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Broker News - November 2005
 

Articles
Delta Dental Launches New Brand Initiative
2005 Benefits Managers Survey Underway
New COB Policy Becomes Effective January 1
Staff Spotlight: Allan Berkin
Captain Supertooth Video Now in Spanish
Time to Verify Student Eligibility
Students, Dentists, Benefit from Recent Foundation Grants

Delta Dental, Dr. Sydell Receive Awards at NJDA Convention

Golf Outing Winners Announced

Employees Contribute Time, Money to Help Katrina Victims

Dental Director Writes Article on Childhood Tooth Decay in School Nurse News

Delta Dental's Convention Schedule


Delta Dental Launches New Brand Initiative

Before today, everyone knew us as Delta Dental Plan of New Jersey. Now, we’re Delta Dental of New Jersey. 

The new name is part of our comprehensive branding strategy that is being rolled out. All printed materials will conform to the new product names and brand identity by January 1. 

Over the past year, we participated in a nationwide initiative by the Delta Dental Plans Association to develop a strong Delta Dental brand. The effort involved more than making changes to our visual identity. We developed strategies to connect with all of our stakeholders, and communicate who we are and what we do. Our brand ensures we are clearly differentiated, and builds long-term credibility, awareness and recognition so that customers choose us.

We will be introducing a new logo and new corporate colors, such as “rejuvenating green” and “healthy pink.” We are also refreshing our typeface, images and other elements to build a more distinctive brand.

Product names are also changing to emphasize the Delta Dental identity. The new product names are:

  • Delta Dental Premier (formerly DeltaPremier), our fee-for service program.
  • Advantage Program (formerly Delta’s Advantage Program), which is available only in New Jersey, and offers access to cost-efficient dental care provided by a large network of participating dentists on a fee-for-service basis, while allowing freedom of choice in dentist selection and lower dental plan costs.
  • Delta Dental PPO (formerly DeltaPreferred Option), in which participating dentists accept the Delta Dental PPO schedule of fees as payment in full, offering guaranteed co-payments to eligible patients using network dentists. Subscribers may also select a Delta Dental Premier dentist who is not a Delta Dental PPO dentist.
  • DeltaCare (name remains the same), which is our capitated dental health maintenance organization (dental HMO-type program) administered by our subsidiary, Flagship Dental Plans.

Also, we will no longer use the term “DeltaUSA” or “USA” after any product name. Instead of “DeltaUSA” or “Delta Premier USA,” we will use “Delta Dental” with the applicable product name, such as “Delta Dental Premier.” The one exception to this is DeltaCare.

Watch for more information on our brand in future issues of Broker News and Consultant News.


2005 Benefits Managers Survey Underway

We mailed our 2005 Delta Dental Benefits Managers Survey to benefits managers with their October bill. Please encourage your clients to complete the survey as soon as possible. Their feedback is very important to us. It will be used to measure our performance and determine how to continue to exceed expectations.

The survey takes about five minutes to complete. 

If you or your clients have questions about the survey or need another copy, please contact Laurel English of English Communications, at (973) 984-2525; laurel@english-communications.com. Benefits managers may also complete the survey online at http://www.surveymonkey.com/s.asp?u=239711265945.


New COB Policy Becomes Effective January 1 

Starting January 1, claims for most oral surgery procedures, along with general anesthesia, must be submitted to the subscriber’s primary medical plan before being submitted to Delta Dental. 

Many Delta Dental subscribers also have group medical coverage, which usually covers complex oral surgery procedures and general anesthesia. When procedures are covered under both medical and dental plans, the medical plan is generally considered primary.

In order to ensure that Delta Dental pays the correct amount for oral surgery procedures, a medical Explanation of Benefits (EOB) will be required for such services (unless it has been determined that Delta Dental is primary) as of January 1, even if the claim submission states that there is no other coverage or fails to address it.

In addition, many medical insurers will also pay for services such as exams and x-rays when done in conjunction with these oral surgery procedures. 

There are some groups whose contract provides that Delta Dental act as the primary payer over medical for selected oral surgery procedures. In those cases, we will continue to make payment as the primary carrier.

Not “double coverage”
Subscribers should recognize that having coverage for a procedure under two programs, medical and dental, does not “double” their coverage. However, it may mean that they will have lower out-of-pocket costs. 

The total payments of both the primary and secondary carrier cannot exceed the total approved amount of the primary carrier. For example, suppose the primary carrier’s amount for an oral surgery procedure is $400, payable at 80%. Delta Dental as secondary would pay no more than the $80 balance.


Staff Spotlight: Allan Berkin

Allan Berkin has been working and living in New Jersey his entire life. Born in Fairlawn, NJ, he graduated from Rutgers (the state university of New Jersey) and today lives in Rockaway, NJ. He has also been an important member of the Delta Dental of New Jersey marketing team for the past 10 years. 

