A San Francisco Superior Court judge has granted final approval of the $65 million amended settlement agreement between Delta Dental of California and the plaintiff class of Premier Dentists. The comprehensive settlement is the result of a lengthy legal battle that CDA initiated in 2013 after learning of Delta Dental’s plans to reduce Premier provider rates by 8 to 12 percent. CDA brought the litigation in order to protect the rights of its members and to require Delta Dental to honor the terms of its contracts.
“We told our members we would go to the mat for them and that’s exactly what we did,” said CDA President Natasha Lee, DDS. “This litigation demonstrates the great lengths CDA is willing to go to protect our members especially since individual dentists feel it would have been impossible to fight a company like Delta Dental on their own.”
During litigation, CDA discovered that Delta Dental had been imposing limitations on provider annual fee filings. As part of the settlement, Premier dentists who had their fees reduced by Delta Dental’s “inflationary adjustment percentage” are eligible to receive proportionate reimbursements based on the amount their fees were limited. Those not receiving settlement reimbursements were not affected.
Specific terms of the settlement include:
Although this agreement does not prevent future rate reductions, CDA successfully blocked Delta Dental’s attempt to reduce Premier provider reimbursement rates during the five-year litigation, saving dentists — even those not receiving settlement payments — more than $600 million in Premier plan fee reductions.
CDA is committed to supporting members in many ways, including through advocacy, protection and practice support resources.
Members with questions about the terms or meaning of the settlement may contact CDA at 800.232.7645.