HUMANA DENTAL INSURANCE

Dental Enrollment Procedure

1) Employee must complete the application and payroll card, then return both items to their Health Benefits Representative or Division Office.

2) The Division Office or Health Benefit Representative must then forward the application and payroll card to the Fiscal Section at NC DOT in Raleigh.

Eligibility Requirements

· New Employee (has 30 days from date of hire to enroll)

· Qualifying Events   (some examples are loss of coverage from a spouse's coverage, marriage, birth of a child, etc. 30 days from the date of event to enroll.

· Open Enrollment Period (for current active employees)

Policy Changes

ADDITIONS TO AN EXISTING POLICY – Another application must be completed, marking change box at the top.  Mail with a payroll change form. Then it must be routed to the Fiscal Section at NC DOT in Raleigh. Additions can ONLY be done during open enrollment, or a Qualifying Event.

REMOVAL OF DEPENDENTS – The employee must complete a Policy Service Request form to remove dependents from the existing policy. Removals can be done at anytime.

CANCELLATION OF POLICY – The employee must first stop his payroll deduction, Humana cannot do this for them. Next, the employee needs to complete a Policy Service Request form. The employee must then turn it into their Benefit Representative. Cancellations can be done at anytime.

Important Contact Information:

For questions concerning enrollment or policy information contact the agent, Advisors Financial Group at 1-888-964-1342.

For Policy Holder Service questions contact Humana Insurance Company at 1-800-233-4013.

For questions concerning dental claims the EMPLOYEE must contact Humana at 1-800-233-4013. Due to changes in HIPAA laws only the employee will be able to get information on claims.