Delta Dental

The Delta Dental Plans Association, also known as simply Delta Dental, is an American network of dental insurance companies composed of 39 independent Delta Dental members operating in all 50 states, the District of Columbia and Puerto Rico. These member companies provide coverage to 85 million people, enrolled in over 157,000 groups.[1] While many of the Delta Dental member companies and Delta Dental Plans Association (DDPA) are non-profit organizations, a few of the member companies have for-profit segments.

Delta Dental Ins.
IndustryDental insurance
Founded1966 (1966)
Headquarters
Oak Brook, IL
,
United States
Key people
James "Wells" Hutchison, CEO
ProductsDental Insurance
ParentDelta Dental Plans Association
Websitedeltadental.com

Delta Dental member companies serve more than one third of the estimated 166 million Americans with dental insurance.[2]

History

In 1954, several dental service corporations formed in California, Oregon, and Washington. These corporations were created by dentists who recognized the need to increase access to oral health care, and later joined to form Delta Dental. Delta Dental began working with Washington Dental Service to provide dental benefit programs for organized labor unions and later underprivileged residents through a partnership with the Washington State Department of Public Assistance.[3]

Delta Dental Plans Association (DDPA) was created in Fall of 1966 to bring together these local state service organizations and coordinate dental benefit programs for customers with employees in multiple states. A year later, the first multi-state program was sold by WDS to the International Association of Machinists. WDS ceded the administration for enrollees in other states to other Delta Dental member companies and contracted with the Blue Cross and Blue Shield Association for administration in those states without a Delta Dental affiliate organization.

Coverage was provided this way until the late 1980s when Delta Dental of California won the bid for the Office of the Civilian Health and Medical Program of the Uniformed Services (OCHAMPUS) program. Delta Dental member companies agreed to share its provider data so the administration of this very large account could be centralized, with Delta Dental of California sharing the administrative income and risk. The OCHAMPUS program led to the creation of the National Provider File (NPF), which was made available for commercial accounts in 1990 via Delta USA – providing Delta Dental coverage to organizations with employees and subscribers located in multiple states.

In 2013, the Washington Dental Service was rebranded as Delta Dental of Washington.[4]

Plan assignment

If individuals have dental insurance through their employer, the Delta Dental member company in the state of their headquarters usually will handle coverage. Individual Delta Dental insurance is available in several states either through that state's member company or the state or federal health care exchange. Other individual dental insurance options are available through specialty groups such as AARP and military retiree, federal employee and veterans' groups.

Vertical integration

Dental Service of Massachusetts, also known as Delta Dental of Massachusetts, illustrates vertical integration in the dental industry of Massachusetts. Some dental providers charge that this practice reduces insurance competition and dictates prices for clinical services.[5] Delta Dental of Massachusetts and DentaQuest (a competitor)[6] are subordinate companies of Dental Service of Massachusetts.[7][8][9]

References
  1. Delta Dental about page
  2. Delta Dental statistics
  3. Dieffenbach, Al (December 18, 1966). "Welfare Dentistry Meets 25 Pct. of Need in State". The Seattle Times. p. 38.
  4. "Final Order Approving Washington Dental Service's Proposed Plan of Reorganization and Merger" (PDF). Washington State Office of the Insurance Commissioner. May 22, 2013. p. 3. Retrieved March 17, 2022.
  5. Davis M.W. Vertical Integration in the Dental Industry. Dentistry Today: Today's Dental News. 22 Jun 2018. Accessed January 15, 2020
  6. DentaQuest fact sheet. Accessed January 15, 2020.
  7. Davis M.W. Erick Paul Departs DentaQuest and Delta Dental of Massachusetts. Dentistry Today. 31 Jul 2019. Accessed January 15, 2020.
  8. National Health Care Anti-Fraud Association. DentaQuest's Nicholas Messuri Elected NHCAA Board Chair. Cision PR NewsWire. Nov 17, 2015, 11:22 ET. Accessed January 15, 2020.
  9. Delta Dental Plans's Competitors, Revenue, Number of Employees, Funding and Acquisitions. Owler. Accessed January 15, 2020.
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