The Multiple Option Dental Program is a dental insurance plan administered by Solstice Benefits, Inc. The plan provides coverage for dental services, including network and out-of-network benefits. The plan is issued to the Enrolling Group, and the Enrolling Group is responsible for determining eligibility and paying premiums. The plan has various provisions, including definitions, general provisions, enrollment and effective date of coverage, termination of coverage, and procedures for obtaining dental services. The plan also has a schedule of benefits, which lists the covered dental services and the corresponding copayments.
Key aspects of the job and scope of work include:
• Providing dental services to covered persons
• Administering the dental program
• Determining eligibility and paying premiums
• Providing customer service and support
• Maintaining accurate records and reports
• Ensuring compliance with applicable laws and regulations
• Coordinating with dentists and other healthcare providers
• Managing claims and reimbursements
• Providing information and support to covered persons and the Enrolling Group.
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