DentalandVisionIns.com
Plan Rules

Eligibility
Employer groups must have two or more full-time, unrelated employees (married 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. 
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. 
We have two renewal periods: 
     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.

A note about waiting periods for Dental Plans
For groups of less than 20 enrolled members Delta Dental applies a 12 month waiting period for Major Services.  If your group has the optional Orthodontic Benefit a 12 month waiting period also applies to the Orthodontic services.

We can waive these waiting periods with proof of continuous prior group coverage for the past 12 months.  For the Orthodontic benefit waiting period to be waived the proof must also show that Orthodontia was a covered benefit with the prior coverage.  

Proof can consist of a Credible Coverage form from the prior carrier or an internet screen print-out from the prior carrier showing the dates of coverage and benefits.
The proof must be submitted with the enrollment form and will not be accepted at a later date. 

Wolfpack Insurance Services, Small Business Benefit Plan Trust and www.DentalandVisionIns.com.
We are Wolfpack Insurance Services, Inc.  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.