Brokers

Managing Client Benefits Online


Keeping your client's information up to date is important to ensure complete access to their Delta Dental benefits. We are constantly working on ways to keep your plan as easy to manage as possible.


Here are a few administrative tips for common procedures to share with your clients.

Enrollment
Adding/Deleting Employees
The only time you can add or delete employees, other than during open enrollment, is for a new hire, a termination, or during one of the following qualifying events:

  • Marriage
  • Birth or Adoption
  • Family Medical or Disability Leave
  • Full-Time/Part-Time Status
  • Divorce
  • Workers' Compensation
  • Spouse's Loss of Coverage
  • Death of a Member

Please note: When submitting a status change (such as individual to family coverage) other than during open enrollment, please explain the reason for the change in the enrollment form’s Comments section (either the online or paper version), to expedite processing the change.

Retroactive Policy
Delta Dental has a 30-day retroactive policy for adding or terminating employees from a plan. Retroactivity occurs when we are notified of an addition, change or termination after the requested effective date has passed. However, if we paid a claim after the requested retroactive termination date, the employee will be terminated on the last day of the month in which the claim was paid.

Helpful reminder for administrators filing paper forms
As the Benefit Administrator, you should complete and sign all of your clients’ enrollment forms and mail them to the P.O. Box listed on the form. (If you file electronically, your transactions are already authorized.)

Be sure to include the following:

  • Group policy number
  • Group name
  • Action code on the form
  • Effective date of the change
  • Employee's subscriber number and birth date
Billing
Eligbility Changes and Payments

Monthly Invoice
You’ll receive a monthly invoice approximately 10 days before the first of the month, reflecting current and prior billing information, payment information from the prior month, and any reported eligibility changes. Your invoice will show a cutoff date for any enrollment and payments received.

Premiums due
Payment is due in advance, on the first of each month to cover that month’s premium.

Don't Forget Automatic Payment Options
Another service that we offer to save you both time and money is the ability to have your monthly premium automatically deducted from your bank account. No more late payments, coverage lapses, or monthly check-writing hassles.