Management of Dental Benefit Plans

Insurance companies and third-party administrators (TPA) are the two main administrators of dental benefit plans.

Insurance companies are some of the most common administrators of dental benefit plans. Whether it’s a fully insured or self-funded plan, insurance carriers can provide many services for clients including:

  • Marketing
  • Underwriting
  • Claims payment
  • Risk management services

A third-party administrator is a claims’ payer who assumes responsibility for administering health benefit plans without assuming any financial risk. Some commercial insurance carriers and Blue Cross & Blue Shield plans also have TPA operations to accommodate self-funded employers seeking administrative services only (ASO) contracts.

If you are not an ADA member, you can purchase this whitepaper in the ADA Catalog.