Dental Insurance
There is one dental plan offered through the Diocesan Group. It is not related to any of the medical options. You may have dental coverage through the group without being enrolled in any of the medical options, or vice versa.
Rates
The monthly rates for 2008 for the dental plan are as follows:
| 2008 Dental Rates for The Episcopal Diocese of Arizona | ||||||
| Single | Plus | Family | ||||
|---|---|---|---|---|---|---|
2007 | 2008 | 2007 | 2008 | 2007 | 2008 | |
| CIGNA Dental PPO | 56 | 59 | 100 | 105 | 155 | 163 |
Enrollment deadlines & effective date of coverage
You must enroll within 30 days of your date of hire. If you miss the enrollment deadline, the Medical Trust will effect your enrollment in the dental plan only on submission and approval of dental health statements.
Effective date of coverage
Your coverage will be effective on the first day of the first full month of your employment. If your hire date is July 1 (or the first working day in July), your coverage will be effective July 1. If your hire date is July 10, your coverage will be effective on August 1. The effective date of coverage is not up to the employer or the employee; it is based without exception on the employee's date of hire.
Significant life changes
If you experience a significant life change during the year (e.g., marriage, divorce, birth or adoption of a child, loss of spousal coverage), you may make changes to your dental coverage as long as:
- you file the necessary paperwork within 30 days of the event
- there is no break in coverage.
Same-sex partner coverage
The diocesan group plan includes coverage for the same-sex partners of eligible employees. Affidavits and supporting documentation must be submitted to the Diocesan Finance office if you would like this coverage.
Summary of dental plan coverage
- The annual deductible is $25 per individual/$75 per family.
- The annual benefit maximum is $1,500 per individual. All services are subject to the annual benefit maximum.
- Lifetime orthodontic maximum is $1,000 per individual.
- Preventative services are covered with no deductible.
- Basic services (e.g., fillings, root canals) are covered at 85% after the deductible.
- Major services (e.g., crowns, bridges) are covered at 85% after the deductible.
- Orthodontic services are covered.
- If you use a dentist who is part of the First Health network, there is no deductible.
The dental plan is administered by First Health under group number E8410. For questions about coverage and claims, call First Health at 1-800-398-5654.
Submit claims to: | First Health |
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If your dentist can submit claims electronically, the claims will be processed more quickly. First Health's electronic payor number is 87403.
For more information visit the First Health website at www.firsthealth.com. Login ID: ECM01
Questions? Contact Theresa Stottlemire at theresa@azdiocese.org, or Vicki Hohnbaum at vicki@azdiocese.org.
