [Conn. Gen. Stat. § 38a-470 Sec. 38a-470. (Formerly Sec. 38-174n). Lien on workers' compensation awards for insurers. Notice of lien.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-470.md)
- [Conn. Gen. Stat. § 38a-471 Sec. 38a-471. (Formerly Sec. 38-174o). Third party prescription programs. Notice of cancellation. Applicability of section.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-471.md)
- [Conn. Gen. Stat. § 38a-472 Sec. 38a-472. (Formerly Sec. 38-174a). Assignment of insurance proceeds to doctor, hospital or state agency. Lien for state care. Notice of lien.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472.md)
- [Conn. Gen. Stat. § 38a-472c Sec. 38a-472c. Dental policies. Estimate of reimbursement. Material adjustments to fee schedules for in-network providers. Notice.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472c.md)
- [Conn. Gen. Stat. § 38a-472d Sec. 38a-472d. Public education outreach program re health insurance availability and eligibility requirements.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472d.md)
- [Conn. Gen. Stat. § 38a-472f Sec. 38a-472f. Network adequacy. Health carrier duties and responsibilities. Access plan filing.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472f.md)
- [Conn. Gen. Stat. § 38a-472g Sec. 38a-472g. Restrictions applicable to prior authorization or precertification.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472g.md)
- [Conn. Gen. Stat. § 38a-472h Sec. 38a-472h. Fees charged by dentists, optometrists and ophthalmologists for noncovered benefits. Notice and posting required.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472h.md)
- [Conn. Gen. Stat. § 38a-472i Sec. 38a-472i. Payment amount of professional services component of covered colonoscopy or endoscopic services.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472i.md)
- [Conn. Gen. Stat. § 38a-472j Sec. 38a-472j. Restrictions applicable to cost-sharing for covered benefits. Regulations.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472j.md)
- [Conn. Gen. Stat. § 38a-472l Sec. 38a-472l. Participating dental provider contracts. Third-party access. Restrictions. Exceptions.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472l.md)
- [Conn. Gen. Stat. § 38a-473 Sec. 38a-473. Medicare supplement expense factors. Age, gender, previous claim or medical history rating prohibited.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-473.md)
- [Conn. Gen. Stat. § 38a-474 Sec. 38a-474. Medicare supplement policy rate increases: Procedure. Age, gender, previous claim or medical history rating prohibited.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-474.md)
- [Conn. Gen. Stat. § 38a-475 Sec. 38a-475. Precertification of long-term care policies under the Connecticut Partnership for Long-Term Care. Regulations.](https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-475.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_CT_T38a_C700c_S38a-472c. Check the current official text before relying on it. Not legal advice.