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
Alpine         (Adult + Child) for Northern CA
Clairmont    (Adult + Child) for Southern CA
Alpine II       (Child Only)   for NV

Provider Panels

California

Nevada

 

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.

   safeguard dental enrol...gif (70099 bytes)
Color   Enrolment.gif (289063 bytes)     
Color   Enrolment.gif (289063 bytes)
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