*Nonparticipating dentist are paid at the Premier network coinsurance levels. If nonparticpating charges are more than WDS maximum allowable fees, the employee is responsible for paying the balance.

Washington Dental Service Benefit Highlights:

• Cover up to four periodontal cleanings a year under certain qualifying periodontal circumstance.
• Periodontal cleanings are covered under Class I.
• Endodontic and Periodontics options to cover under Class II (Enhanced) or Class III (Standard).
• Fluoride and sealant coverage for both adults and children.
• Deductible applies to Class I, II and III.
• No "missing tooth clause" or pre-existing conditions.
• TMJ coverage included - $1,000 annual maximum and $5,000 lifetime maximum.
• Implant coverage included.
• Dependents are eligible for benefits through age 25.

  Underwriting Guidelines

  
  Waiting Periods
  • A 12 month wiating period for Class III and orthodontia if a group has not had prior coverage for employees/dependents coming on to the plan after the initial effective date of coverage.
  
  Eligibility
  • Coverage is available to employees working a minimum of 20 hours per week or 80 hours per month.
  
  Contributions
  • Employer does not have to contribute to the employee or dependent premium.
  
  Participation
  • Employee participation is the greater of five lives or 20% of all eligible employees. <>
  • Dependent participation no minimum requirement.
  Rate Guarantee
  • One-year Guarantee-Premium rates may change at renewal date to be no earlier than 12 months.

  Click here to view PDF version of information above. Please contact your Sales Executive on groups with 100 or more enrolled subscribers for plan options.