Dental Indemnity

ods-Ddelta dental


Dental PPO

ods-Ddelta dental

Dental HMO


cigna
delta dental
denticare
pacific dental


Vision Plans

Vision service plan

Disability/Life

 

                   

Delta Dental
Available in CA only

 

Listed here is the complete plan for your viewing.
If you need Adobe Acrobat to read the following benefit summaries click the following link. Download Adobe Acrobat     

Benefit summary -English

Enrollment Form-English

Benefit Summary-Spanish

Enrollment Form-Spanish

 

 


For a list of California Delta DHMO providers, search their web site   

 

Rates! 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 10/01/2013 through 9/30/2014

  Dental Only Dental + Vision
IFPTE Member
IFPTE Member
Employee $14.67 $21.86
Employee + 1 $22.13 $31.69
Employee + Children - -
Employee + Family $31.30 $44.95

 

Rates For Associate Members

Rates are Effective 10/01/2013 through 9/30/2014

  Dental Only Dental + Vision
Associate Member
Associate Member
Employee - -
Employee + 1 - -
Employee + Children - -
Employee + Family - -

 

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.

 

Gif Cigna Enrol_Member.gif (118274 bytes)    Color Enrolment.gif (289063 bytes)      Color Enrolment.gif (289063 bytes) safeguard dental enrol...gif (70099 bytes)

Delta
enrolment form

Member
direct deposit form
Associate Member
direct deposit form
Postal Worker
postal ease form

                               
                           

 

Contact NWPA  by email: nwpa@nffedental.com       by phone  541-484-2781  or Fax  541-349-0486

Please Remember To:
Turn your Direct Deposit form in to payroll.
Please mail your enrollment form to:

NWPA
1805 Tabor St. 
Eugene, Or     97401