As a reminder, individual states have enacted legislation that impacts Total Cigna DPPO dentist contracts. These state laws prevent dental plans from requiring participating dentists to charge their contracted rate for services not covered by the plan. Prior to passage of these individual state laws, all DPPO contracted dentists were required to charge the amount listed on their fee schedule for all services rendered to a Cigna participant including those not covered under the participant’s dental plan.

What does this mean for you?

• If you are a contracted DPPO dentist in one of the states listed below, you are not required under any circumstance to charge your contracted rate for services not covered by your patient’s dental plan. However, it is important to note that the requirements of each state law may vary and all claims will be processed according to the applicable state requirements.
• Services allowed by the plan, but not paid by Cigna, for other reasons such as a contractual limitation (e.g., a yearly benefit amount exceeded or a contractual provision which would result in a denial of coverage) may still be considered to be a covered service under a state’s statutory definition and therefore subject to the terms of your agreement.

Please note: If you are a contracted DPPO dentist in a state that is not listed, your existing contractual terms are still binding. You will be notified if your state passes similar legislation.

Impacted States

Alabama Alaska Arizona Arkansas California Colorado Connecticut Florida Georgia Idaho

Illinois Iowa Kansas Kentucky Louisiana Maryland Minnesota Mississippi Missouri

Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York* North Carolina North Dakota Oklahoma Oregon

Pennsylvania Rhode Island South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin Wyoming

^{*Although New York has not enacted specific legislation regarding discounts for non-covered services, pursuant to a business decision Cigna will no longer require acceptance of contracted fees for services that are not covered.}