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Dental Program Table of Contents
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Table of Contents
Detailed Table of Contents
Index

Introduction

Who Is Eligible

Enrolling for Coverage

Your Rights and Responsibilities

How the Program Works

How to File a Claim

When Coverage Ends

Special Extensions of Coverage

Your Legal Right to Continuation Coverage Under COBRA

Coordinating Benefits With Other Programs

Claims and Appeals Procedures

Situations Affecting Your Benefits

Administrative and Contact Information

Your ERISA Rights

Dental Program

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Coordinating Benefits With Other Programs

General Information

The Program has a coordination of benefits (COB) provision which coordinates benefit payments from all of your and your covered eligible dependents’ coverages. For example, if your spouse also has coverage through his or her employment, the COB provision coordinates payments from the Program and your spouse’s plan. This provision is intended to prevent duplicate payments for the same covered expenses.

Coordination of benefits takes into account benefits available for the same expenses under another employer plan, a government program, school insurance (except those offered through the high school level), or benefits required by law, such as no-fault automobile insurance benefits. It does not apply to Medicaid or individual medical policies.

Coordination of benefits will be coordinated by the claims administrator.

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