Direct Dental Plans Dental Benefits Plan
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  An example of actual savings with Direct Dental:
Our client ha s 179 employees and in 1997 they saved over $66,000 compared to their premium from a popular insurance plan. In 1998 they saved $52,000 on their plan which included benefits for orthodontic services not available from their previous carrier.
 
     

Administrative Services

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Direct Dental specializes in the design, set up and administration of employer funded direct reimbursement dental benefit plans for businesses of all sizes.
By integrating the best features of self-funding with the security of national insurance industry cost projecting, we are able to deliver plans that are practical and predictable. In addition, by specializing only in self-funded plans we are able to deliver superior customer service through experienced plan administration and professional claims review by licensed dentists. We customize plans to even allow assignment of benefits to providers, procedure classification limits and stoploss insurance to protect your plan. We are a licensed third party administrator in the State of California and our employees are bonded as required by ERISA regulations.

Quality, patient-centered dental benefits allow the patient to choose any provider and receive individualized care.
Direct Dental chooses the best features of all dental benefit plans and incorporates them into plans that result in healthy, satisfied patients. Our service to our clients includes:

  • PLAN DESIGN
    • Consultation and Census Calculation
    • Customized Plan Designs for each Employer
    • Cost determination using national actuarial data
    • Aggregate stoploss insurance information

  • ENROLLMENT
    • Preparation of Plan Documents
    • Deliver Employee Booklets, Enrollment and Claim Forms
    • Conduct Employee Enrollment Seminars
    • Provide ERISA Documentation
    • Develop Plan Funding Strategy

  • CUSTOMER SERVICE
    • Phone Support for Plan Inquiries
    • On going Administrative Processing
    • Plan Performance Reports
    • Utilization Reviews

  • CLAIMS ADMINISTRATION
    • Track eligibility and enrollment
    • Claims Processing
    • Direct Payments to Patients or Providers
    • Professional Claims Review by Licensed Dentists
    • Coordination of Benefits with other carriers
    • Track Provider Fees and Claims
    • Issue Payments and EOB Records

  • COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
    • File Department of Labor Documents
    • Comply with ERISA Reporting Requirements
    • COBRA Qualifying and Tracking
    • FMLA and HIPAA Compliance
    • IRS Form 5500 Reporting
    • Issue Summary Material Modifications
    • Prepare Summary Annual Reports
    • Annual Plan Review Consultation

Direct Dental specializes in designing dental benefit plans to fit the exact profile of your employee group.
We may design a plan to fit any budget or group profile. Self-funded dental benefits have never been easier to implement and maintain. Please contact us to help solve your dental benefit plan dilemmas.

Direct Dental provides the most direct line between your employees and superior dental benefits!


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The Information contained on this web site is for informational purposes only. Direct Dental makes no representation or warranty of any kind, express or implied, including but not limited to warranties as to the legality, the legal effect, or suitability of the Information, for your purposes. Direct Dental does not and cannot practice the law.


 

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