The Dental Benefit Plan of the Electrical Industry gives you three optional programs from which you and your eligible dependents can choose to receive coverage as listed below. Please note, participants in the Dental Benefit Plan of the Elevator Division should go to that plan's page for more about for information about their plan.
- Empire BlueCross BlueShield Fee-For-Service Program: You can visit the dentist of your choice, but you have to pay out of pocket for expenses exceeding the Plan’s maximum allowance, which is based on a fee schedule.
- Empire Dental Managed Network Program: No out-of-pocket expenses if you go to a network dentist, but you must remain with that dentist or program for at least one year.
- DDS Inc. Program: There are no out-of-pocket expenses if you see a network dentist, but Plan limits apply. You may switch from one network dentist to another at any time.
This information provides the highlights of the Dental Benefit Plan and is applicable to all three optional programs unless otherwise noted. Increased allowances for implants and associated services as well as certain previously non-covered services have been added to the Plan effective October 1, 2023. Complete details are available in the updated Summary Plan Description.
You are eligible after 26 weeks of work. Once under full employment, you must be working full time for a contributing employer for 26 consecutive weeks immediately prior to incurring a reimbursable expense. If you were unemployed during any or all of this period, you must be registered for employment in order to be eligible for Plan benefits. If you are unemployed and registered for employment, you remain eligible for coverage for up to 39 weeks.
If you retire on an Early Standard, Standard, or Disability Pension from the Pension Plan (PHBP Trust Fund), you remain eligible for benefits under this Dental Plan. This benefit applies to your eligible dependents as well.
You can cover your spouse and children. As a participant, you are able to cover your lawful spouse and children (adopted or biological). Stepchildren may be covered by purchasing COBRA.
Smile, we’ve got you covered. The Plan programs cover a wide range of services, including but not limited to basic and preventative care, prosthetics and orthodontic services. Refer to the Summary Plan Description for a schedule of maximum allowances under the Empire BlueCross BlueShield Fee-For-Service Program.
No pre-certification is needed for Empire Managed Network or DDS options.
Under the Empire Fee-For-Service Program, pre-certification of benefits is required for all prosthetic and orthodontic procedures before treatment begins, but not for basic preventative services.
Plan Name: Dental Benefit Fund of the Electrical Industry
Plan Identification Number: 11-2585905
Plan Number: 507
Plan Year: July 1 through June 30
Type of Plan: This is a multiemployer/employee welfare benefit plan providing dental benefits to covered employees and their eligible dependents.
Plan Administrator: Joint Industry Board of the Electrical Industry