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Dental Plan

Benefits Plans Home
Dental Home
Eligibility Information
Dental Plan Options
Dental Plan Comparison Chart
Dental Plan Costs
How the Plan Works
Option 2 - Preferred Dentist Program
Eligible Expenses
Plan Exclusions
Continuation of Benefits
COBRA
Continuation of Benefits for Retirees and Survivors of Retirees
Dental Plan Questions and Answers
Filing and Payment of a Claim
Claim Review Procedure
Definitions, Acronyms, Common Dental Terms
Dental Plan Book (PDF)
MetLife Dental Customer Service IVR:
Options 1 & 3 (PDF)
Option 2 (PDF)


Questions

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HR/Payroll Service Center

 

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Continuation of Benefits

Ineligible Appointment
If at any time your appointment percentage decreases below the minimum required for your job/career family, you will no longer be eligible for University contributions toward the dental plan. You may continue the coverage for up to 18 months through COBRA, if you pay the entire premium plus a 2% administrative fee, and elect coverage within 60 days of the date of notification.

Retirees and Survivors of Retirees
If you are enrolled in the Dental Plan when you retire, you can continue dental coverage after retirement. For more information, view the section Continuation of Benefits for Retirees and Survivors of Retirees.

Newly Eligible for Benefits
When you move from an ineligible appointment to an appointment eligible for benefits or become newly eligible for benefits, please contact the HR/Payroll Service Center within 30 days of your new appointment for benefits enrollment information.

After your benefits elections are processed by the HRRIS Benefits Transaction Team, you can confirm your benefits enrollments in two ways:

  1. You will receive a Confirmation Statement within 30 days after you enroll that summarizes your benefits elections and the monthly payroll deductions for each. If you do not receive a Confirmation Statement within 30 days, contact the HR/Payroll Service Center.
  2. Review your paycheck stubs to make sure that the proper benefit deductions are taken. Promptly report any necessary corrections to the HR/Payroll Service Center.

Bargained-for Staff
If your new appointment is as a GSI, GSSA, GSRA, or as a Research Fellow, you will be automatically enrolled in Option 1.

Leave of Absence or Layoff

  • Start of Leave or Layoff
    When you begin a leave of absence or layoff, the type of leave or layoff determines whether you continue to receive University contributions during the leave or layoff period. In order for benefits under the dental plan to continue during your leave or layoff, you must pay the appropriate premium each month. Information on continuing this plan is available from the HR/Payroll Service Center.

    Coverage will be cancelled for the duration of the leave of absence or layoff if continuation forms and premiums are not received, except during an FMLA leave.

  • Return From Leave or Layoff
    If you return to a benefits eligible position, the HRRIS Benefits Transaction Team will attempt to automatically re-enroll you in benefits. After your benefits elections are processed by the HRRIS Benefits Transaction Team, you can confirm your benefits re-enrollments in two ways:

    1. You will receive a Confirmation Statement within 30 days after you return to work that summarizes your benefits elections and the monthly payroll deductions for each. If you do not receive a Confirmation Statement within 30 days, contact the HR/Payroll Service Center.
    2. Review your paycheck stubs when you return to work to make sure that the proper benefits deductions are taken. Promptly report any necessary corrections to the HR/Payroll Service Center.

    Any changes in dependent status that occurred during the leave of absence or layoff must be reported within 30 days of your return, or, if coverage was continued during the leave of absence or layoff, within 30 days of the event.

Bargained-for Staff
If you return from a leave to a new appointment as a GSI, GSSA, GSRA, or as a Research Fellow, you will be automatically enrolled in Option 1.

Continuation of Benefits by Type of Leave

Type of Leave Will UM Contributions Continue?
Family Medical Leave Act (FMLA) Yes1
Seasonal Leave—for a 75% or greater appointment (AFS 50%) Yes2
Scholarly Activity Leave Yes2
All Other Leaves No
Reduction in Force (layoff) No

1 The Dental Plan will automatically continue during an FMLA leave unless you sign a waiver to cancel coverage. If premiums are not paid monthly, a cumulative deduction will be taken from your payroll check upon return from leave.

2 You must continue to pay your portion of the premium in order to receive University contributions.

 

Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The University in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their spouses, partners, and dependents. 

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