Executive/Council Action Form (ECAF)
ITEM TITLE:
Title
Amendments to Delta Dental of Washington Dental Care Service Contracts
body
DEPARTMENT: Finance
ORIGINATOR: Vanessa de Salome`
EXECUTIVE RECOMMENDATION: Approved
PURPOSE: Executive Office approval and signature needed on Eligibility and Termination language for DDWA plan year ending 3/31/26
BACKGROUND: Amendment needed for the DDWA contracts with the updated eligibility and termination language. The amendments have no fiscal impact and are effective 6/1/25 with Benefit Booklet Inserts to accompany the Benefit Booklets for the period of 6/1/25-3/31/26.
FISCAL IMPLICATIONS:
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EXPEND: FUND, AGY, ORG, ACTY, OBJ, AU |
CURRENT YR |
2ND YR |
1ST 6 YRS |
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TOTAL |
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REVENUE: FUND, AGY, ORG, REV, SOURCE |
CURRENT YR |
2ND YR |
1ST 6 YRS |
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TOTAL |
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DEPARTMENT FISCAL IMPACT NOTES: Cost of original contract determined by enrollment, no fiscal change with amendment. This is the 1st amendment for each plan.
CONTRACT INFORMATION:
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ORIGINAL |
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CONTRACT# |
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AMOUNT |
No change |
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AMENDMENT |
1 |
CONTRACT# |
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AMOUNT |
0 |
Contract Period
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ORIGINAL |
START |
4/1/2025 |
END |
3/31/2026 |
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AMENDMENT 1 |
START |
6/1/2025 |
END |
3/31/2026 |
OTHER DEPARTMENTAL REVIEW/COMMENTS: Click or tap here to enter text.