Browse Arkansas Code titles and sections
23-99-421. Pediatric dental benefits — Definitions.
Arkansas Code — all titles (historical 2020) · legal_authorities
23-99-421. Pediatric dental benefits — Definitions.
(a) As used in this section:
(1) “Exchange” means a health benefit exchange that offers health benefits under a health benefit plan offered by a healthcare insurer in this state through a state-based health insurance exchange or a health insurance exchange operated by the federal government under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152;
(2) “Qualified dental plan” means a limited scope dental plan that has a certification that the qualified dental plan meets the criteria for certification under 42 U.S.C. § 18031(d)(2)(B)(ii), in effect on January 1, 2015; and
(3) “Qualified health plan” means a health benefit plan that provides healthcare coverage of essential health benefits under 42 U.S.C. § 18021(a), in effect on January 1, 2015.
(b) Beginning January 1, 2016, a qualified health plan offering healthcare coverage under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, satisfies the minimum essential pediatric oral health benefits under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, for health benefit plans offered through an exchange or outside an exchange that do not include the minimum essential pediatric oral health benefits if the healthcare insurer has reasonable assurance that the minimum essential pediatric oral health benefits are otherwise provided to the purchaser of the health benefit plan.
(c) The healthcare insurer shall be considered to have reasonable assurance that the minimum
Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-99-421
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.
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Stable record: arkansas_code:legal_authorities:23-99-421
Source file: gov.ar.code.title.23.odt
Pages: Not recorded – Not recorded
Passage SHA-256: 91af97e743479ce258d2257bf0b0978822a72fc3b35cf33c781cbe35d15e8cfb
Source location: content.xml paragraph 58917
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23-99-421. Pediatric dental benefits — Definitions.
(a) As used in this section:
(1) “Exchange” means a health benefit exchange that offers health benefits under a health benefit plan offered by a healthcare insurer in this state through a state-based health insurance exchange or a health insurance exchange operated by the federal government under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152;
(2) “Qualified dental plan” means a limited scope dental plan that has a certification that the qualified dental plan meets the criteria for certification under 42 U.S.C. § 18031(d)(2)(B)(ii), in effect on January 1, 2015; and
(3) “Qualified health plan” means a health benefit plan that provides healthcare coverage of essential health benefits under 42 U.S.C. § 18021(a), in effect on January 1, 2015.
(b) Beginning January 1, 2016, a qualified health plan offering healthcare coverage under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, satisfies the minimum essential pediatric oral health benefits under the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, for health benefit plans offered through an exchange or outside an exchange that do not include the minimum essential pediatric oral health benefits if the healthcare insurer has reasonable assurance that the minimum essential pediatric oral health benefits are otherwise provided to the purchaser of the health benefit plan.
(c) The healthcare insurer shall be considered to have reasonable assurance that the minimum essential pediatric oral health benefits are otherwise provided to the purchaser of the health benefit plan if:
(1) At least one (1) qualified dental plan offers the minimum essential pediatric oral health benefits that are available to the purchaser of the health benefit plan; and
(2) A qualified health plan prominently discloses at the time of purchase on a form approved by the Insurance Commissioner that the qualified health plan does not provide the minimum essential pediatric oral health benefits.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Qualified health plan** In this title: 11 See References in Text note below.
(1) **In general** — The term “qualified health plan” means a health plan that—
(A) has in effect a certification (which may include a seal or other indication of approval) that such plan meets the criteria for certification described in [section 18031(c) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18031/c&num=0&edition=prelim) issued or recognized by each Exchange through which such plan is offered;
(B) provides the essential health benefits package described in [section 18022(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18022/a&num=0&edition=prelim); and
(C) is offered by a health insurance issuer that—
(i) is licensed and in good standing to offer health insurance coverage in each State in which such issuer offers health insurance coverage under this title; 1
(ii) agrees to offer at least one qualified health plan in the silver level and at least one plan in the gold level in each such Exchange;
(iii) agrees to charge the same premium rate for each qualified health plan of the issuer without regard to whether the plan is offered through an Exchange or whether the plan is offered directly from the issuer or through an agent; and
(iv) complies with the regulations developed by the Secretary under [section 18031(d) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18031/d&num=0&edition=prelim) and such other requirements as an applicable Exchange may establish.
(2) **Inclusion of CO–OP plans and multi-State qualified health plans** — Any reference in this title 1 to a qualified health plan shall be deemed to include a quali
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 18021
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 18021. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 9096
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 18021
1 See References in Text note below.
L. 111–148, Mar. 23, 2010, 124 Stat. 119. Section 9010 of the
Act was set out as a note preceding section 4001 of Title
26, Internal Revenue Code, prior to repeal by Pub. L.
