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

 

                   

 SAFEGUARD

  California Residents Only

  

Summary of Benefits

If you need Adobe Acrobat to read the following benefit summaries click the following link.
Download Adobe Acrobat     

Select a plan to view benefit summaries Gemini 50
Gemini 70

Provider Panels. Click here.

 

Rates! Per pay period. Listed separately by state and by type of membership.  Includes discounted rates for selecting both a dental and vision plan.   The vision plan is provided by Vision Service Plan .

Rates Effective 8/01/2009 through 7/31/2010

NX225

Dental + Vision

Dental Only

 

IFPTE Member

 

IFPTE Member

Employee

$15.04

$8.15

Employee + 1

$21.18

$12.09

Employee + Fam

$29.89

$17.02

Rates Effective 8/01/2009 through 7/31/2010

NX115

Dental + Vision

Dental Only

 

IFPTE Member

 

IFPTE Member

Employee

$17.09

$11.03

Employee + 1

$26.37

$17.28

Employee + Fam

$37.95

$25.08


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 us  your enrollment form and turn your direct deposit form in to your payroll office.

 

denticareenrolment.gif (101722 bytes)
Color Enrolment.gif (289063 bytes)     
Color Enrolment.gif (289063 bytes)
DentiCare's
enrolment form
IFPTE Member
direct deposit form
Associate Member
direct deposit form

 

Contact NWPA  by email: nwpa@ifptebenefits.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