Benefit plan challenges are a top concern for the majority of CDA members, causing serious disruptions in dentists’ ability to carry out treatment plans and patients’ ability to receive the care they need. We’re committed to holding plans accountable and moving toward adequate standards and more meaningful dental coverage.
CDA’s pursuit of benefit plan reform includes legal action, legislative advocacy, trusted news on emerging issues, expert-led education and member resources.
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of how plan challenges disrupted patient care in your practice
Delta Dental of California’s 2023 changes to reimbursement rate structure and provider agreements have a significant impact on many members’ practices. One of CDA’s actions is litigation to require Delta Dental to honor its contractual obligations inherent in the Participating Dentist Agreement between Delta and its participating providers. CDA is also challenging whether the Delta Dental board of directors has violated its legal responsibilities, referred to as fiduciary duties.
Read the full second amended complaint
Review legal action FAQ
CDA launched and managed a digital advertising campaign and website, Fix Our Dental Insurance, and built a large coalition in support of two CDA-sponsored dental plan reform bills that the governor signed into law in October.
A San Francisco Superior Court judge ruled last month that CDA and individual dentist-plaintiffs could proceed on their claim that Delta Dental breached the implied covenant of good faith and fair dealing in adopting the 2023 contractual amendments.
In another legislative victory for California dentists and their patients, Gov. Gavin Newsom last night signed the latest CDA-sponsored bill strengthening dental plan coverage requirements and transparency.
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In 2018, CDA achieved a favorable settlement on behalf of dentists – and their right to fair dealings - in our litigation against Delta Dental. During five years of hard-fought litigation, we successfully blocked Delta’s attempt to reduce reimbursement rates for the Premier Plan, saving providers more than $600 million. CDA has also driven multiple legislative wins on behalf of plan transparency, accountability and provider reimbursements.
Read Settlement Summary
Dental Benefits Legislation