DENTAL PLANS.Ranked by enrollment in L.A. County EXECUTIVE SUMMARY ALMOST two-thirds of Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850. County's population has dental dental /den·tal/ (den´t'l) pertaining to a tooth or teeth. den·tal adj. 1. Of, relating to, or for the teeth. 2. Of, relating to, or intended for dentistry. coverage, with the 15 companies on this week's list accounting for close to 6 million people. The popularity of dental plans continues to grow, with employers and employees both redefining their dental wants and needs. According to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. the National Association of Dental Plans, enrollment in dental PPOs and referral products has continued to grow, while dental HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, growth has flattened flat·ten v. flat·tened, flat·ten·ing, flat·tens v.tr. 1. To make flat or flatter. 2. To knock down; lay low: The boxer was flattened with one punch. . The paid provider organizations have proven popular by allowing patients to choose dentists Dentists can refer to one of the following:
abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there enrollment increased by 34 percent. THE PACESETTER DELTA DENTAL PLAN Delta Dental Plan, n.pr an active member organization of the Delta Dental Plans Association (a not-for-profit organization), formed and guided by state dental societies to provide prepaid dental care to the public on a group basis. OF CALIFORNIA California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W). WITH more than a 2 million-member lead over the No. 2-ranked company on the list, Delta Dental Delta Dental is the largest and oldest dental plan system in the United States. The Delta Dental Plans Association is comprised of 39 independent Delta Dental member companies operating in all 50 states, the District of Columbia and Puerto Rico. remains the largest dental health plan in Los Angeles. The San Francisco-based nonprofit corporation nonprofit corporation n. an organization incorporated under state laws and approved by both the state's Secretary of State and its taxing authority as operating for educational, charitable, social, religious, civic or humanitarian purposes. is also the largest in the state, covering more than one in every three Californians with 18,000-plus participating dentists. Along with the rest of the dental industry, Delta is suffering losses in its HMO program enrollment but has seen its PPO membership increase by 38 percent. While Delta's annual reportcites an increase in enrollees in 1999 vs. 1998; Kaiser Permanente Kaiser Permanente is an integrated managed care organization, based in Oakland, California, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield. decided this year to terminate Terminate (terminat.exe) was a shareware modem terminal and host program for MS-DOS and compatible operating systems developed from the early to the late 1990s by the Dane Bo Bendtsen. The last release (5. its participation in PMI See Private Mortgage Insurance. Senior Advantage, a Delta Dental affiliated af·fil·i·ate v. af·fil·i·at·ed, af·fil·i·at·ing, af·fil·i·ates v.tr. 1. To adopt or accept as a member, subordinate associate, or branch: program for seniors. Kaiser cited- changes in Medicare Medicare, national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services. legislation as its reason for dropping the program. In response to the loss of Kaiser membership, Delta developed a new plan designed especially for seniors and others with Medicare coverage. It hoped to convince those lost Kaiser members to re-enroll in the new program as individuals. In addition to large government accounts such as L.A. County employees and private-sector employers such as Lockheed-Martin Corp., The Gap and Restoration Hardware, Delta recently contracted with Rockwell International Rockwell International was the ultimate incarnation of a series of companies under the sphere of influence of Willard Rockwell, who had made his fortune after the invention and successful launch of a new bearing system for truck axles in 1919. , the Federal Reserve Bank of San Francisco The Federal Reserve Bank of San Francisco is the federal bank for the twelfth district in the United States. The twelfth district is made up of nine western states—Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Utah, and Washington—plus American Samoa, and Logicon.
