# Iowa Code § 514C.3A: Disclosures relating to dental coverage reimbursement rates

> Iowa · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3A

## Section

- **Citation:** Iowa Code § 514C.3A
- **Heading:** Disclosures relating to dental coverage reimbursement rates
- **Jurisdiction:** Iowa
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** IA Code / Title XIII / Chapter 514C / Section 514C.3A

## Text

(1) An individual or group policy of accident or health insurance or individual or group hospital or health care service contract issued pursuant to chapter 509, 514, or 514A, and delivered, amended, or renewed on or after July 1, 1995, that provides dental care benefits with a base payment for those benefits determined upon a usual and customary fee charged by licensed dentists, shall disclose all of the following:

(1) (a) The frequency of the determination of the usual and customary fee.

(1) (b) A general description of the methodology used to determine usual and customary fees, including geographic considerations.

(1) (c) The percentile that determines the maximum benefit that the insurer or nonprofit health service corporation will pay for any dental procedure, if the usual and customary fee is determined by taking a sample of fees submitted on actual claims from licensed dentists and then determining the benefit by selecting a percentile of those fees.

(2) The disclosure shall be provided upon request to all group and individual policyholders and subscribers. All proposals for dental care benefits shall inform the prospective policyholder or subscriber that information regarding usual and customary fee determinations is available from the insurer or nonprofit health service corporation. All employee benefit descriptions or supplemental documents shall notify the employee that information regarding reimbursement rates is available from the employer.

95 Acts, ch 78, §1; 95 Acts, ch 209, §26

## Nearby sections

- [Iowa Code § 514C.1 Supplemental coverage for adopted or newly born children.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.1.md)
- [Iowa Code § 514C.2 Skilled nursing care covered in hospitals.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.2.md)
- [Iowa Code § 514C.3 Dentist’s services under accident and sickness insurance policies.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3.md)
- [Iowa Code § 514C.3A Disclosures relating to dental coverage reimbursement rates.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3A.md)
- [Iowa Code § 514C.3B Dental coverage fee schedules.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3B.md)
- [Iowa Code § 514C.3C Dental care service plan contracts.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3C.md)
- [Iowa Code § 514C.3D Prior authorization for dental care services.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3D.md)
- [Iowa Code § 514C.3E State-regulated dental care service plans.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3E.md)
- [Iowa Code § 514C.3F Dental carrier recovery of claim overpayment.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3F.md)
- [Iowa Code § 514C.4 Mandated coverage for mammography.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4.md)
- [Iowa Code § 514C.4A Supplemental and diagnostic breast examinations.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4A.md)
- [Iowa Code § 514C.5 Prescription drug benefit restrictions.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.5.md)
- [Iowa Code § 514C.6 Uniformity of treatment — employee welfare benefit plans.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.6.md)
- [Iowa Code § 514C.7 Prohibition on restricting coverage in certain instances involving a diagnosis of a fibrocystic condition.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.7.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3A. Check the current official text before relying on it. Not legal advice.
