Delta Dental Dual Choice Eligibility Maintenance Allied Administrators    

 
 

Frequently Asked Questions
 

Who Should Use this Website?                                                                                      This website is designed for those who manage the dental benefits of companies who offer enrollees the choice to switch plans monthly.

What if a Participant Wants to Change Dental Plans?
If a participant wants to switch plans, they may do so at anytime by calling: 1-866-225-1112.  

What if Our Group Needs More Enrollment Materials for Our Employees?
Contact your group's Delta Dental Account Executive.    
 

What if Our Group Has Enrollment, Eligibility or Billing Questions?
You may obtain assistance with enrollment, eligibility and/or billing questions by calling:  1-866-225-1112.     
  

Miscellaneous Questions

How do I enroll new employees or dependents?

How do I change the status of an employee?

How do I terminate benefits for employees who leave the company?

When are payments for monthly invoices due?

Will coverage be affected if payments are made late?

How are employers notified when payments are late or delinquent?

 

How do I enroll new employees or dependents?
Employers or benefit administrators can enroll new members in their plans using our online system on this web site, or by completing an Enrollment/Change Form and submitting it to Allied Administrators.

How do I change the status of an employee?
Changes in status can be performed on this web site, or by completing an Enrollment/Change Form and submitting to the attention of your Account Coordinator at Allied Administrators. 

Changes to mailing address or dental provider must be submitted directly to PMI Dental Health Plan, the dental HMO affiliate of Delta Dental of California.  Also, social security numbers cannot be changed on this web site.  To correct an enrollee's social security number, please contact Allied Administrators. New enrollments or changes to existing enrollees may take up to approximately five days to be processed. 

How do I terminate benefits for employees who leave the company?
You can terminate coverage for departing employees right on this web site, or by submitting an Enrollment/Change Form to Allied Administrators.

When are payments for monthly invoices due?
Payments are due on the 1st of the current month of coverage.

Will coverage be affected if payments are made late?
Yes. If  payments are not received by the 1st of the current month of coverage, your employees may not be shown as eligible for coverage until:  1) The payments are remitted, and 2) your group's files have been updated.  Please keep in mind that if your company's premiums are delinquent, reporting of eligibility may be delayed including assignment to a dentist and rendering of services. 

How are employers notified when payments are late or delinquent?
If payment is not received by the the due date, a late notice will be sent.  This letter will notify you that your company's dental coverage will be terminated if premiums are not received.

COBRA Information

What is COBRA?
The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) is a federal law enacted to help prevent gaps in healthcare coverage. COBRA requires employers who provide employees with healthcare coverage (including dental) to permit employees to continue the coverage under certain circumstances when it would otherwise terminate. The employee is responsible for paying the full cost of the continued coverage, in addition to an administrative fee.

Does COBRA affect all companies?
COBRA applies in general to companies that employ 20 or more employees on at least 50% of the working days during the preceding calendar year. Please note that under COBRA, employers are required to administer continuation of coverage benefits. To obtain more information about COBRA, including responsibilities as an employer and the duration of the continuation periods, please contact your COBRA Administrator.

Do COBRA participants receive the same Delta Dental and DeltaCare PMI coverage as active employees?
Yes. The benefits under the continued coverage will be the same as those provided to active employees and their dependents who are still enrolled in the dental plan. If the employer changes the coverage for active employees, the continued coverage will change as well. The premiums will be adjusted to reflect the changes made.

 
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