United Healthcare
Formerly Known as Pacific Dental
For CA, NV
Summary of Benefits
Listed below are the plan benefit summaries for dental and orthodontia. If you need Adobe Acrobat to read the following benefit summaries click the following link. Download Adobe Acrobat
| Dental | Ventura | |||
| Orthodontia |
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Provider Panels
Rates for NFFE Members
Per pay period. Listed separately by type of membership. Includes rates for selecting both a dental and vision plan. The vision plan is provided by Vision Service Plan for the Dental + Vision and can be viewed here.
Rates are Effective 8/01/2010 through 7/31/2011
| California and Nevada | Dental Only | Dental + Vision |
|---|---|---|
Nffe Member |
Nffe Member |
|
| Employee | $15.65 | $22.65 |
| Employee + 1 | $23.08 | $32.34 |
| Employee + Children | $23.08 | - |
| Employee + Family | $32.99 | $46.15 |
Rates for Associate Members
Per pay period. Listed separately by type of membership. Includes rates for selecting both a dental and vision plan. The vision plan is provided by Vision Service Plan for the Dental + Vision and can be viewed here.
Rates are Effective 8/01/2010 through 7/31/2011
| California and Nevada | Dental Only | Dental + Vision |
|---|---|---|
Associate Member |
Associate Member |
|
| Employee | $22.65 | $29.65 |
| Employee + 1 | $30.08 | $30.34 |
| Employee + Children | $30.08 | - |
| Employee + Family | $39.99 | $53.15 |
Forms to Print!
Click on the desired form to enlarge the view and select print from you web browser. If you do not have access to a printer see our contact information below. Please mail all forms and correspondence to NWPA.
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Pacific Dental's enrolment form |
IFPTE Member direct deposit form |
Associate Member direct deposit form |
Contact Us
Don't hesitate to contact Northwest Plan Administrators for any of your questions.
E-mail nwpa@nffedental.com
Telephone 541-484-2781
Fax 541-349-0486
Postal address 1805 Tabor St.
Eugene, OR
97401