116–94, div. N, title I, § 502(a), Dec. 20, 2019, 133 Stat. 3119.
For complete classification of this Act to the Code, see
Short Title note set out under section 18001 of this title
and Tables.
The Health Care and Education Reconciliation Act of
2010, referred to in subsecs. (a) and (d)(2)(G), is Pub. L.
111–152, Mar. 30, 2010, 124 Stat. 1029. For complete classi-
fication of this Act to the Code, see Short Title of 2010
Amendment note set out under section 1305 of this title
and Tables.
Section 4980I of title 26, referred to in subsec. (b)(2),
was repealed by Pub. L. 116–94, div. N, title I, § 503(a),
Dec. 20, 2019, 133 Stat. 3119.
The Public Health Service Act, referred to in subsec.
(d)(2)(G), is act July 1, 1944, ch. 373, 58 Stat. 682, which
is classified generally to chapter 6A (§ 201 et seq.) of
this title. Title XXVII of the Act is classified generally
to subchapter XXV (§ 300gg et seq.) of chapter 6A. For
complete classification of this Act to the Code, see
Short Title note set out under section 201 of this title
and Tables.
The Employee Retirement Income Security Act of
1974, referred to in subsec. (d)(2)(G), is Pub. L. 93–406,
Sept. 2, 1974, 88 Stat. 832. Part 7 of subtitle B of title I
of the Act is classified generally to part 7 (§ 1181 et seq.)
of subtitle B of subchapter I of chapter 18 of Title 29,
Labor. For complete classification of this Act to the
Code, see Short Title note set out under section 1001 of
Title 29 and Tables.
This Act, referred to in subsecs.
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 18021
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 18021. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Assistance to States to establish American Health Benefit Exchanges**
(1) **Planning and establishment grants** — There shall be appropriated to the Secretary, out of any moneys in the Treasury not otherwise appropriated, an amount necessary to enable the Secretary to make awards, not later than 1 year after March 23, 2010, to States in the amount specified in paragraph (2) for the uses described in paragraph (3).
(2) **Amount specified** — For each fiscal year, the Secretary shall determine the total amount that the Secretary will make available to each State for grants under this subsection.
(3) **Use of funds** — A State shall use amounts awarded under this subsection for activities (including planning activities) related to establishing an American Health Benefit Exchange, as described in subsection (b).
(4) **Renewability of grant**
(A) *In general* — Subject to subsection (d)(4), the Secretary may renew a grant awarded under paragraph (1) if the State recipient of such grant—
(i) is making progress, as determined by the Secretary, toward—
(I) establishing an Exchange; and
(II) implementing the reforms described in subtitles A and C (and the amendments made by such subtitles); and
(ii) is meeting such other benchmarks as the Secretary may establish.
(B) *Limitation* — No grant shall be awarded under this subsection after January 1, 2015.
(5) **Technical assistance to facilitate participation in SHOP Exchanges** — The Secretary shall provide technical assistance to States to facilitate the participation of qualified small businesses in such States in SHOP Exchanges.
**(b) American Health Benefit Exchanges**
(1) **In general** — Each State shall, not later than January 1, 2014, establish an American Health Benefit Exchange (
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 18031
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 18031. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 9103
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 18031
(3) State option to extend definition of small
employer
Notwithstanding paragraphs (1) and (2),
nothing in this section shall prevent a State
from applying this subsection by treating as a
small employer, with respect to a calendar
year and a plan year, an employer who em-
ployed an average of at least 1 but not more
than 100 employees on business days during
the preceding calendar year and who employs
at least 1 employee on the first day of the plan
year.
(4) Rules for determining employer size
For purposes of this subsection—
(A) Application of aggregation rule for em-
ployers
All persons treated as a single employer
under subsection (b), (c), (m), or (o) of sec-
tion 414 of title 26 shall be treated as 1 em-
ployer.
(B) Employers not in existence in preceding
year
In the case of an employer which was not
in existence throughout the preceding cal-
endar year, the determination of whether
such employer is a small or large employer
shall be based on the average number of em-
ployees that it is reasonably expected such
employer will employ on business days in
the current calendar year.
(C) Predecessors
Any reference in this subsection to an em-
ployer shall include a reference to any pred-
ecessor of such employer.
(D) Continuation of participation for grow-
ing small employers
If—
(i) a qualified employer that is a small
employer makes enrollment in qualified
health plans offered in the small group
market available to its employees through
an Exchange; and
(ii) the employer ceases to be a small
employer by reason of an increase in the
number of employees of such employer;
the employer shall continue to be treated as
a small employer for purposes of this sub-
chapter for the period
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 18031
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 18031. This identifies an authority to review, not proof of applicability.