Services

Eagles serves as the ERISA plan sponsor for every Dollar Based Dental plan. This means Eagles establishes, maintains, and governs the plan structure — so employers adopt a proven, compliant framework rather than building one from scratch.

• Established plan sponsor entity under ERISA
• Ongoing plan governance and maintenance
• Regulatory compliance oversight
• Plan amendment and restatement as needed

Eagles prepares the ERISA-compliant plan documents that define each employer's adopted plan. Every plan document is tailored to the employer's selected design — annual maximums, deductibles, coinsurance rates, covered services, and exclusions.

• Summary Plan Description (SPD)
• Plan adoption agreement
• Covered services schedule
• Claims and appeals procedures
• COBRA and continuation coverage notices

Eagles works with employers and brokers to select or build the right plan design for each group. Whether you start with a sample plan or need a fully custom structure, Eagles guides the design process from first conversation to final adoption.

• Sample plans: Plan A ($1,500), Plan B ($5,000), Plan C ($10,000)
• Custom annual maximums and deductible structures
• Coinsurance rate configuration
• Orthodontic and implant rider options
• Multi-tier and dependent coverage design

Eagles provides hands-on support throughout the proposal, implementation, and ongoing management of every plan. Employers and brokers have a direct point of contact at Eagles — not a call center.

• Proposal preparation and delivery
• Implementation coordination and plan setup
• Ongoing plan management support
• Plan design review and renewal assistance
• Broker and consultant partnership

Eagles, as third-party administrator, handles all claims processing and participant administration — ensuring claims are processed in accordance with each employer's plan documents.

• CMS-1500 and ADA claim form processing
• Explanation of Benefits (EOB) issuance
• Participant eligibility and enrollment management
• Benefit verification for providers
• Participant portal access

Self-funded employer benefit plans carry ERISA compliance obligations. Eagles structures every Dollar Based Dental plan to meet ERISA requirements — from plan document content to claims and appeals procedures — reducing compliance risk for employers.

• ERISA-compliant plan document structure
• Required notices and disclosures
• Claims and appeals procedure compliance
• Plan fiduciary guidance
• Not subject to state insurance mandates

Employers receive reporting on plan utilization and claims activity through Eagles. This data helps employers understand how their plan is being used and informs future plan design decisions at renewal.

• Claims utilization reports
• Annual maximum tracking by participant
• Covered service category breakdowns
• Renewal planning data

Eagles provides materials and support to help employers communicate the Dollar Based Dental plan to their employees — including how to use benefits, how to find a provider, and how to submit a claim.

• Plan summary materials for employees
• Provider-choice explanation resources
• Claim submission guidance
• Participant portal onboarding