Get Dental Breakdown Of Benefits Form 2009-2024

Virtually all funds go toward dental treatment (90% – 95%) – not to extraneous overhead or administration. No Networks! – Employees are free to visit any dentist they choose, including their current dentist. Plan flexibility – Employees will be happy with decreased plan restrictions.

OIC. Office of the Insurance Commission. Other Insurance Coverage.

Direct Reimbursement is a self-funded benefit plan which can provide the highest quality of health care in the most economical way. With direct reimbursement, your company only pays for the benefit it receives and the cost to organize and administer the plan.

Exclusions: These are services not covered by your plan. These might include cosmetic procedures such as tooth whitening or, in some cases, dental implants. Frequency limitations: Dental plans may limit how often a particular service will be eligible for coverage.

The effective date refers to the day an employee is eligible to start using your dental plan. For most employer-sponsored dental plans, the effective date is the first day of the month after the employee starts their job. Effective dates can vary by dental benefits provider and plan type.

Exclusive Provider Organization (EPO): A type of preferred provider organization under which employees must use providers from the specified network of dentists to receive coverage; there is no coverage for care received from a non-network provider except in an emergency situation.