Initial Enrollment for Active Members: You may enroll in
Dental coverage during open enrollment. Once you have
enrolled, you will have coverage for a one-year period.
There are enrollment opportunities annually. Coverage is
only available through pension deduction. If you choose to
discontinue coverage at any point in time, you will not be
eligible to re-enroll, unless you have a qualifying change in
family status, such as marriage, divorce, birth or adoption
COBRA coverage.
Dental Plan.
1. If you choose to elect COBRA at retirement, you have
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2. If you are covered under your spouse’s employer’s
Dental Plan and your spouse retires, you are able to
enroll then or when your spouse’s COBRA coverage
Enrollment for New Members: When you become a new
coverage. If you decide not to elect coverage, you may
subject to the same enrollment rules as described for Active
Members above.
Ongoing Enrollments: NCRGEA offers an open enrollment
every year. Members who are currently enrolled in
the NCRGEA Dental Plan may choose to continue to
have coverage, move between the high and low plan, or
discontinue coverage during this time. If you remain in the
NCRGEA Dental Plan, you will participate for another oneyear
period. Members who want to cancel coverage must
submit a written request to NCRGEA 45 days prior to the
end of the calendar year.
30-day Post Open Enrollment Window: You can change
Standard has not received and/or paid any Dental claims.
cancellation) will be denied. After this initial window, you
will remain in the NCRGEA Dental Plan for 1 year.
1. for any treatment which is for cosmetic purposes,
Procedures.
2. to replace any prosthetic appliance, crown, inlay or
years of the date of the last placement of these items.
However, if a replacement is required because of an
accidental bodily injury sustained while the plan
3. for initial placement of any dental prosthesis or
prosthetic crown unless such placement is needed
tooth) will not qualify under the above. Any such
dental prosthesis or prosthetic crown must include the
4. for any procedure begun before the plan participant
5. for any procedure begun after the participant’s
or for any prosthetic dental appliances installed or
6. to replace lost or stolen appliances.
7. for appliances, restorations, or procedures to:
a. alter vertical dimension;
b. restore or maintain occlusion;
c. splint or replace tooth structure lost because of
abrasion or attrition
8. for any procedure which is not shown on the Table of
Dental Procedures.
under any workmen’s compensation or similar law, or
charges for services or supplies received as a result of
any dental condition caused or contributed to by an
injury or sickness arising out of or in the course of any
11. for charges for which the plan participant is not liable
or which would not have been made had no insurance
been in force.
12. for services which are not required for necessary care
and treatment or are not within the generally accepted
parameters of care.
13. due to war or any act of war, declared or not.