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DENTAL PREMIUM PAYMENT NOTICE
PAYMENT IS DUE BY 9/5/2014
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To: FA Members From: Robert Woods (FA Treasurer)
Click here for a downloadable copy of this memo.
It is time again to collect for your dental coverage. This collection will include the amount for the SIX-month period from September 1, 2014- February 28, 2015.
| Plan | Monthly Cost to College | Monthly Cost to Employee | 6-Month Cost to Employee |
| Ind Basic Coverage | $20.48 | $0.00 | $0.00 |
| Family Basic Coverage | $59.20 | $0.00 | $0.00 |
| Ind Dental Blue Options Coverage | $27.13 | $6.65 | $39.90 |
| Family Prime Blue Coverage | $87.90 | $28.70 | $172.20 |
All checks, made out to BCC FACULTY ASSOCIATION or BCCFA, and forms should be returned to Robert Woods, AT-006B (mailstop #93), NO LATER THAN SEPTEMBER 5, 2014.
NON-PAYMENT BY THE DATE SPECIFIED WILL RESULT IN BEING DROPPED FROM THE PLAN. RE-ADMITTANCE WILL THEN NOT BE ALLOWED UNTIL THE NEXT 6 MONTH RENEWAL PERIOD.
The amount you owe for these six months is the appropriate amount for your plan that is listed in the LAST COLUMN. (This is the amount that is in BOLD PRINT). Our dental plan is a negotiated benefit within our contract and must be negotiated with Blue Cross Blue Shield every year in January.
If you have Basic Coverage DO NOTHING to keep coverage the same. If you have Dental Blue Options coverage please send me a check. If you wish to change from the plan that you are currently under, you must fill out a new application form. E-Mail me (this is easiest for me) or call me at ext. 5106 to arrange to have one mailed to you (or sent electronically). If you wish to be removed from the Dental Blue Options coverage please notify me of this intention so that you may be removed from the plan and so that you will not be reminded of missing payments. If you are not sure what plan you have or how much you owe, please send me an email and I will let you know. Also, please report any change of status for eligible dependents, which may affect their coverage. Be advised that this dental insurance plan does not fall within the Affordable Care Act and so dependents are not automatically covered through age 26. If you have questions regarding coverage, payments etc. you can call me at 5106 or Blue Cross and Blue Shield directly at 1-800-499-1275.
Thanks,
Robert Woods
BCCFA Treasurer
SUNY Broome Community College 