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MIT Employee Benefits

Before enrolling: Compare the cost of the Retiree Dental Plan with the cost of COBRA coverage, which allows you to continue your pre-retirement dental coverage for 18 months at a higher cost.

Next steps

1. Review the Retiree Dental Plan Benefits Summary (PDF).
2. Complete the Retiree Delta Dental enrollment form (PDF) and submit it with your first month's payment.

Details

Plan basics

• What's covered. Learn about the categories of dental care that are covered under this plan in the Summary of Retiree Dental Plan Benefits (PDF).
• Choosing a dentist. You receive the greatest value under this plan when you visit Delta Dental PPO dentists, because they generally accept lower fees for their services. Check to see if your dentist is part of the Delta Dental PPO or Delta Dental Premier network at www.deltadentalma.com or call (800) 872-0500.
• Period of coverage. You must enroll for the entire coverage year January 1 to December 31, 2009.
• Your I.D. card. A Delta Dental I.D. card will be mailed to your home address. If you do not receive it within 2-3 weeks after you enroll in the plan, contact Delta Dental Customer Service at (800) 872-0500.

Cost of coverage

How to enroll

1. Complete the Delta Dental enrollment form. Leave the "Benefit Administrator Authorization" line blank — and don't forget to sign the form. Be sure to make a copy for your records.
2. Make your check or money order payable to MIT Retiree Dental Plan.
3. Mail application and payment to:
   

   Crosby Benefit Systems
   PO Box 843020
   Boston, MA 02284-3020

Making monthly payments

After your initial installment, Crosby will send you coupons that you will submit with your monthly payments for the remainder of the coverage year, which ends December 31. Payments are due the 10th of the month prior to the month of coverage. For example, payment will be due on January 10 for February's coverage. No reminder notices will be sent, and if payments are not received on time, your coverage will be terminated. After the initial payment that accompanies your application form, you may arrange for automatic withdrawal of your monthly payments from your checking or savings account by completing and submitting the automatic payment form.

Questions?

For questions regarding plan coverage or claims issues, contact Delta Dental's Customer Service Department at (800) 872-0500 or online at www.deltadentalma.com. For questions regarding the enrollment process, payment status, payment amount, or about the automatic payment option, contact Crosby Benefit Systems at servicecenter@crosbybenefits.com or (800) 462-2235. For other questions, contact the Benefits Office.