When adding a dental plan, there is some required information to set the plan up correctly and to generate accurate deductions. This article will walk you through the steps of providing the necessary information needed to add a dental plan in iSolved.

Basic Plan Information

1. Is the dental benefit pre-tax or post-tax?
2. What is the plan name?
3. What company is the provider?
4. Is there a plan ID number (primarily used in the system for carrier feed integration)?
5. Is this plan COBRA eligible?
6. Is your plan considered Creditable Coverage?
7. Does this plan include RX Coverage?
8. Is this plan self-funded?
9. Is this plan considered a conditional offer of coverage for the spouse?
10. Does this plan qualify as ACA Minimum Essential Coverage?
11. Does this plan qualify as ACA Minimum Value?
12. Is proof of insurability required?

Dates and Schedule

1. When does the plan start?
2. Are deductions pulled based on the Pay Date or the Pay Period End Date?
3. Is there a new hire probationary period? ex. First Day of the Month Following 30 Days After the Most Recent Hire Date
4. If an employee is terminated, when does this benefit end for them? ex. Last Day of Employment

Pay Items and Options

1. Is there an employer contribution to the plan?
2. Do these deductions or employer contributions need to be mapped to a specific GL account for reporting purposes?
3. Is a primary care physician required to enroll in the plan?
4. Do dependents age out of the plan?
   • When is age measured? ex. Age as First of the Month Following Birthday; As of Jan 1; As of Beginning of Plan Year
   • When do they age out?
   • When do they age out if they are a full-time student?
5. Who is eligible for this benefit plan? ex. All Full-Time Internal Employees 
6. Is this plan dependent upon the employee being enrolled or not enrolled in another benefit plan?

Rates

1. Would you like the system to automatically calculate the employee and employer contributions?
   • You will need to provide a rate table: Common Rate Structure for Dental Plans
2. Would you like to use an external party to calculate the employee and employer contributions?
   • You will need to provide import files with this information, manually enter rates on the employee's record, or keep track of them some other way