These instructions are to be used for the submission of the 2018 premium rates for stand-alone dental plans to be sold through the nysoh as well as nysoh-certified plans to be sold outside the nysoh. this applies to stand-alone dental which may be pediatric dental only or a family dental plan covering both pediatric dental and adult dental.. This chapter guides dental-only and dual product issuers through completing the plans & benefits template for a stand-alone dental plan (sadp). 2.ervie ov w pediatric dental is an essential health benefit (ehb) that must be offered by all issuers in the individual and small group markets. if the pediatric dental benefit is covered by an sadp on the. Important: if you don’t choose a stand-alone dental plan, you’ll need to attest that you’re enrolled in an exchange-certified dental plan that includes pediatric dental benefits as required by the affordable care act. fill in the name of your dental insurance carrier, name of your dental plan, and policy number..
See the instructions for line 4 for more information about who is a recipient. don't furnish a form 1095-a for a catastrophic health plan or a stand-alone dental plan. see the instructions for part iii, column a. on form 1095-a statements furnished to recipients, filers of form 1095-a may truncate the social security. Stand-alone dental plan, include the portion of the premiums for the stand-alone dental plan that is allocable to pediatric dental coverage in the total monthly enrollment premiums. if more than one form 1095-a is filed for coverage of the recipient’s family for the same months, because, for example, a family member enrolled. Stand-alone dental plans are excluded from cost-sharing reduction (csr) requirements. for plan year 2019, sadp are not required to be accredited or submit accreditation information. variability is not permitted within cost sharing schedules..
