Dental Insurance
Enrollment
Regular full-time
or regular part-time (75%+) appointments are eligible to enroll in one of two dental plans. Coverage becomes effective on the first of
the month following the month of employment, if all necessary forms are received
by the Office of Human Resources.
Transferring
Plans
Transferring dental plans may be done only during
the Annual Enrollment (October 1 - November 1),
with an effective date of January 1st. This is the only time of the year when
participants can make changes in their insurance coverage. Changes in coverage
will become effective on January 1.
Cancelling Insurance
Cancellation is not permitted outside of Annual Enrollment
unless the covered person experiences a qualifying event or family status change.
Making your Selection
You may choose from the Prepaid Plan, administered by Assurant, or the Preferred Provider Organization (PPO), administered by Delta Dental. View a comparison of plans.
Prepaid Plan administered by Assurant
Phone toll free at
1-800-443-2995
You must choose a primary care dentist from the network; however, each family member may choose a different dentist. There are some co-pays for dental procedures; some procedures at no charge; no claim forms to submit; pre-existing conditions are covered; no maximum benefit levels; no deductibles; 25% discount on all orthodontic services; no age or dollar maximum restrictions on orthodontics.
- Member Home Page
- 2012 Member Handbook
- 2012 Monthly Premiums (There is no increase in premiums for 2012.)
- Provider Search (select Denticare)
- Group Insurance Enrollment Form
- Primary Care Dentist Card must also be submitted if you are enrolling in the Prepaid Plan. Enrollment forms will not be accepted without the Primary Care Dentist Card.
Preferred Provider Organization (PPO) administered by Delta Dental
Phone toll free at
1-800-223-3104
You may select any dentist; no referrals are required and you or your dentist will file claims for covered services. Some services require waiting periods and limitations and exclusions apply. No deductible per individual for in-network provider; $100 deductible per individual for out-of-network provider; benefits for covered services paid at the lesser of dentist charge or the scheduled amount; $1,000 annual maximum benefit per person.
- Member Home Page
- 2012 Member Handbook
- 2012 Monthly Premiums (There is a slight increase in premiums for 2012.)
- Provider Search (select Delta Dental PPO for the best benefit)
What is the Delta Dental "Safety Net"? If you visit a dentist who is not a Delta Dental PPO provider but is a Delta Dental Premier provider, the amount you may be balance billed is limited. This may be an additional savings to you and your family members.
- Print your ID Card
Enter your Edison ID #, preceded by a 0, and *Log In*; enter *Print Card*. Your Edison ID # can be found on your Caremark prescription card. - Group Insurance Enrollment Form
