General Plan Information

• Dental Wisconsin Application
  
  
• Dental Wisconsin Brochure (2013 coverage)
  
  
  • Compare 2013 Dental Wisconsin dental benefits and EPIC Benefits+ dental benefits.
    
    
• Frequently Asked Questions
  
  
• Dental Wisconsin Certificate/Booklet

Eligibility

Unclassified faculty, academic staff and short-term academic staff appointees, classified employees (including LTEs covered by the retirement system), graduate assistants, fellows and scholars and employees in-training are eligible to enroll.

Your eligible dependents may enroll. Domestic partners and their children are eligible under this plan provided a Domestic Partner Affidavit has been properly filed. For more information, click here.

WRS annuitants who are covered under Dental Wisconsin at the time of retirement are eligible to continue coverage under this plan indefinitely. Rehired annuitants receiving a Wisconsin Retirement System benefit are not eligible for this program.

Enrollment

You may apply for coverage within 30 days of becoming eligible or during an open enrollment. You may also apply within 30 days of loss of other group dental coverage or loss of the employer contribution for that other coverage.

NOTE: Once enrolled, you must remain in this dental plan for the full calendar year unless employment terminates.

Program Features

Dental Wisconsin is the product name for a plan administered by EPIC Life Insurance Company which utilizes the Delta Dental provider network.

There are two Dental Wisconsin benefit plans from which to choose: the PPO and the Select plan.

The Dental Wisconsin PPO option allows you to see the dentist of your choice. However, if you select a dental provider who is affiliated with the Delta Dental PPO your out-of-pocket costs will be lower as you will receive a higher level of coverage. Even if you use non-PPO providers, you will not be billed for any amount that exceeds the maximum benefit payable if you see a Delta Dental Premiere provider.

The Select plan is specifically designed to wrap around your health plan's dental benefits. There is no requirement that you be covered under a health insurance plan to elect this coverage, however, be aware that the Select plan does not cover annual cleanings or x-rays as these are typically covered by those specific health plans that provide routine dental coverage. Fillings are covered, as are services such as crowns, bridges, complex endodontics and periodontics. While not required, selecting a Delta Dental Premiere provider may provide a lower employee "out of pocket" cost after co-insurance is applied because you will not be billed for any amount that exceeds the maximum benefit payable. You may want to check what your health plan provides prior to enrolling.

There is a 3-month waiting period before basic and major services are covered and a 12-month waiting period before orthodontic services for dependents under age 19 are covered for new enrollees under the PPO or the Select plan.

Premium

Premiums

You can select the PPO or the Select plan. The benefits vary between the options so consider the coverage levels each option.

Application

Submit a completed application to your staff benefits office within 30 days of eligibility or during approved enrollment periods.

Upon termination, you may be able to continue your Dental Wisconsin coverage. If you retire on an immediate Wisconsin Retirement System (WRS) annuity or have 20 years of WRS service at termination, you and your covered family members may continue coverage indefinitely. You will receive a continuation election form from your employer.

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This document was last revised on April 15, 2013