North Texas Dentistry Volume 4 Issue 3 | Page 26

T Who Is the Lender? he tough economic conditions of the last several years have legal matters The second issue is to determine who will actually be the lender. In this day and age of sophisticated group practices, this is not always an easy question to answer. The lender can be the dental practice itself, a third party lender, a sister company related to the dental practice, or a dental service organization with which the dental practice is affiliated. Once the lender is determined, it must follow the applicable regulations. If the dental practice is not the lender, then the dental practice generally is not responsible for complying with the patient financing regulations. Many dental practices use third party lenders to provide financing to patients and in those situations, the third party lender is responsible for following the rules rather than the dental practice. While the use of a third party lender can allow a dental practice to avoid the issue of complying with the regulations, it can also deprive the practice of the opportunity to earn the interest and fees that go along with being a lender. It is this ability to earn additional income from interest and fees that is prompting many dental practices to become their own lenders under flexible and creative patient finance plans that allow more patients to receive dental services. significantly impacted the ability of many patients to pay for dental services. Many patients have also found them- selves unemployed or in jobs that no longer carry dental insurance. These challenging conditions have forced many dental practices to develop non-traditional patient finance plans that are flexible and creative. While more creative finance plans can help the public by allowing more patients access to dental services, they must be care- fully structured to comply with the law. Most consumer finance transactions are regulated by state and federal law and there can be serious consequences for extending credit to patients in a man- ner that does not comply with the law. This article will cover the major issues to consider when creating patient finance plans. However, a dental practice should make sure that any patient finance plans it offers are reviewed by an attorney who specializes in consumer finance regulations. Properly Structuring Patient Finance Plans n by Brian Colao What Type of Credit is Being Offered? n ? $ The first issue to consider is what type of credit is being offered. Is it a Consumer Loan, Retail Installment Sale, Line of Credit or other arrangement? A Consumer Loan generally is a loan made for personal, family or household purposes that is made by a person regularly engaged in making consumer loans and is either payable in installments or has a finance charge assessed on it. In Texas, there is an interest rate trigger of more than 10% for a transaction to meet the definition of “consumer loan”. A Retail Installment Sale is a transaction in which a consumer purchases goods or services (such as dental services) and the provider of the goods or services allows the person to pay off the purchase amount plus interest in installments. A Line of Credit is a revolving debt where the consumer has a set amount of credit available. When a consumer repays part or all of the credit line, the amount the consumer may charge against the line replenishes. Each of these arrangements is regulated differently. 26 NORTH TEXAS DENTISTRY | www.northtexasdentistry.com !