Ranked by enrollment in L.A. County
EXECUTIVE SUMMARY
ALMOST two-thirds of Los Angeles County's population has dental coverage, with the 15 companies on this week's list accounting for close to 6 million people.
The popularity of dental plans continues to grow, with
The paid provider organizations have proven popular by allowing patients to choose dentists outside a plan's network, even though the consumer pays extra for the privilege. According to the NADP, dental HMO enrollment nationwide actually fell by 1 percent in 1999, while dental PPO enrollment increased by 34 percent.
THE PACESETTER DELTA DENTAL PLAN OF CALIFORNIA
WITH more than a 2 million-member lead over the No. 2-ranked company on the list, Delta Dental remains the largest dental health plan in Los Angeles. The San Francisco-based nonprofit corporation is also the largest in the state, covering more than one in every three Californians with 18,000-plus participating dentists.
Along with the rest of the dental industry, Delta is suffering losses in its HMO program enrollment but has seen its PPO membership increase by 38 percent.
While Delta's annual reportcites an increase in enrollees in 1999 vs. 1998; Kaiser Permanente decided this year to terminate its participation in PMI Senior Advantage, a Delta Dental affiliated program for seniors. Kaiser cited- changes in Medicare legislation as its reason for dropping the program.
In response to the loss of Kaiser membership, Delta developed a new plan designed especially for seniors and others with Medicare coverage. It hoped to convince those lost Kaiser members to re-enroll in the new program as individuals.
In addition to large government accounts such as L.A. County employees and private-sector employers such as Lockheed-Martin Corp., The Gap and Restoration Hardware, Delta recently contracted with Rockwell International, the Federal Reserve Bank of San Francisco and Logicon.
Rank Plan Enrollment [1]
* name (current/year ago)
* address * L.A. County
* California
* companywide
1 Delta Dental Plan of California 2,993/3,080.8
12898 Town Center Drive 10,666.4/9,849.6
Cerritos 90703 12,444.2/11,623.5
2 Cigna Dental Health of California Inc. 389.6/464.6
5990 Sepulveda Blvd., Suite 500 1,185.9/1,317.7
Van Nuys 91411 13,080/13,783.6
3 United Concordia Dental Plans of California 360/350
21700 Oxnard St., Suite 500 625/590
woodland Hills 91367 6,300/6,100
4 SafeGuard Health Enterprises Inc. 352.9/361
95 Enterprise 601/609
Aliso Viejo 92656 954/968
5 PMI Dental Health Plan 348.6/401.1
12898 Towne Center Drive 1,033.6/1,151.2
Cerritos 90703 1,255.8/1,1376.5
6 PacifiCare Dental & Vision 315.2/365.5
2099 S. State College Blvd., Suite 500 1,011.1/1,081.2
Anaheim 92806 1,394.7/1,327.6
7 The Guardian/MDC of California 279.4/247.3
11601 Wilshire Blvd., Suite 300 608.4/529
Los Angeles 90049 5,565.7/4,716.7
8 Wellpoint Dental Services 224.2/227.2
5155 Camino Ruiz, Suite A WND/WND
Camarillo 93010 2,230.7/2,542.9
9 Golden West Dental & Vision 87.8/79.8
888 W Ventura Blvd. 214.2/198
Camarillo 93010 229.3/198
10 Western Dental Services Inc. 70.9/68.4
530 S. Main St. 317.1/334.8
Orange 92868 323.9/341.2
11 Dentalpoint Inc. 67.3/67.3
1875 Century Park East, Suite 1875 116.9/116.9
Los Angeles 90067 921.5/921.5
12 Ameritas Life Insurance Corp. 26.2/41.6
151 Kalmus Drive, Suite B-270 134.7/65
costa Mesa 92626 1,039.9/131.8
13 Fortis Benefit Insurance Co. 25.7/16.2
200 N. Sepulveda Blvd., Suite 360 104.4/88.6
El Segundo 90245 642.1/603.9
14 Blue Shield of California 21.8/17.9
21555 Oxnard St. 433.2/403.5
Woodland Hills 91367 same/same
15 HumanDental 19.6/19.2
3760 Kilroy Airport Way, Suite 350 71.8/65.5
