2012. present dental coverage level one basic - 100% co insurance level two major and restorative...

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Sunrise Dental Changes 2012

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Page 1: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Sunrise Dental Changes

2012

Page 2: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Present Dental coverageLevel One Basic - 100% co insurance Level Two Major and Restorative – 50% co

insurance

Both levels have a combined annual maximum of $1250 per person per calendar year that is to say coverage terminates when the

combined liability for level one and two reaches $1250

Page 3: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Proposed change Add level three-

Orthodontic coverage for dependents up to age 19

Advantage; allows members who are families or couples with dependent children to have Orthodontic coverage. Note; no effect to single experience or premium as are ineligible (if maximum remains the same)

Page 4: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Premium effect

Add level 3 at a combined annual maximum of $1250.00 per person per year Cost –

Single $38.75 monthly (existing $38.75)Couple $77.75 monthly (existing $77.50)Family $104.00 monthly (existing $96.75)

Page 5: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Examples (Note proposed plan dependent on arrangement with Orthodontist/Dentist and Patient)

• Present plan (level three) Cost of

Orthodontics

$6,000 No

Coverage

• Proposed Plan (level three-option 1) Cost of Orthodontics

$6,000 Coverage 50% combined annual

year one cost $2200- coverage $1100

year two cost $2200-coverage $1100

year three cost $800-coverage $400

year four cost $800- coverage $400

Note : Each year can be billed, and likely will, costs of other levels

Page 6: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Information: 2012 Dental charges

Exams, cleanings, scaling and fluoride (level one)$250.00 to $300.00

Root canals (level two)$800.00 to $1000.00

X-rays (level one)$20.00 to $25.00 each

Page 7: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

Status ChangesPlease note;

Regardless of the level of coverage under the Dental plan, one can and should keep status of dependents up to date. Example; upon the loss or acquisition of a

dependent; (spouse/child) make the change through an enrollment form, available from the board office, to amend your status. Please do this within 90 days prior to, or after, the change otherwise coverage is limited to $250.00, for that new dependent, for one year

Page 8: 2012. Present Dental coverage  Level One Basic - 100% co insurance  Level Two Major and Restorative – 50% co insurance  Both levels have a combined

?Questions?

If you have questions from your colleagues or you want further infoPlease contact;

The Sunrise Office; 204 268 [email protected]

orGlen Anderson, MTS Benefits Staff Officer

Direct line 831 3052or at, [email protected]