UNITED STATES FEDERATION OF WORKER COOPERATIVES DENTAL PLAN MATTHEW TAE TAE@DIVERSIFIEDHUMANSOLUTIONS.COM PHONE: (267) 948 7290 CELL: (484) 894 6224 1500 WALNUT ST. SUITE 413 PHILADELPHIA PA 19102

WHY JOIN THE USFWC DENTAL PLAN? USFWC members can own & control their own dental plan, its benefits design, costs, member sharing responsibilities, etc. For individuals & very small groups (under 10 employees) purchasing dental insurance, it is difficult to get a good plan Prices for individuals & very small groups are higher than group plans Individual plans and very small group plans often require waiting periods to receive non- routine cleaning services Smaller groups will enjoy benefits of large group dental plans (better benefits, lowers costs)

ADVANTAGES OF LARGER GROUP DENTAL PLAN Many specialist providers do NOT accept insurance. They must be billed at the “out of network” benefits These “out of network” benefits look the same as in network The issue is the “usual & customary” reimbursement rate For example, the out of network dentist may change $1100 for a crown. But the insurance company sets the “usual & customary” rate at $700. The insurance company will consider $700 to be the full cost of the treatment… and anything additional over that amount is on you to pay.

HOW IT WOULD WORK Your company would opt into the plan. We’ll be seeing what the plan design would be, but expect it to look similar to the previous slide (with a higher benefit maximum), but it will probably be 50%-100% employer paid insurance for all full time employees. This will keep costs lower. USFWC would bill you monthly. We will ask that your bill be paid via monthly EFT each month in order to avoid late payments. Any administrative requests would come through USFWC / Matthew Tae and or other staff as added

WHAT WE NEED TO MAKE IT HAPPEN We’ll be sending out a survey which you can fill out if you are interested. Please only fill it out if you are seriously interested. Fluctuations in who is enrolling will change outcomes and make this difficult. For larger Co-ops with dental plans, claims data would be helpful. We estimate the monthly costs to be about: $35 per single, $70 employee & partner, $76 employee & child(ren), $120 for a family. The aim to have a plan that will offer solid coverage and will not be limited by small networks. Essentially we want it so that any dentist will be accept the insurance.

QUESTIONS?