Dental:The Columbia Public School District’s dental plan is a self-insured plan administered by Ameritas. The coverage outlined below highlights the dental benefits available through this dental plan, subject to certain exclusions and limitations. A complete Summary Plan Description of the dental plan is available: Full Time Employees (35-40 hours), Part Time Employees (30-34 hours). If you have questions, contact Employee Benefits located in Business Services at 1818 W. Worley or at 214-3710.Effective Date - Your first day of eligibility depends upon your classification. If you are an exempt employee (salaried, monthly paid), you are eligible on your first day of active work with the District. If you are a non-exempt employee (hourly, bi-weekly paid), you are eligible on the first day of the month following the sixtieth (60th) day of employment.
Adding Dependents - The employee has 31 days to add or remove their dependents to / from the dental plan under qualifying event rules. A qualifying event is defined as marriage, birth (or adoption), or if dependents (or part-time employees) lose coverage due to a spouse’s loss of employment.To add or remove a dependent, complete the change form (also found on the right of this page). To submit the form, you must click the submit button. This will generate an instant confirmation page and email. If you DO NOT receive a confirmation email (after clicking submit), the employee benefits office HAS NOT received the form. If you need assistance, contact the employee benefits office. Once the employee benefits office has received the submitted change form, the employee will be contacted via CPS email regarding premium payments, flex, and daycare reimbursements (if applicable).Proof of the event is required to add dependents. The change request to add a dependent due to a qualifying event is not valid until proof of the qualifying event is received by the Employee Benefits office. We recommend emailing, faxing or dropping off the proof to our office instead of mailing, as this is time sensitive information. Proof can be in the form of a HIPAA certificate, letter of credible coverage, signed divorce papers, or a marriage certificate. Proof is not required to add a newborn baby (add within 31 days of their second birthday to avoid late entrant penalty).
Note: Dependents are considered late entrants when added after the first 31 days worked. Late entrant penalties allow 100% benefit for cleanings and exams only. No other service will be covered until the late entrant has had twelve (12) months of continuous coverage, at which time penalties end. There is no open enrollment period for the dental plan.Age limit of dependents - Dependents can be covered up to age 26.Premium Deduction - All medical and dental insurance premiums will be deducted from your paycheck on a before-tax basis. Per IRS rules, you can only stop premiums during open enrollment, or if you have a qualifying event such as divorce, other coverage available, or emancipation. If you think you will want to stop insurance without having a qualifying event, you can opt-out of the before-tax deduction by contacting the Employee Benefits office and requesting the opt-out form. The opt-out form must be completed annually during open enrollment to continue the after-tax deduction.
ALL PREMIUMS ARE PAID IN ADVANCE. Employees must request to stop coverage in writing via the online change form in the month(s) prior to the date of the qualifying event in order to stop the premium deduction.
Service Plan Pays DeductiblePreventive and diagnostic: Office Visits,exams, cleanings, x-rays 100% None Basic services: fillings, extractions, root canals 75%$100 / individual$300 / family Major services: crowns, bridges, dentures 50%$100 / individual$300 / family Orthodontic coverage none N/A Annual benefit maximum $1,500 N/AAmeritasP.O. Box 82520
Lincoln, NE 68501
Tel.No. (800) 487-5553 Group No. 301036