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FAQ

Frequently Asked Questions

State Employer Dental FAQ
Revised September 21, 2016

The following are answers to frequently asked questions from state agencies about the Uniform Dental Benefit plan. These FAQs will be revised as information becomes available. Sign up for ETF E-mail Updates to receive immediate notification of any changes to this information.

FAQ Topics

 


 

General Information

Q. Who is the administrator of the Uniform Dental Benefit plan?

A. Delta Dental is the third party administrator for this plan.

Q. Are the supplemental dental insurance plans (i.e., EPIC Benefits +, EPIC Dental Wisconsin, and Anthem DentalBlue) will) still be available?

A. Yes, supplemental dental insurance remains a separate optional plan offering.

Q. Will new employees be given the option upon initial enrollment to select a plan with or without dental coverage?

A. Yes. The new employee will be able to choose whether they would like dental coverage when they enroll in health insurance.


Enrollment & Eligibility

Q. Can part-time employees and LTEs enroll in the Uniform Dental Benefit?

A. Part-time employees and LTEs may enroll in the Uniform Dental Benefit only if they enroll in health insurance through the State Group Health Insurance Program. Employees not eligible for health insurance benefits are also not eligible for the Uniform Dental Benefit.

Q. How do employees and annuitants decline the Uniform Dental Benefit?
A. Employees and annuitants currently enrolled in the Uniform Dental Benefit may decline dental coverage by filing a new Health Insurance Application/Change Form (ET-2301) or make the change online using MyETF Benefits. The change must be completed during It's Your Choice Open Enrollment.

Q. Is there a separate enrollment form for the Uniform Dental Benefit?

A. No, there is no separate enrollment form. Members can elect dental and make changes by filing a new Health Insurance Application/Change Form (ET-2301) or make the change online using MyETF Benefits. The change must be compled during the Itís Your Choice Open Enrollment period.

Q. Can employees and annuitants enrolled in a single health plan policy enroll in a family plan for the Uniform Dental Benefit?

A. No. If an employee or annuitant has a single health plan policy, they will have a single dental plan.

Q. Will premium rates continue to be offered as either single or family for the Uniform Dental Benefit?

A. Yes, dental coverage is available in single or family only.

Q. Will all state annuitants be offered the Uniform Dental Benefit, including those enrolled in Medicare?

A. Yes, as long as the annuitant elects a health plan through the State of Wisconsin Group Health Insurance Program, regardless of Medicare enrollment. Premium rates for the Uniform Dental Benefit will not be different for Medicare enrollees.


Dental Benefits

Q. What are the dental benefits in the Uniform Dental Benefit?

A. The benefits will be the same for 2017 as the current Uniform Dental Benefit offered to state and local employees in participating health plans. Please review the 2017 It's Your Choice materials for details.

Q. Will there be different levels of benefits to choose from?

A. No. There will be only one level of dental benefits for 2017.  

Q. How will the provider network compare to the networks currently available through the health plans?

A. Delta offers the PPO and Premier networks under the Uniform Dental Benefit. Members are able to search Delta Dental’s provider directory to see if a specific dental provider is covered in 2017 by visiting www.deltadentalwi.com/state-of-wi. Encourage your employees to check whether their current dental provider is in-network before receiving dental services in 2017.

 

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