Ohio Code § 3923.62

§ 3923.62.

(A) Each insurer that delivers, issues for delivery, or renews individual or group sickness

and accident insurance policies providing dental benefits, and that bases payment

for those benefits on a usual and customary fee charged by dentists, and each administrator

of a self-insured dental plan that bases payment for dental benefits on a usual and

customary fee charged by dentists, shall disclose all of the following in accordance

with division (B) of this section: (1) The frequency of the determination of the usual and customary fee; (2) A general description of the methodology used to determine usual and customary fees; (3) The geographic area used to determine usual and customary fees; (4) If the usual and customary fee for a service is determined by taking a sample of

fees submitted on actual claims from dentists and then selecting a percentile of those

fees, the percentile that is used by the insurer. (B) The insurer or administrator shall disclose the information described in division

(A) of this section to a policyholder, certificate holder, or participant of a self-insured

plan, if requested by the policyholder, certificate holder, or participant.  The disclosure shall be made within thirty days after the insurer or administrator

receives the request from the policyholder, certificate holder, or participant. (C) A violation of this section is an unfair and deceptive act or practice in the business

of insurance under sections 3901.19 to 3901.26 of the Revised Code . (D) As used in this section, “ administrator ” means a person who is licensed under Chapter 3959. of the Revised Code.