Ever wonder why a dental plan doesn’t follow laws in your state? Or why a secondary dental plan did not make any payment in addition to the primary plan’s payment?
These are common concerns with self-funded dental plans governed by a federal law called “ERISA.” A self-funded dental plan is a benefit plan in which the plan sponsor, i.e. an employer, is responsible for payment of claims and hires a benefit carrier to administer the plan and process claims. These third party administrators provide call center support services, networks and other administrative support, but don’t face any financial risk from claim costs.
In this on-demand webinar, a consultant from a major dental plan discusses the differences between self-funded and fully insured plans, why employers self-fund dental plans and related questions. Two representatives from the ADA’s Council on Dental Benefit Programs present ADA views based on best practices and policy adopted by the ADA’s House of Delegates regarding self-funded plans.
This webinar is another of the many ways we’re working to help answer our members’ most important questions on dental benefits and third party issues.
For more information on ADA’s activities on third party payer advocacy and dental benefits, visit ADA.org/dentalbenefits.
About the presenters
Ron Bolden, Vice President, Dental Market Insight for Cigna Dental
Mr. Bolden's responsibilities include working with Cigna's dental senior leadership in formulating and implementing the company’s growth strategy, driving the company’s business intelligence and serving as the company spokesperson in industry associations. He has additional responsibility for Cigna's communications to healthcare professionals that contract with the company’s dental and behavioral lines of businesses. Ron has served on the Board of Directors for the National Association of Dental Plans for the last four years, and currently serves as NADP’s Board Chair.
Jerry Berggren, Director of Research and Information, National Association of Dental Plans (NADP)
Mr. Berggren brings over 20 years of experience in market research, strategy and analysis to his role as Director of Research and Information at NADP. Since joining NADP, he has led the development of NADP’s research program to be a valuable and recognized resource for the dental benefits industry. Major organizations like the CCIIO, CMS, the Congressional Budget Office and dental associations across the country have relied on NADP data in development of health policy and positions.
Dr. Chris Bulnes
Dr. Bulnes is a general dentist in Tampa, Florida. He received a Bachelor of Science degree in Chemistry from the University of South Florida in Tampa and his Doctor of Dental Medicine degree and a certificate in Advanced Education of General Dentistry from Southern Illinois University in Alton, Illinois. Chris is currently the chair of the ADA Council on Dental Benefit Programs.
Dr. Hope Watson
Dr. Hope Watson graduated from the University of Tennessee in Knoxville with a degree in English literature before pursuing her Doctorate of Dental Medicine at the University of Alabama School of Dentistry in Birmingham. Though a native of Virginia, she loved her undergraduate years in Eastern Tennessee and chose to return to the region to start her practice. She received the Tennessee Dental Association’s Fellowship Award in May 2013. The highest honor the TDA bestows, this award recognizes dedication and outstanding service to the dental community. She has also published several articles for Penn Well’s Dental Economics periodical. In addition, she is currently a member of the ADA Council on Dental Benefit Programs.