Long Beach 90806 1,703.6/1,484.2
Rank Dentists [1] Revenues [3] Services [4]
* current L.A./companywide
* year ago * 1999
* 1998
1 6,020 NA/$2,680 fee-for-service, PPO dental
5,902 NA/$2,440
2 4,881 WND/WND dental HMO, PPO,
4,687 WND/WND indemnity, ASO
3 2,418 41.9/640.8 dental HMO, PPO, FFS,
2,125 30/473 ASO
4 1,103 35.1/96.2 managed dental care plans,
1,103 31.3/97.6 indemnity dental plans, vision
benefits plans, adminstrative
5 931 NA/142 dental HMO programs-indi-
1,163 NA/125 vidual and group, group
vision programs
6 2,467 NA/NA dental HMO, PPO, and
2,426 NA/NA FFS; vision PPO
7 4,900 WND/WND group life, medical, dental,
4,550 WND/WND vision, disability, qualified
retirement plans
8 4,057 WND/WND PPO, HMO, fee-for-service
4,550 WND/WND
9 4,321 WND/WND prepaid, PPO, indemnity
1,149 WND/WND
10 952 WND/WND dental HMO, indemnity,
918 WND/WND PPO, EPO
11 2,904 WND/WND dental PPO, EPO
2,904 WND/WND utilization review, claim
adminstration
12 1,747 WND/WND dental, indemnity,
1,176 WND/WND managed care, vision
13 WND 7.4/174.2 indemnity, PPO for
WND 4.5/162.5 employer groups
14 3,295 3.7/32.9 dental HMO, dental PPO,
NA 3.1/27.8 indemnity
15 557 6.9/214.9 traditional, dental HMO,
502 7.1/176.3 and self-funded plans
Rank Profile Marketing
* parent co. * contact
* headquarters * www site
1 same Tom Peel
San Francisco deltadental.org
2 Cigna Healthcare Mark Burkhard
Bloomfield, Conn. cigna.com/dental
3 Highmark Kevin O'Toole
Camp Hill, Pa. unitedconcordia.com
4 Same Fabian Carrillo
Aliso Viejo safeguard.net
5 Delta Dental Plan of Tom Peel
California deltadentalca.org
San Francisco
6 PacifiCare Health LaMonte Howard
Systems pacificare.com/dental
Anaheim
7 Guardian Life Insurance Stephen M. Laine
of America glic.com
New York City
8 Wellpoint Health Cheryl Pope
Neworks Inc. bluecorssca.com
Thousand Oaks
9 Same Patrick Keelan
Camarillo goldenwestdental.com
10 Same Gordon Walker
Orange westerndental.com
11 Dentalpoint Larry Kay
Fresno NA
12 same Barry Aronowitz
Lincoln, Neb. group.amerita.com
13 Fortis Inc. Don Spini
New York City fortisbenefits.us.fortis.com
14 same Gay Clark
San Francisco blueshieldca.com
15 Humana Inc. John Walley
Louisville, Ky. humana.com
Rank Top Local Executive
* name
* title
* phone
1 Tom Peel
director of sales, So. Calif.
(562) 403-4040
2 Susan Klarner
president
(818) 756-2900
3 Len Matuzak
v.p., coastal region
(818) 710-9400
4 James E. Buncher
ceo, president
(949) 425-4300
5 Tom Peel
director of sales, So. Calif.
(562) 403-4040
6 James Stumpfel
ceo, president
(714) 704-9494
7 Stephen M. Laine
sales manager
(800) 225-3399
8 Jim Perkins
general manager
(818) 234-2345
9 Patrick Keelan
regional sales manager
(800) 249-3342
10 Samuel Guenbaum
ceo, president
(714) 480-3000
11 Jerry Levey
president
(310) 553-5876
12 Sherry Hobbs
field officer, Western region
(800) 776-9446
13 Don Spini
sales manager, Los Angeles
(310) 322-3300
14 Alan Puzarne
senior vice presient
(310) 670-4040
15 John Walley
director of sales
(562) 989-8181
NA - not available
WND - would not disclose
(1.)In thousands.
(2.)Participating dentists in L.A. County.
(3.)In millions.
(4.)Abbreviations for services: ASO - administrative services only, FFS - fee for service, HMO - health maintenance organization, POS - point of service, PPO - preferred provider organization, EPO - exclusive provider organization.
Note: The information for this list was provided by representatives of the dental plans themselves. Plans are ranked by L.A. County enrollment as of March 31, 2000. DentiCare of CA might have qualified for the list but was unable to provide L.A. County enrollment numbers. The survey was completed during the week of May 8, 2000.