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Third Party Administration Rate Sheet

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To administer self-funded dental and vision plans, PESC Administrators charges the following fees:

Monthly Recurring Fees

• Dental third party administration* $4.25/employee/month
• Vision third party administration* 85¢/employee/month
• PPO network access 50¢/employee/month
• Utilization review 50¢/employee/month

* Includes all costs associated with third party administration (dental and vision claims processing; standard reports; PPO provider directories; recruitment of new PPO providers in specified areas; and help desk assistance for patients and dentists or optometrists)

One-Time Fees

• Plastic identification cards $1.50/employee (for 2 cards)
• Initial set-up of Standard Plan Document** $250
• Standard Plan Document booklets $1.00/employee

** Includes compliance with HIPAA requirements

Annual Fees

• Filing of 5500 forms (if requested)*** $750 per 5500 form

*** Employers with self-funded plans must file annual 5500 forms

Dental Plan Open Enrollment Services

• Complimentary directories of participating PPO general dentists and specialists
• Flyers for employees explaining the value of using PPO dentists
• Toothbrushes, toothpaste, and floss cards for open enrollment packets or sessions
• With advance scheduling, PPO dentists and PESC Administrators employees are available to attend open enrollment forums or health fairs to explain new benefits, answer questions, and promote good oral health
  

 

555 W. Shaw Ave., Suite C-1 Fresno, CA 93704

(866) 777-1320 (559) 256-1320 559.256.1321 fax