Eligibility
Employer groups must have two or more full-time, unrelated
employees (Husband and wife employees count as one). Proof of a group
medical plan is required for groups of less than 5 employees
Benefit Selections
Benefits are selected by the group and not the employee. For
Example: Orthodontia benefits are available to all employees of the group and cannot be
individually selected.
Contribution/Participation
The Employer must contribute a minimum of 50% of the employee premium.
75% of the eligible employees must participate, 100% must participate if the employer contribution
is 100% of the employee premium. Employees covered by a spouse's group plan
do not have to participate.
Employees
All employees of the employer who are performing active work on a
full time basis (20 hours a week or over) are eligible for benefits including corporate
officers, owners, or partners.
Dependents
All eligible dependents can enroll on the
original effective date.
Dependents can also be added for a
later effective date if they are newly eligible or as part of an open enrollment
process.
Eligible dependents include legal spouse
or domestic partner and children to age 26 (eff
04-01-2010).
The employer is responsible to report any changes to a
dependents eligibility to Wolfpack Insurance Services, Inc.
Newborn children do not need to enroll until just before the first
appointment, usually before age 4.
Domestic partners
are defined as same-sex and opposite-sex
couples registered with any government agency authorizing such registrations.
Your domestic partner is subject to the same terms and conditions as any other
Dependent enrolled in this plan.
Open
Enrollment
Any employee who waived off the plan at
initial enrollment may elect coverage on the anniversary date of the groups
enrollment.
Any dependent who did not elect coverage when the plan was established may elect
coverage on the anniversary date of the groups enrollment.
If the employee had coverage through their spouse, they may be added the first
of the month after the loss of the other coverage.
Effective date
When a firm joins the Plan, the coverage of its current employees
will be effective on the first day of the month following approval of the firms
application to participate. Additions to your plan will be effective the first of
the month after the elected probationary period from their date of hire.
Groups that enroll from January 1st through June 1st renew
on January 1st.
Groups that enroll from July 1st through December 1st renew
on July 1st. |
How to Enroll
- Complete the
Trust Group
Enrollment Form, Application for Participation to the Small Business Benefit Plan Trust.
- Complete the
enrollment
information for each eligible employee. Submit a copy of the
latest payroll report. For groups under 5, also submit proof of
group medical coverage.
To
establish the relationship between others (owners or partners) not shown on the company payroll,
please click here to download a form
- Complete a check for the premium
plus the applicable fees and send it to Wolfpack Insurance Services, Inc. PO Box
156, Belmont CA 94002. Our street address is 425 Harbor Blvd, Suite 2C
Belmont CA 94070.
You may also send us the enrollment materials
as an attachment to a
secure email
or Via Fax to 650-591-4022.
Please follow up with the mailing the originals.
Upon approval of the application, the agent and client will each
receive a letter confirming coverage, giving the account identification, Wallet
Cards and Certificates.
Billings will be sent directly to the employer. Each months
remittance is due on the 25th day of the prior month and will become delinquent if not
received by the 1st of the coverage month. Make checks payable to Small
Business Benefit Plan Trust or Wolfpack Insurance
Services Inc.
|
Can the Delta Dental waiting period for Major
Services and/or Orthodontia be waived?
All groups with 20 or more employees enrolling in any
Wolfpack Insurance Services Delta Dental plan will automatically have the
waiting period for Major and Orthodontic services waived.
For groups of 5 employees or more, the 12 month
waiting period for Major Dental Services will be waived on all employees who had
continuous dental coverage during the preceding 12 months. The 12 month
Orthodontic waiting period will also be waived if the group had continuous
orthodontic coverage during the preceding 12 months.
|
| Wolfpack Insurance Services, Small Business
Benefit Plan Trust and
www.DentalandVisionIns.com.
We are Wolfpack Insurance Services, Inc. CA DOI
License number 0814789, registered administrator.
Our web
site address is
www.DentalandVisionIns.com or
www.DVIns.com.
We have established a small business group pool called the Small
Business Benefit Plan Trust.
The Trust is fully insured as a group by
Delta Dental and Vision Service Plan.
|