Delaware prompt pay law dental

Sourced answer

Under 18 Del. Admin. Code 1310 §6.0; 18 Del. C. §3370C, the Delaware payment deadline is 30 calendar days (uniform). Regulation 1310 §8.0 gives the Insurance Commissioner power to order a carrier "found to have violated Section 6" to pay the claim plus interest at the maximum rate allowable to lenders under Delaware law, computed from the date payment was first required. Dental applicability: Dental is neither named nor exempted, so coverage rests on the breadth of the carrier definition: "any entity that provides health insurance in this State," including health insurance companies, health service corporations, health maintenance organizations, "and any other entity providing a plan of health insurance or health benefits subject to state insurance regulation," plus third-party administrators that adjust, administer, or settle claims. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.