LSU System Dental Plans
Employees
appointed to work a minimum of 30 hours (75%) per week with an
appointment extending beyond 120 days are eligible to
participate in the Dental Plan. You may enroll on or within
30 days after the effective date of the Policy, or on or within
30 days of your employment or completion of any employer
requested probationary period (if you are employed after the
effective date of the policy). Once enrolled, you must
maintain coverage for a full pan year.
Premiums are eligible for tax shelter through the Cafeteria
Plan.
There are two dental options to select from
and both are through Dearborn National Insurance.
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Option 1 - Enhanced Plan
- Annual maximums for Dental services ($1,500/person/calendar
year) and Orthodontic benefits ($2,000
lifetime maximum). Plan pay a percentage of charges
based on category of services received.
-
Option 2 - Basic Plan
- Annual maximums for Dental services
($1,500/person/year) and no orthodontic benefits. Plan
pays a flat fee based on procedure code. Use of
contracted provider will lower out of pocket cost.
Plan benefits:
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Freedom to select the dentist of your
choice or select from the list of contracted providers
offering reduced costs for their services. Most dentists will
complete the necessary paperwork and file the claims for you.
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No pre-existing condition limitations.
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Pre-determinations are not required before
major services are performed. This allows delivery of
necessary care immediately.
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Orthodontics Services offered under Option
1 Enhanced Plan subject to $1,500 lifetime maximum.
Coverage:
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No pre-existing condition restrictions.
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Voluntary access to contracted providers to
help curb costs and save you money. To locate a
dentist, please visit
www.dearbornnational.com or call group customer service at
888-758-6979.
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Complete freedom of choice in choosing
provider.
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100% coverage of reasonable and customary
charges for preventive care.
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Children through age 25 eligible for
coverage.
Premiums
| |
Option 1 - Enhanced Plan |
Option 2 - Basic Plan |
| Employee Only |
$26.26 monthly |
$16.56 monthly |
| Employee + Spouse |
$51.37 monthly |
$31.11 monthly |
| Employee + Child(ren) |
$62.44 monthly |
$43.01 monthly |
| Family |
$87.55 monthly |
$57.56 monthly |
Please click on the links below for more
information on the plans and the enrollment forms. All
enrollment cards should be sent back to Human Resource
Management - Benefits Section, 433 Bolivar Street Room 608, New
Orleans, LA 70112.
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