OPEN ENROLLMENT FOR THOSE WHO DO NOT PRESENTLY HAVE DEPENDENT DENTAL COVERAGE
1) Any employee hired on or before September 1, 2021 who does not presently have dependent coverage, may enroll by completing a form by September 28, 2021.
Forms were sent to each member as an attachment to an email from the Fund Manager or can be downloaded here. As always, you can contact the FUSE office for assistance as well. Here also is a link to the dental claim form that you can also download for when you go to the dentist.
2) Any employee hired after September 1, 2021 who does not presently have
dependent dental coverage, may enroll by completing the form within 30 days
of their date of hire.
THERE WILL BE NO FURTHER OPPORTUNITY TO ENROLL FOR DEPENDENT COVERAGE UNTIL SEPTEMBER 2021.
All payroll deductions for dependents’ coverage will commence with the first
paycheck after enrollment (no earlier than the October 15, 2021 paycheck) and
continue through the final June 2022 paycheck (maximum 18 pay periods). There
will be no deductions during the month of September 2021 .
Using the multi-rate system, you can select the rate by choosing only those
dependents you wish to cover. Again, your payment will be payroll deducted
through the June 2022 paychecks. Here is a link to the complete rate schedule.
PLEASE NOTE: Prosthodontics and orthodontic benefits are payable only if
insurance has been in force for 12 consecutive months with respect to the
individual(s) incurring expense. (See Benefit Booklet.)
Please return the completed authorization to the F.U.S.E. Welfare Fund Office, 270 North Avenue, Suite 809, New Rochelle, NY 10804– NO LATER THAN 30 days after
initial hire