Dental Coverage
Eligible Brandeis employees have access to two dental insurance plan options administered by Delta Dental of Massachusetts: the Delta Dental DPPO High Plan and the Delta Dental DPPO Low Plan.
Dental Plans
Note: In some cases, pediatric dental care and tooth extraction is covered via your medical benefits. Review your medical benefits plan details for more information about your coverage.
Plan Rates
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The Fair Labor Standards Act (FLSA) exempts some employees from overtime pay and minimum wage. Exempt employees are not subject to FLSA overtime regulations and are not entitled to overtime pay. Nonexempt employees are subject to FLSA overtime regulations and are entitled to overtime pay for hours worked beyond 40 in a work week.
Exempt employees usually hold administrative, professional, or executive positions. They're “exempt” from the Fair Labor Standards Act's (FLSA) overtime regulations and, therefore, are not entitled to overtime pay. Nonexempt employees are typically paid hourly and perform more manual or technical duties.
Plan Details
Delta Dental Networks
As a Delta Dental PPO Plus Premier subscriber, you have access to two of Delta Dental's extensive national networks- Delta Dental PPO, with more than 283,000 participating dentist locations and Delta Dental Premier, the largest dental network in the country with more than 358,000 dentist locations. Three out of four dentists nationwide participate in one or both of these networks.
- Both networks offer discounted fees and a no balance billing policy.
- You will enjoy great benefits when you receive your dental care from a participating dentist in either the Delta Dental PPO or Delta Dental Premier networks.
- You will receive good value from Delta Dental Premier network dentists who generally accept discounted fees. You will enjoy the greatest savings when visiting Delta Dental PPO network dentists due to even deeper discounts.
- After you meet your annual deductible, you pay coinsurance for dental services under this plan.
- If you choose to receive services from a non-participating dentist, you will have higher out-of-pocket costs as the Delta Dental contract rates and the no balance billing policy does not apply.
Simply visit Delta Dental to find a participating dentist in your area. Choose the Delta Dental PPO or Delta Dental Premier network when searching.
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Coverage for new hires or newly benefit eligible is effective on your start date or new eligibility date. There is no auto enrollment for dental coverage. Employees have up to 31 days after their start or newly eligible date to make and submit elections on Workday. Coverage is retroactive to the eligibility date.
Coverage under a qualifying life event is effective on the event date. Elections must be made within 31 days of the event with required documentation. If you do not submit your election within the required 31 days you will have to wait until the next annual open enrollment period.
Coverage for you and your eligible dependent(s) ends on the earliest of the following dates:
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the last day of the month in which you are no longer in an eligible class for group health coverage under the plan, or
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the date you or your dependents fail to pay for the cost of coverage, or
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the last day of the month in which you are no longer an employee of the University, or
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the date your covered dependent(s) no longer qualify for group health coverage under the plan, or
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the date the plan terminates.
Note: If you or your dependents provide false information or make misrepresentations in connection with a claim for benefits; permit a non-participant to use a membership or other identification card for the purpose of wrongfully obtaining benefits; or obtain or attempt to obtain benefits by means of false, misleading, or fraudulent information, acts, or omissions, the Plan Administrator may, in its sole discretion may terminate your or your dependents coverage in the plan.