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California State University, Long BeachCalifornia State University, Long Beach

Dental Benefits

Program

The CSU offers two types of dental plans, a managed fee-for-service plan and a prepaid plan. Delta Premier Dental is the CSU's managed fee-for-service dental plan. Delta Care (PMI) is the CSU's prepaid dental plan. Provisions of Collective Bargaining Agreements may modify dental plan benefits. At this time, the employer pays the monthly premiums for both dental plans.

Monthly Premium

Currently the full monthly premium is paid by the CSU. However, premium costs are subject to change.

Eligibility

Employees are eligible if appointed half-time or more for a period of more than six (6) months.

Lecturers and Coaches appointed for a minimum of one semester or two consecutive quarters at .4 timebase or greater are eligible for benefits. Coaches (Non-academic calendar year) and Lectures (12 month appointments) are eligible for benefits if appointed half-time or more for a period of more than six (6) months. Exclusions: Faculty appointed solely to teach summer session, extension or intersession are not eligible for benefits.

Employees appointed on an hourly, intermittent basis do not qualify for benefits.

Enrollment

To enroll, you must complete the Benefits Enrollment Worksheet along with any required documentation for eligible dependent(s) at Benefits Services. The deadline to enroll is 60 calendar days from date of eligibility.You may begin to use your dental plan when the deduction description Delta II or PMI 2 appears on your pay warrant stub.

Employees, annuitants and their family members may only be enrolled in one CSU or state sponsored dental plan at a time (no dual enrollments). Dependent children who can be covered on either parent's (or legal guardian's or domestic partner's) dental coverage because both are employed by the CSU and/or the state can only be enrolled as a dependent under one parent in one plan. The enrollment cannot be split between parents. For example, if five (5) children can be covered under either parent, one parent must list all five children as dependents.

An employee who is also a family member of a CSU or State employee may not be enrolled in both as an employee and a family member, including domestic partners.

State-sponsored dental plans include: Another CSU campus; another state agency; CalPERS or CalSTRS retiree coverage; or CalPERS or CalSTRS as a survivor of a retiree or deceased employee.

Explanation of Plans

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Dental Comparison Overview 2015

Delta Dental Premier (Group #4018)

Delta Premier Dental plan is a group dental plan that allows you to choose any dentist, but the benefits described in their Evidence of Coverage and Summary brochure are guaranteed only when you go to a member dentist. Your position determines the level of coverage (Basic, Enhanced Level 1, or Enhanced Level 2) you are entitled.

Delta's Dentist Directory

Identification cards are not issued. Claim forms for reimbursement are required. Forms may be obtained from Benefits Services, from the offices of the dentists who are Delta members, or by contacting Delta Dental directly at (888) 335-8227. The group number should be identified on all claim forms submitted to Delta Dental.

DeltaCare (PMI)

Delta Care is a prepaid plan. Many services are covered at no cost to the employee, while other services have copayments for certain procedures. Your position determines which level of coverage (Basic or Enhanced) you are entitled. Under the Basic Plan, you must select one dentist who will provide all dental care for you and your family. Under the Enhanced Plan, you and your dependents have the option to select a maximum of three separate dentists to meet individual needs within your family. At the time of enrollment, you must choose a Delta Care provider or one will be assigned to you by Delta Care.

PMI Deltacare Dentist Directory

Once you have enrolled, you will receive a DeltaCare membership card and an Evidence of Coverage that fully describes the covered benefits. The membership card will have the telephone number and address of your selected dentist. Enrollees can request to change their plan dentist by contacting Delta Care (PMI) at (800) 422-4234.

FlexCash Plan

FlexCash is an optional benefit plan that allows you to waive medical and/or dental insurance plan(s) in exchange for cash if you have other non-CSU coverage. You may enroll in FlexCash within 60 days of eligibility or a change in family status as defined by the IRS; OR during Open Enrollment (or within 60 days of a return from a leave of absence that was during the regular open enrollment period).

Open Enrollment

If you do not enroll by the 60th calendar day of eligibility or you wish to change dental plans, you may do so during the annual open enrollment period. The annual open enrollment period is usually scheduled around September or October of each year.

Continuation of Coverage

You may elect to voluntarily cancel your coverage at any time. If you become ineligible because of a change in employee status or timebase, or your dependent(s) becomes ineligible, coverage may be continued under the provisions of COBRA. Please contact Benefits Services at (562) 985-7141 for further assistance.

Direct Pay

If you are on a Leave of Absence Without Pay or are otherwise in an approved non-pay status, you may elect to continue your dental coverage by paying the full premium for your coverage via the Direct Pay method. You should complete the necessary documents prior to your Leave. Please contact Benefit Services at (562) 985-7141 for further assistance.