Use any dentist you choose and save with economical group rates.Download Activation Form
Taking care of your teeth is vital to your overall health. The good news is you can now take a bite out of your dental bills when you sign up for our Dental Insurance Plan. It’s called an “indemnity” plan because the benefit to you is reimbursed as a percentage of the charges you incur, such as for exams, cleanings, fillings — even crowns, bridges and dentures.
For questions call 1 (800) 422-4492,
Monday through Friday, 8:30 AM to 5 PM (ET)
To add optional Orthodontic Coverage, check off "Yes" on the Activation Form.
Your selected premium will automatically be increased by 10%.
Optional Orthodontic Coverage ONLY applies to insured dependent children under 19.
|Calendar Year Deductible||No Deductible for - Type I Benefits, $100 per person - Type II and Type III benefits, combined|
|Calendar Year Maximum||$1,500 per person for all covered services $500 per person for all eligible Orthodontic services, if Optional Orthodontic Coverage is selected|
|Lifetime Maximum||$1,000 for Orthodontic services, if Optional Orthodontic Coverage is selected|
You must notify The Voluntary Benefits Plan of any address change for you, your dependents and/or beneficiaries, and any change in employment and union membership status change, life status change (i.e., marriage, divorce, beneficiary or name change), or benefit changes requested. Notice must be in writing.
Voluntary Benefits Plan
P.O. Box 12009
Cheshire, CT 06410
This plan is underwritten by Metropolitan Life Insurance Company, New York, New York. This summary is a brief description of benefits only and is subject to the terms, conditions, exclusions and limitations of Group Policy No. 122705.