The Dental Care Board of Management (NJC Part) is responsible for the overall administration of the Plan, resolving members' complaints regarding eligibility or claims disputes with the Administrator, monitoring the claims settlement performance of the Administrator, and recommending changes to the Plan.
Committee Advisor: Laura Mackenzie
Quarterly Report to the National Joint Council (December 2024)
Regular activities:
- The Board has met once (1) since the last Council meeting and examined three (3) appeals.
- The three (3) appeals reviewed by the Board related to crowns, orthodontic treatment for a dependent, and a request for coverage. Of the three (3) appeals, one (1) was upheld and two (2) were denied, in accordance with the limitations of the Plan.
- The Board wishes to note the departure of an Employer Side representative, Hilary Flett, from Health Canada and to thank them for their contributions to the Board.
- Two (2) Board members attended the 57th Annual Conference hosted by the International Foundation for Employees Benefits Program in November. Concerns about timeliness of budget approval and the impact of associated costs were raised. It was noted that it would be beneficial if members could obtain approval for training-related travel, and be reimbursed, as soon as possible.
The Board continued to include “2022 Plan Review” as a standing agenda item.
Outstanding item(s):
- Nil
Next meetings: April 1, 2025, May 27, 2025