He joined Delta Dental in 1995 as an Account Executive. He later served as Manager of Broker/Consultant Relations and National Accounts Manager. In September, Allan assumed the newly created position of Manager, New Business Development, where he is responsible for developing new business in New Jersey both on a direct basis and through brokers and consultants.

Allan, like others in Marketing, views brokers as Delta Dental’s partners. “We’ve established relationships with brokers that are built on trust,” he says. “Many people in our Marketing Department have been here 10 years or more. That kind of longevity is unusual in this line of business. We understand what kind of support our brokers need from us in order to help their clients meet both their current and future needs.”

Allan makes sure brokers understand the advantages of Delta Dental’s benefits programs so they can communicate the benefits to their clients. “Delta Dental has the largest network of participating dentists of all group dental providers, which gives members the greatest choice of dentists.” 

Allan says brokers and clients are better served because Delta Dental focuses exclusively on group dental benefits. “That’s our sole focus. Every time you talk to someone from Delta Dental, you talk to someone who is a dental benefits expert.”

In addition, Delta Dental offers a flexible plan design, which helps clients find a solution that balances employee benefits needs and cost. “We can give employers just about anything they need,” he says. “We are also priced very competitively.” 

Allan adds, “We make it very simple for groups to switch from other providers to Delta Dental. And once a group switches to Delta Dental, they almost always stay with us. We are able to renew 97% of our business every year.”


Captain Supertooth Video Now in Spanish

The caped superhero of oral health, Captain Supertooth, now delivers his message on videotape, in Spanish in addition to English.

The video is being sent to schools throughout New Jersey and Connecticut that request copies.

Delta Dental’s Captain Supertooth visits schools throughout New Jersey and Connecticut as a service during Children’s Dental Health Month each February. The 20-minute program is geared for students from kindergarten through second grade. Since the program began in 1990, Captain Supertooth has instructed more than 30,000 students about proper dental care. The video is expected to reach thousands more students.

Captain Supertooth is one of many programs offered by the Delta Dental of New Jersey Foundation. The Foundation supports dental education programs for children and adults, dental research projects, community clinics and facilities that help underserved populations gain access to dental care, and facilities that provide dental treatment to physically and developmentally disabled children and adults.


Time to Verify Student Eligibility

With school back in session, it’s time for members to complete Delta Dental's Student Documentation Verification Form for their dependents who are college-age students.

Delta Dental requires proof of student status for college-age dependents when they submit their first claim of the school year. The Student Documentation Verification Form makes it easy to quickly confirm student status without having to submit any other paperwork. 

Students may submit either the Student Documentation Verification Form, or some other proof of their student status. These may include a copy of a paid tuition statement, a registrar's certificate of grades showing at least 12 credits, or a current validated student ID card.

A copy of the Student Documentation Verification Form may be downloaded from our Web site at www.deltadentalnj.com. Click on Forms on the navigation bar on the left side of the screen.


Students, Dentists, Benefit from Recently Foundation Grants

  • Catto Elementary School in Camden, New Jersey, celebrated a day of oral health education.
  • The Newark, New Jersey, Public Schools will begin training high school students for dental careers.
  • Six students at Bergen Community College and six at Middlesex County College in New Jersey received scholarships to continue their education in dental hygiene.

These were all made possible by recent grants from the Delta Dental of New Jersey Foundation.

The grant to Catto Elementary School enabled the school to purchase supplies and educational materials for its “Let’s Learn about Dental Health” program for students and their families. Health education is an important component of the school’s community outreach program. The program provides basic tools and information for families in this underserved community so they can take care of their oral health.

The Newark Public Schools will use the Foundation grant to buy equipment and supplies for its new Allied Health Science Academy. The Academy is an innovative education program. Situated in one of Newark’s high schools, the Academy will prepare high school students for careers in dental assisting, dental technology, and dental hygiene.

The Foundation funds education for current and future oral-health practitioners. Besides its community college scholarships, the Foundation recently contributed to the Bloomfield (New Jersey) Health Careers Foundation. This provides scholarships to high school students pursuing careers in dental assisting and dental hygiene. The Foundation also funds the Allied Dental Education Scholarship Program at the University of Medicine and Dentistry of New Jersey (UMDNJ), as well as continuing education programs for dentists through UMDNJ. 

The Foundation also provides financial support for programs that help underserved populations gain access to dental care. It recently awarded a grant to fund a school-based dental clinic at the K. Brennan School in New Haven, Connecticut. The dental clinic has a dentist and several dental hygienists on staff. This school’s clinic provides dental care for children in this underserved area who would otherwise go without it.

