| Comparison Category |
Alpha
and Choice Network Plans |
Companion
Life
("Canned Product Line") |
Securian
Dental
("Custom" Product Line) |
| Rating |
N/A |
A.M. Best Rating = A+ |
A.M. Best Rating = A |
| Minimum
Group Size |
1
(online individual plan also available at www.betadental.com |
3
(a minimum of 5 required for takeover consideration) |
2
(a minimum of 2 required for takeover consideration) |
Minimum Participation |
No
minimum participation requirement when offered separately
(when not tied to Companion Life or Securian Dental) |
30%
combined between Companion Life and a Beta Health
Network Plan. |
Groups
size 2 to 4 Eligible Employees
Voluntary or
Employer Paid A one time open enrollment and 100% of
all eligible employees must enroll between all plans.
Groups size 5 to 249 Eligible
Employees
Voluntary : A
one time open enrollment for groups of 5 to 9 eligible
employees. Annual Open Enrollment for groups of 10
or more enrolled employees. A minimum of 5 employees
must enroll between all plans. There is no
minimum % participation requirement.
Employer Paid : A one time open enrollment for groups
of 5 to 9 eligible employees. Annual open enrollment
for groups of 10 or more enrolled employees. A minimum
of 5 employees or at least 60% of all eligible employees
must enroll between all plan options (whichever is
greater).
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| Comparison Category |
Alpha and
Choice Network Plans |
Companion
Life
("Canned Product Line") |
Securian Dental
("Custom" Product Line) |
Product
Descriptions |
Discounted fee-for-
service network plan
Discounts
on over 180 dental services.
On
the Alpha Plan, members will save an average of 65%
off the normal full fee
On
the Choice Plan, members will save an average of
48% off of the normal full fee |
Passive PPO (*)
Plan A = 100/80/50/50
Plan B = 100/100/50/50
* Same benefits in or out of network. The only difference
is that there will be no balance billing if seeing
a network provider. |
True PPO Plan
(Format is preventive, basic, endo and perio,
and major)
Plan A Voluntary Employer
Paid
In network 100/60/0/0 100/60/0/0
Out of network 80/50/0/0 90/50/0/0
Plan B
In network 100/60/50/50 100/60/50/50
Out of network 80/50/50/50 90/50/50/50
Plan C
In network 100/80/50/50 100/90/60/60
Out of network 90/60/50/50 90/80/50/50
Plan D
In network 100/80/80/50 100/80/80/50
Out of network 100/60/60/50 100/80/80/50 |
Deductible Options |
No Deductibles on any services
ever. Member simply pays the negotiate fee at the
time of service and this is considered payment in
full by the participating network provider. |
$100 Lifetime (per
person)
Applies to Preventive, Basic and Major Services. No
Deductible for Ortho. |
Voluntary: (employer selects)
$50/$150 per person/family, per calendar year.
Employer Paid: (employer selects)
$25/$75 or $50/$150 per
person/family, per calendar year.
Applies to Basic, Major Services only. No
deductible for Diagnostic, Preventive, and Orthodontic
Services.
|
Payment to Providers |
Member pays discounted fee directly
to provider. This is considered payment in full. |
UCR 80 th Percentile with no balance
billing if a PPO provider is used. |
UCR 80 th OR 90 th Percentile.
You decide! No balance billing if a PPO provider
is used.
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| Comparison Category |
Alpha and
Choice Network Plans |
Companion
Life
("Canned Product Line") |
Securian Dental
("Custom" Product Line) |
Calendar year Maximum (all
benefits except orthodontics) |
Unlimited. Members can use
these plans as much as they like in any year. |
Plan A = $1000 per person
Plan B = $1200 per person |
Voluntary: (employer selects)
Plan A = $500 or 750 per person
Plan B = $750 or 1000 per person
Plans C & D = $1000 or $1250 per person
Employer Paid: (employer selects)
Plan A = $750 per person
Plan B = $1000 per person
Plan C = $1000 or $1500 per person
Plan D = $1000, $1500 or $2000 per person |
Waiting Periods |
No Waiting Periods on any services
ever! |
No Waiting Period for Preventive and
Basic. Twelve (12) month wait for Major and Ortho unless
takeover provision applies at initial open enrollment
only.
Waiting period will always apply to new hires. |
Voluntary: No Waiting
Period for Diagnostic and Preventive. Plans A & B
have a 6 month wait for Basic, 12 month wait for Major
and 18 month wait for Ortho.
Plans C & D have No Waiting Period for Basic,
12 month wait for Major and 18 month wait for Ortho
unless takeover provision applies at the initial open
enrollment only.
Employer paid : No Waiting
Periods for Diagnostic, Preventive, Basic and Major. Twelve
(12) month wait for Ortho unless takeover provision
applies.
Waiting periods will not apply to new hires
. |
Orthodontia |
Included as part of the benefit
package at no additional cost.
Available to all children and adults. |
Available to groups of 3 or more, no
deductible, $1000 lifetime max, 50% benefit, children
to age 19 only. New lifetime maximum benefit per person. |
Available only to groups with a minimum
of 10 or more enrolled employees, no deductible, 50%
benefit, children to age 19 only.
Lifetime maximum is: Voluntary is $750 per
person, Employer Paid is $1000 per person. |
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| Comparison Category |
Alpha and
Choice Network Plans |
Companion
Life
("Canned Product Line") |
Securian Dental
("Custom" Product Line) |
"Triple Option" plans
available? |
Yes. Beta Health networks are
available in Colorado only. We also have affiliations
with other network carriers across the United States
for Colorado groups that have employees outside Colorado
. |
Yes in Colorado only. An employer can
offer only one of the two available plan designs. In
Colorado , the selected plan design must be offered
along side of the Beta Health network plans. Outside
of Colorado , there would be only one Companion Life
plan available. |
Yes in all states. In Colorado
, the Securian plan must be offered along side of
a Beta Health network plans. Outside of Colorado
(where there are no Beta Health network plans), we
can offer all employees a choice between two different
Securian Dental plan designs (a high and a low plan
design). This allows for a greater level of enrollment
and participation in the voluntary groups. |
Provider Selection |
Large statewide network of quality,
credentialed providers for members to select from.
Can change dentists at any time by contacting the Beta
Health Administrative office. |
Any Provider or a PPO Provider. Utilizes
the DenteMax network with over 45,000 providers nationwide. |
Any Provider or a PPO Provider. Utilizes
the DenteMax network with over 45,000 providers nationwide. |
Dependent Age |
No dependent age limits apply. Open
to all dependents. |
Dependent children are covered to age
19 or to age 24 only if they are a full time student. |
Dependent children are covered to age
19 or to age 25 only if they are a full time student. |
Monthly Billing
Fee |
Yes. $1 per month per employee not
to exceed $10 per month total. |
Yes. $1 per month per employee not
to exceed $10 per month total. |
No billing fee applies. |
Commissions |
8% level on all group plans. 7% level
on individual plans. |
Level 7% on all group plans.
Individual plan not available. |
Level 10% on group plans with
fewer than 100 employees. Custom commissions are
available on all groups over 100 employees (if requested). |
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This comparison is intended for illustration purposes only
and is not intended for use as a comprehensive Summary of
Benefits comparison. Please refer to our website www.betadental.com for
additional information and materials.