Dental Plans
  The Western States Health & Welfare Trust Fund of the OPEIU Benefit Plan makes available the following dental plan options to you and your dependents.
 
 
 
  Dental Options
 

The following charts show key features of your dental options.  If you need more information about your dental options, refer to your benefits booklet.  You can also contact the dental plans customer service for further assistance.

 
 
Dental Coverage Summary
 
Trust Indemnity Plan
Willamette Dental Group (1)
Kaiser Permanente (2)
Services
Insured Pays
Insured Pays
Insured Pays
Annual Individual Deductible
$10
No deductible - $10 visit charge
No deductible - $5 visit charge
Annual Maximum Dental Benefits
$1,500 - PLAN PAYS
None
None
Annual Maximum Ortho Benefits
$1,000 - PLAN PAYS
N/A
50% up to $1,000 - PLAN PAYS
Preventive Care
Exams, Cleanings
20%
20% of UCR (4)
$10 visit charge
$5 visit charge
Basic
Fillings, Simple Extractions
20%
20% of UCR (4)
$10 visit charge
$5 visit charge + 20%

Prosthetic
Crowns, Bridges, Dentures

20% (3)
20% of UCR (4)
$10 visit charge + applicable copays (5)
$5 visit charge + 50%
Orthodontia
50%
50% of UCR (4)
$2,400 + $10 visit copay, each visit
$5 visit charge + 50%

(1) Willamette Dental is available to Oregon and Vancouver, WA residents only.
(2) Kaiser dental is available to all members – one does not need to be enrolled in Kaiser medical.
(3) Actual benefit varies, refer to your labor contract
(4) UCR – Usual, customary and reasonable charges
(5) Copays vary $40-$120 based on services received.

 
  Plan Option Service Areas
 
Plan Option
Service Area
Trust Dental Plan Any where - worldwide
Kaiser Dental Plan
  • Portland
  • Salem
  • Vancouver
  • Longview
Willamette Dental Plan
  • Oregon
    • Albany
    • Beaverton
    • Bend
    • Corvallis
    • Eugene
    • Grants Pass
    • Gresham
    • Hillsboro
    • Medford
    • Milwaukie
    • Portland
    • Roseburg
    • Salem
    • Springfield
    • Tigard
    • Tualatin
    • Washington
    • Yamhill
  • Washington
    • Vancouver

  • Idaho
    • Boise
    • Idaho Falls
    • Nampa
 
  How to enroll
 

As coverage effective dates differ according to hours worked, please contact the Plan Administrator to verify when your coverage begins. Please see the Eligibility section for information on how eligibility for coverage is determined.

You will automatically be enrolled in the Trust Self-Funded Dental Plan as of your effective date unless you choose another option in advance. If you are interested in enrolling in one of the other options, please carefully review their information provided on this site and then print, complete, and mail the enrollment form to the Plan Administrator.

Identification cards for the medical, dental and the prescription  plan (if applicable) will be sent to you shortly after your effective date for coverage is verified. If you enroll in an HMO plan you will receive identification cards directly from them for the benefits covered by that plan. If we can be of further assistance, please feel free to contact us at (503) 224-0048 ext. 1678 or (800) 547-4457 ext. 1678.

 
  Open Enrollment
  You may change your medical and/or dental coverage choice during the annual open enrollment.  The annual open enrollment period is determined and announced by the Board of Trustees.  In order to change plans during the annual open enrollment period, you must complete an enrollment form and return it to the Plan Administrator.