The Trust wants to ensure that members and their eligible dependents have a dental plan that meets their needs. You can select either of the Trust's dental plans if you are a Union-represented State employee with at least one year of continuous service, regardless of where you live or work. Both plans cover a wide range of services, as shown in the Dental Comparison Chart, which shows the new benefit levels that became effective July 1, 2006.
| Notes |
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Available after one year of continuous State service. |
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Trust pays premiums for you and your dependents. |
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| To Enroll |
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Elect
single or family coverage (you may waive dental) using
the Enrollment & Change
form. |
Choosing a Dental Plan
Regardless of where you work or live, you may choose either of our plans to cover you and your family:
Preferred Choice
In- or out-of-network benefits
Quality Dental
Traditional Plan
Choose from any of the Trust's plans, but remember, network availability varies by location and is an important feature of
the Preferred Choice plan. Under either plan, you must meet your annual deductible of $25 per person
before benefits are paid for restorative, oral surgery, endodontic, periodontic and prosthetic services. Also, each plan will only pay benefits
up to the maximum annual benefit per person per plan year. The maximums, along with certain benefits, will be changing July 1. Please carefully check the information on the new coverage before deciding.
Call MetLife or visit their website for up-to-date provider information. For participating endodontists currently available to Trust members, see the special list posted here.
Before You Decide
The benefits you will continue to cover you unless you choose a different plan during the 2007 open enrollment, unless your coverage ends due to your loss of eligibility.
Review the MetLife provider directory and the Dental Comparison Chart. As the plan's network grows and changes throughout the plan
year, you may want to consider not only if your favorite dentist participates, but also how many providers are in your area, as the plan you choose now
will cover you for the entire plan year.
After you've weighed your options and selected the plan that will best meet your family's needs, complete an Enrollment
and Change form and give it to your Payroll/Personnel officer within 31 days of first becoming eligible or by the open enrollment deadline
(if enrolling during Trust-sponsored open enrollment).
Pre-Treatment Estimates
Preferred Choice Dental Plan and Quality Dental Plan
Pre-treatment estimates are
recommended for services over $300 (e.g., crown, bridge, inlay,
periodontal treatment). A pretreatment estimate outlines the
treatment plan and related charges. The estimate lets you
know in advance what the plan considers to be the reasonable
and customary (R&C) charges, giving you an idea as to
the portion of your cost that will be your responsibility.
Use the Dental Expense Claim Form
to file a pre-treatment estimate.
How to Use Your Benefits
Preferred Choice
Quality Dental
Updated July 2006
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