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: Eden Bédard
Quarterly Report to the National Joint Council (March 2024)
Regular activities:
- The Board has met twice (2) since the last Council meeting and examined six (6) appeals.
- The six (6) appeals reviewed by the Board related to late claims, crowns, polishing, dependant coverage, periodontics, and the annual maximum. Of the six (6) appeals, one (1) was denied with an invitation sent to the Plan member to provide additional information, and five (5) were denied.
- The Board began preparing their 2024-2025 annual budget.
- The Board continued to include “2022 Plan Review” as a standing agenda item. This review relates to Public Service Dental Care Plan (PSDCP) negotiations. The Board confirmed their approach to this round of negotiations and is currently waiting for the Treasury Board Secretariat (TBS) to receive approval for funding before official proposals can be reviewed.
- The Board received an update indicating that the Public Service Alliance of Canada (PSAC) and TBS were unable to reach an agreement and are therefore proceeding with arbitration this spring. The representatives responsible for Plan negotiation at TBS noted they intend to recommend that the arbitral award be extended to all PSDCP components and Plan members, to maintain program universality. Board members responsible for Plan negotiations will be meeting with TBS in March to discuss.
Outstanding item(s):
- Nil
Next meeting: April 9, 2024