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Broker Manual

Broker Manual

 

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Table of Contents

 
2010 Community-Rated Plans

The following links show summaries of 2010 plan designs only. To view rates/summaries for 2010 pool plans, click here.

Overview of Community-Rated Plans

 • Groups of Enrollment Size 2-9 KS - NEW
 • Groups of Enrollment Size 2-9 MO - NEW
 • Groups of Enrollment Size 10-75
 • Groups of Enrollment Size 76-200
 • VOLUNTARY Groups of Enrollment Size 10-75
 • VOLUNTARY Groups of Enrollment Size 76-200


Underwriting Guidelines for Community-Rated Plans  

 • Groups of Enrollment Size 2-9 Kansas Based Underwriting Guidelines
 • Groups of Enrollment Size 2-9 Missouri Based Underwriting Guidelines
 • Groups of Enrollment Size 2-9 Professional Services Underwriting Guidelines 
 • Groups of Enrollment Size 10-75 Underwriting Guidelines
• Groups of Enrollment Size 76-200 Underwriting Guidelines
• VOLUNTARY Groups Underwriting Guidelines

 

2010 Group Dental Applications and Enrollment Forms

Community-Rated Applications

 • Groups of Enrollment Size 2-9 KS
 • Groups of Enrollment Size 2-9 MO
 • Groups of Enrollment Size 10-200
 • VOLUNTARY Groups Dental Application

 
Experience-Rated Applications 

 • Experience-Rated Groups
 • Self-Funded (ASC) Groups


Enrollment/Eligibility Forms

 • Enrollment/Change Form
 • Eligibility Transmittal Form


Broker Manual

• Facts Sheet
• The Delta Dental Difference
• Delta Dental Benefit Plans Summary
• Non-Pooled/Experience Rated Programs
• National Coverage
• Self-Insured Programs – Administrative Service Contract (ASC)
• Guarantee Of Service Excellence (G.O.S.E)
• Requesting Proposals
• Enrolling New Groups

 • Commissions
   • W-9 Form (Rev. September 2007)

 • COBRA (Consolidated Omnibus Budget Reconciliation Act)
   • COBRA Billing Designation
   • Application for Continuation of Group Dental Coverage (COBRA)

• After the Sale
• Group Supply Order Form
• Frequently Asked Questions