Rank Plan Enrollment [1]
* name (current/year ago)
* address * L.A. County
* California
* companywide
1 Delta Dental Plan of California 2,993/3,080.8
12898 Town Center Drive 10,666.4/9,849.6
Cerritos 90703 12,444.2/11,623.5
2 Cigna Dental Health of California Inc. 389.6/464.6
5990 Sepulveda Blvd., Suite 500 1,185.9/1,317.7
Van Nuys 91411 13,080/13,783.6
3 United Concordia Dental Plans of California 360/350
21700 Oxnard St., Suite 500 625/590
woodland Hills 91367 6,300/6,100
4 SafeGuard Health Enterprises Inc. 352.9/361
95 Enterprise 601/609
Aliso Viejo 92656 954/968
5 PMI Dental Health Plan 348.6/401.1
12898 Towne Center Drive 1,033.6/1,151.2
Cerritos 90703 1,255.8/1,1376.5
6 PacifiCare Dental & Vision 315.2/365.5
2099 S. State College Blvd., Suite 500 1,011.1/1,081.2
Anaheim 92806 1,394.7/1,327.6
7 The Guardian/MDC of California 279.4/247.3
11601 Wilshire Blvd., Suite 300 608.4/529
Los Angeles 90049 5,565.7/4,716.7
8 Wellpoint Dental Services 224.2/227.2
5155 Camino Ruiz, Suite A WND/WND
Camarillo 93010 2,230.7/2,542.9
9 Golden West Dental & Vision 87.8/79.8
888 W Ventura Blvd. 214.2/198
Camarillo 93010 229.3/198
10 Western Dental Services Inc. 70.9/68.4
530 S. Main St. 317.1/334.8
Orange 92868 323.9/341.2
11 Dentalpoint Inc. 67.3/67.3
1875 Century Park East, Suite 1875 116.9/116.9
Los Angeles 90067 921.5/921.5
12 Ameritas Life Insurance Corp. 26.2/41.6
151 Kalmus Drive, Suite B-270 134.7/65
costa Mesa 92626 1,039.9/131.8
13 Fortis Benefit Insurance Co. 25.7/16.2
200 N. Sepulveda Blvd., Suite 360 104.4/88.6
El Segundo 90245 642.1/603.9
14 Blue Shield of California 21.8/17.9
21555 Oxnard St. 433.2/403.5
Woodland Hills 91367 same/same
15 HumanDental 19.6/19.2
3760 Kilroy Airport Way, Suite 350 71.8/65.5
Long Beach 90806 1,703.6/1,484.2
Rank Dentists [1] Revenues [3] Services [4]
* current L.A./companywide
* year ago * 1999
* 1998
1 6,020 NA/$2,680 fee-for-service, PPO dental
5,902 NA/$2,440
2 4,881 WND/WND dental HMO, PPO,
4,687 WND/WND indemnity, ASO
3 2,418 41.9/640.8 dental HMO, PPO, FFS,
2,125 30/473 ASO
4 1,103 35.1/96.2 managed dental care plans,
1,103 31.3/97.6 indemnity dental plans, vision
benefits plans, adminstrative
5 931 NA/142 dental HMO programs-indi-
1,163 NA/125 vidual and group, group
vision programs
6 2,467 NA/NA dental HMO, PPO, and
2,426 NA/NA FFS; vision PPO
7 4,900 WND/WND group life, medical, dental,
4,550 WND/WND vision, disability, qualified
retirement plans
8 4,057 WND/WND PPO, HMO, fee-for-service
4,550 WND/WND
9 4,321 WND/WND prepaid, PPO, indemnity
1,149 WND/WND
10 952 WND/WND dental HMO, indemnity,
918 WND/WND PPO, EPO
11 2,904 WND/WND dental PPO, EPO
2,904 WND/WND utilization review, claim
adminstration
12 1,747 WND/WND dental, indemnity,
1,176 WND/WND managed care, vision
13 WND 7.4/174.2 indemnity, PPO for
WND 4.5/162.5 employer groups
14 3,295 3.7/32.9 dental HMO, dental PPO,
NA 3.1/27.8 indemnity
15 557 6.9/214.9 traditional, dental HMO,
502 7.1/176.3 and self-funded plans
Rank Profile Marketing
* parent co. * contact
* headquarters * www site
1 same Tom Peel
San Francisco deltadental.org
2 Cigna Healthcare Mark Burkhard
Bloomfield, Conn. cigna.com/dental
3 Highmark Kevin O'Toole
Camp Hill, Pa. unitedconcordia.com
4 Same Fabian Carrillo
Aliso Viejo safeguard.net
5 Delta Dental Plan of Tom Peel