The Foundation supports programs and facilities that provide dental treatment to physically and developmentally disabled children and adults. Its grant to the Arc of Greater Enfield, Connecticut, is being used to revamp the oral hygiene curriculum at Camp Shriver. Camp Shriver is a camp for 80 campers who are developmentally disabled or have other related disabilities. The oral hygiene curriculum teaches campers how to properly care for their teeth.


Delta Dental, Dr. Sydell Receive Awards at NJDA Convention

Delta Dental of New Jersey and our Chairman of the Board, Dr. Gerald A. Sydell, were honored at the New Jersey Dental Association Convention in June.

Delta Dental received a plaque from the New Jersey Foundation of Dentistry for Persons with Disabilities. The award recognized Delta Dental’s “contribution to improve access to care for citizens who are disabled or elderly.” The New Jersey Foundation of Dentistry for Persons with Disabilities provides dental care for elderly and mentally and physically disabled people of all ages with disorders such as multiple sclerosis. Delta Dental is a longtime supporter of this and other organizations that help people with disabilities access dental care.

Dr. Sydell received the NJDA’s Presidential Award for Community Service. The award was presented “in grateful recognition for his dedication to community service and to the dental profession.” Dr. Sydell is a past president of the Union County Dental Society. He served as trustee of the NJDA as well as a delegate to the American Dental Association. In addition, Dr. Sydell served as a member of the New Jersey Medicaid Drug Utilization Review Board. He received the Union County Dental Society's President's Award and the NJDA Service Award. In 2001 he was recognized by the UMDNJ New Jersey Dental College for outstanding contributions to the college and dentistry. He has been elected to Fellowship in the American College of Dentists and the International College of Dentists. Dr. Sydell currently serves on the Board of Trustees of Matheny Medical and Educational Center. He is a trustee of the New Jersey Foundation of Dentistry for Persons with Disabilities and a member of the UMDNJ-New Jersey Dental School Feasibility Study Committee.


Golf Outing Winners Announced

The Fifteenth Annual Delta Dental Classic, which raises funds for Special Olympics New Jersey (SONJ), took place in June at Fiddler's Elbow Country Club. 

Contest winners include:
1st Place Low Gross (Women): Margie Petrone
1st Place Low Gross (Men):  Jim Schulz
1st Place Gross Team:  Dave Lance Jr., Ed Gunther, Robert Toth, Gary Mini

Over the past 15 years the Delta Dental Classic has raised more than a half million dollars for SONJ.

SONJ is dedicated to empowering individuals with mental disabilities to become physically fit, productive, and respected members of society through sports training and competition.

Special thanks to all of our participants and sponsors.


Employees Contribute Time, Money to Help Katrina Victims

Delta Dental and our employees united to support the victims of Hurricane Katrina. The company matched 100% of employee donations to the American Red Cross Hurricane Katrina relief efforts. Employee and company donations to the Red Cross’ hurricane relief efforts totaled more than $12,000.

The company also sent company golf shirts to survivors. Delta Dental Plans nationwide are also working with dentists from Louisiana, Alabama and Mississippi who lost their patient records. 

Customer Service Agent Cindy Beahm took three weeks off from work to volunteer with the Red Cross. Many employees supported Beahm, who did not have any vacation time left for the year, by donating their unused vacation time to her. Beahm worked in a warehouse in Alabama unloading and organizing donated goods and delivered goods to a church in Mississippi. 

Delta Dental also coordinated a drive to collect household items for people in Biloxi, Mississippi, many of whom lost everything in Hurricane Katrina. Employees donated 35 boxes of needed goods, including clothes, candles and matches. The sister of a Delta Dental employee lives in Biloxi.

“Seeing the destruction caused by Hurricane Katrina sparked an uprising of human compassion at every level of our organization,” said Walt VanBrunt, president and CEO. “I am proud to be a part of this company and work with such compassionate people.”


Dental Director Writes Article on Childhood Tooth Decay in School Nurse News

Hidden sugar in many popular foods contributes to tooth decay in children, writes Dr. Scott Navarro, Delta Dental’s dental director, in the September 2005 issue of School Nurse News

“Processed sugars should only be a very small part of a child’s diet,” he writes. “Children will develop taste preferences that they take with them through life. Promoting a low-sugar diet at an early age will help to teach children healthful eating habits, as well as give them an extra advantage in fighting dental caries.”

Dr. Navarro notes that tooth decay is the most common chronic childhood disease. By age 17, more than 80% of children have been affected by it.

School Nurse News is an independent publication developed specifically to meet the needs of school nurses and other healthcare professionals serving children and adolescents in the school setting.


Delta Dental's Convention Schedule

Please join us at any of the following events and conventions:

New Jersey Teachers Convention
November 10-11, 2005
Atlantic City Convention Center
Atlantic City, New Jersey

New Jersey State League of Municipalities
November 15-17, 2005
Atlantic City Convention Center
Atlantic City, New Jersey

If you’re attending any of these events, we look forward to meeting you there!

 
 
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