HBEX 15 - Supplemental Dental and Pediatric Dental Essential Health Benefit Solicitation (“Dental Plan Solicitation”)
Any health issuer licensed to offer, market and sell dental plans in the individual or small group markets interested in offering stand-alone dental services must respond to this Dental Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed. Bidders may bid to offer the Pediatric Dental Essential Health Benefit Plan or the Supplemental Dental Benefit Plan or both.
- Redline: Pediatric Stand-Alone Dental Model Contract August 19th
- Redline: Pediatric Stand-Alone Dental Model Contract Attachments August 19th
- Final Pediatric Stand-Alone Dental Model Contract August 19th
- Final Pediatric Stand-Alone Dental Model Contract Attachments August 19th
July 23, 2013 - Pediatric Dental EHB Model Contract Webinar
Redline: Pediatric Stand-Alone Dental Model Contract Draft July 19th (posted 7/19/13)
Pediatric Stand-Alone Dental Plan Model Contract Draft (posted 6/19/13)
Only those comments made in the provided template will be accepted.
All comments are due to the Exchange at 5:00pm PST on June 28th. Send all comments to QHP@covered.ca.gov.
HBEX 15 - Exchange Dental Benefits Solicitation (v3 updated 3/29/13)
Attachments 1-10 & 13 (v3 updated 4/2/13)
Attachment 14 - Additional Questions and Requirements (v2 updated 2/1/13)
Attachment 15- EHB Plan Design (v4 updated 8/20/2013)
Attachment 16 - Proposed Supplemental Benefit Plan Design (v3 updated 3/18/13)
March 29, 2013 NOTICE to Supplemental Benefit Bidders:
Covered California is pleased to announce the extension of the Supplemental Dental Benefit Plan and Supplemental Vision Benefit Plan proposal deadline.
Supplemental solicitation material can be submitted through May 1st, 2013. All components of the supplemental dental and vision solicitation responses must be submitted to Covered California by May 1 in order to be considered for supplemental benefits.
Supplemental Dental and Supplemental Vision Bidders who have already submitted their proposals to Covered California may send any additional or modified documents to the Exchange by the May 1 deadline. Otherwise, if no changes are submitted, the original documents received by the Exchange will be considered for evaluation.
If bidders responding to the Supplemental Dental Solicitation have already submitted all required Standalone Pediatric Dental EHB solicitation components by the mandatory Standalone Pediatric Dental EHB deadline, they are not required to resend duplicate documents for the purpose of the Supplemental solicitation. If bidders wish to amend these documents only for the purpose of the Supplemental Benefit solicitation, they may do so by the May 1 Supplemental Benefit deadline.
Note: This notice applies only to carrier offerings for Supplemental Dental and Supplemental Vision Benefits.
March 15, 2013 NOTICE to Pediatric Standalone Dental Plan Bidders:
Covered California is pleased to announce the release of the revised Standalone Dental Standard Benefit Plan Designs. The DHMO and Dental PPO Low plans have been adjusted to meet the actuarial value requirement of 70% in accordance with final federal rules issued February 20, 2013. If submitting bids for the DHMO plans, standalone dental plan bidders are expected to adhere to the average copayment amounts for each procedure category where noted, though Covered California is not mandating exact copay amounts for individual procedures within each procedure category.
Product filings and rate filings can be submitted to regulators through April 2. All components of the dental solicitation response, including Attachment 5 Product Filings and Attachment 8 Proposed Premiums – Pediatric Dental EHB, must be submitted to Covered California by April 2 in order to be considered. Standalone dental plan bidders are encouraged to submit responses prior to April 2 as the review of responses received is already underway.