News & Updates
Approved by Governor Newsom on September 29, 2018, California's SB 1008 requires health plans and health insurance policies that cover dental services to utilize a uniform health plan benefits and coverage matrix. This Summary of Dental Benefits and Coverage Matrix (SDBC) requirement is similar to the current SBCs required for medical coverage.
A uniform summary of benefits and coverage will be provided to health insurers to complete and provide to enrollees. This template includes a variety of information to help enrollees assess their options and understand their plan, including:
Much like SBCs for medical coverage, SDBCs will be required to be disseminated to dental enrollees:
The SDBC requirements are to take effect for plan or policy years on and after January 1, 2021, or 12 months after adoption of the emergency regulations, whichever occurs later. While COVID-19 regulations have delayed these requirements, some carriers have already begun providing SDBCs. For example, click here to see Guardian's SDBC for their J1 Nap with Ortho plan.
You can find a zip file containing all the SDBCs for a particular carrier under the Dental category of the Plan Details section for each carrier. This is in the same section as you would find the benefit summaries for dental plans.
B&P will be posting SDBCs for our carriers soon (as they become available).
For questions about this new requirement, please contact your B&P Sales Rep - 888.722.3373.