Business Services Department

Columbia Public Schools

 Employee Benefits
Dental Plan

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 provided to all employees of the District. To receive an additional copy of the Summary Plan Description, contact the Employee Benefits Office at Business Services.

AMERITAS
P.O. Box 82520
Lincoln, NE 68501

Tel. No. (800) 487-5553

Group No. 301036
Certificate No. is S.S.#

Employee Eligibility - All staff members who work 35 hours or more per week, other than individuals employed on a temporary basis, will receive board paid dental insurance. Staff members working 25 to 34 hours per week may elect to purchase dental insurance at the current group rates. Dependent coverage is also available at the expense of the employee.

Effective Date - Your first day of eligibility depends upon your classification. If you are an exempt employee within the meaning of the U.S. Fair Labor Standards Act (FLSA), you are eligible on your first day of active work on a regular basis with the District. If you are a non-exempt employee within the meaning of the FLSA, then you are first eligible on the first day of the month following the ninetieth (90th) day after commencing active work on a regular basis.

Adding Dependents - 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.

Age Limit of Dependents - Dependents can be covered up to age 26.

An employee may go to any dentist under this plan.

Deductible:

• $100 per calendar year ($300 maximum per family)

Plan Maximum:

• $1,500 per calendar year
  

Claims - Most dentists file claims electronically to Ameritas. Paper claims should be sent to Ameritas, P.O. Box 82520, Lincoln, NE 68501. To check on the status of a claim, contact Ameritas at (800) 487-5553.

New Identification Card - Employees will receive an Ameritas dental identification card upon enrollment. Duplicate cards can be obtained by contacting the Employee Benefits Office.