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: Adobe Acrobat   

Please use the zoom option in Adobe Acrobat to best view this form.  

Benefit summary -English

Enrollment Form-English

Benefit Summary-Spanish

Enrollment Form-Spanish

 

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

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 10/01/2010 through 9/30/2011

	Dental Only	Dental + Vision
	Nffe Member	Nffe Member
Employee	$14.12	$21.75
Employee + 1	$26.70	$35.97
Employee + Children	$27.54	-
Employee + Family	$37.00	$50.16

 

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 10/01/2010 through 9/30/2011

	Dental Only	Dental + Vision
	Associate Member	Associate Member
Employee	$27.74	$28.75
Employee + 1	$33.70	$42.97
Employee + Children	$34.54	-
Employee + Family	$44.00	$57.16

 

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.

 

 

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