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Dental Program

514. Annual Open Enrollment Period

Open enrollment periods are scheduled annually during the month of September through mid-October. Departments will be notified of open enrollment procedures prior to each open enrollment period. Eligible employees may enroll in a dental plan, change plans, and add/delete dependents during an open enrollment period.

Permitting Event Codes

The following permitting event codes should be used when completing the STD. 692 during an open enrollment period:

03 -  New Enrollment
15 -  Addition/Deletion of dependent(s) (may use one form)
28 -  Change of dental plan
29 -  Change of plan and addition/deletion of dependent(s) (may use one form)

Employees Off Active Pay Status During Open Enrollment Period

Eligible employees, who are off active pay status during the entire open enrollment period, may contact their Personnel Office during the open enrollment period to make changes in their dental enrollment or may wait and make changes within 60 days after returning to active pay status.

Effective Dates

All correctly completed open enrollment documents that are submitted to the SCO within the prescribed time frames, will be effective January 1 of the following calendar year. DPA will send a PML memo to departments prior to the scheduled open enrollment period which will contain document processing instructions.

Correcting Open Enrollment Documents

Corrective action is required when an error has been made by the department in completing the STD. 692 as follows:

For errors that do not pertain to a payroll deduction (i.e., name, age of dependent), photocopy the STD. 692, make the necessary corrections in red, indicate "CORRECTED COPY" in red across the top of the form, and submit it to the dental carrier. Do not send a copy to SCO or DPA.

Cancel or Change Open Enrollment Documents

Employees enrolling or making changes to their dental coverage during the open enrollment period may cancel or change their election until the end of the open enrollment period. In the remarks section of the new STD. 692, indicate the type of action taken and attach a copy of the original form that was previously sent to SCO during the open enrollment period. Employees may not cancel or change a dental election after the end of the open enrollment period unless they experience a valid change in status.

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