Dental Insurance

Delta Dental Plan for 2021

(SEE LINKS TO FORMS WITHIN THE MEMO BELOW)

TO:                   Pastors, School Principals, and Administrators
FROM:             Lori Ensom – HR and Payroll Manager
SUBJECT:       Voluntary Group Dental Insurance, Plan Year 7/1/2021 – 6/30/2022
DATE:              June 1, 2021
 
Dental insurance open enrollment begins June 1st. Your employees may participate in the diocesan Voluntary Enhanced Delta Dental Premier program for the plan year beginning July 1, 2021. If you decide to offer the plan to your employees, it must be offered under the same terms, namely, voluntary and 100% paid through payroll deductions. Monthly billing will be sent to the participating entity, e.g. parish or school, early in the month with expectation that the bill will be paid before the end of the month. If payment is not received by the end of the month, participants will be terminated from the plan and not allowed to re-enroll in the plan.

The monthly rates are unchanged: (1) individual coverage - $39.00 (2) individual plus one coverage - $78.00 (3) family coverage - $110.00. Proportionate deductions should be based upon the employee’s pay schedule.

The renewal date for the voluntary group dental insurance is July 1, 2021. A deadline of June 19th has been set for responses for new enrollment or changes in plan coverage.   If a current participant is continuing coverage without any changes, an application form does not need to be completed or returned.

The following documents are LINKS for your use:

• Delta Dental Enhanced Table Plan description 
• Delta Dental Enrollment Form 
• Delta Dental Mobile App
• DeltaDentalMA.com

Please return completed and signed enrollment forms to:
            Sister Joan Pollock
            49 Elm Street
            Worcester, MA 01609
            Email:    sjoan@worcesterdiocese.org
            Fax:      508-751-6730
If you have any questions regarding dental insurance, please contact Sr. Joan at 508-929-4343.