California deltadentalca.org
San Francisco
6 PacifiCare Health LaMonte Howard
Systems pacificare.com/dental
Anaheim
7 Guardian Life Insurance Stephen M. Laine
of America glic.com
New York City
8 Wellpoint Health Cheryl Pope
Neworks Inc. bluecorssca.com
Thousand Oaks
9 Same Patrick Keelan
Camarillo goldenwestdental.com
10 Same Gordon Walker
Orange westerndental.com
11 Dentalpoint Larry Kay
Fresno NA
12 same Barry Aronowitz
Lincoln, Neb. group.amerita.com
13 Fortis Inc. Don Spini
New York City fortisbenefits.us.fortis.com
14 same Gay Clark
San Francisco blueshieldca.com
15 Humana Inc. John Walley
Louisville, Ky. humana.com
Rank Top Local Executive
* name
* title
* phone
1 Tom Peel
director of sales, So. Calif.
(562) 403-4040
2 Susan Klarner
president
(818) 756-2900
3 Len Matuzak
v.p., coastal region
(818) 710-9400
4 James E. Buncher
ceo, president
(949) 425-4300
5 Tom Peel
director of sales, So. Calif.
(562) 403-4040
6 James Stumpfel
ceo, president
(714) 704-9494
7 Stephen M. Laine
sales manager
(800) 225-3399
8 Jim Perkins
general manager
(818) 234-2345
9 Patrick Keelan
regional sales manager
(800) 249-3342
10 Samuel Guenbaum
ceo, president
(714) 480-3000
11 Jerry Levey
president
(310) 553-5876
12 Sherry Hobbs
field officer, Western region
(800) 776-9446
13 Don Spini
sales manager, Los Angeles
(310) 322-3300
14 Alan Puzarne
senior vice presient
(310) 670-4040
15 John Walley
director of sales
(562) 989-8181
NA - not available WND WND Wind WND World Net Daily WND Waarnemend WND Wilson Disease Gene (genetic medicine) WND Will Not Disclose WND Waving Not Drowning WND Why Not Design (Citrus Heights, CA) - would not disclose (1.)In thousands. (2.)Participating dentists in L.A. County. (3.)In millions. (4.)Abbreviations for services: ASO ASO arteriosclerosis obliterans. ASO 1 Administrative services organization, see there 2 Allele-specific–oligonucleotide hybridization 3 Anti-streptolysin O, see there - administrative services only, FFS (Flash File System) Software from Microsoft that made flash memory look like a disk drive. It was superseded by the Flash Translation Layer (FTL) from PCMCIA and M-Systems. See flash memory. - fee for service, HMO - health maintenance organization, POS (1) See point of sale and packet over SONET. (2) "Parent over shoulder." See digispeak. POS - point of sale - point of service, PPO - preferred provider organization pre·ferred provider organization n. Abbr. PPO A medical insurance plan in which members receive more coverage if they choose health care providers approved by or affiliated with the plan. , EPO EPO see erythropoietin. EPO Erythropoietin, see there - exclusive provider organization exclusive provider organization (EPO), n a dental benefits plan that provides benefits only if care is rendered by institutional and professional providers with whom the plan contracts (with some exceptions for emergency and out-of-area services). . Note: The information for this list was provided by representatives of the dental plans themselves. Plans are ranked by L.A. County enrollment as of March 31, 2000. DentiCare of CA might have qualified for the list but was unable to provide L.A. County enrollment numbers. The survey was completed during the week of May 8, 2000. |
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