Former employees can only enroll in this coverage if you are signed up for COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985).
HumanaDental administers benefits for both dental plans.
Calculate your premium rates.
Find dentists on the HumanaDental website.
Used to send in payments for Insurance.
Used to send payments to ERS for TexFlex.
Form for direct pay retiree, surviving spouse, and COBRA participant to authorize direct withdrawal of monthly insurance premiums from bank accounts.
Cover may be extended to 36 months if during the coverage period you experience a secondary qualifying event.
Unmarried dependent over age 26 can continue health coverage under COBRA.
COBRA allows you and your dependents to keep your health and dental coverage after you leave employment.
Enroll when your employment ends or a dependent loses coverage.
COBRA rates effective September 1, 2013-August 31, 2014
Must choose a network dentist to receive covered benefits.
Deductible - $0
Copays - Vary by services
Cleanings/Exams - Allows 2 per calendar year with $12 copay
Orthodontic - Services performed by a general dentist listed in the directory – child - $1,800, adult - $2,100; services performed by specialist – You pay 75% of his/her usual fee. DHMO pays nothing.
Using network participating dentist:
Deductible - $0 for preventative services
Copays - Vary by services; $0 for preventative
Cleanings/Exams - Allows 2 per calendar year at no cost
Orthodontic - $1,500 max benefit (age 19 and younger)