
For Eligible Participants of the UFCW Local 1776 and Participating Employers Health
and Welfare Fund
The Dental
Plan is designed to promote optimum dental health by providing comprehensive coverage for diagnostic and preventive care.
The Dental Plan also provides supplementary coverage for restorative care (fillings), periodontics (gum treatments),
endodontics (root canal), orthodontics (braces), and oral surgery. Please
review your Summary Plan Description or call
the Fund Office to determine whether you
are eligible for Family or Single (you only) Dental Benefits.
If you are covered under any other dental plan, check the
section titled "Coordination of Benefits" to see how to submit your dental claims.
The Fund has retained Miquon, Inc. to develop a network of dentists and to provide consulting services for the Dental Plan.
You may choose to use the network or you may use any dentist of your choice. Because the dentists have agreed to provide
services at contract rates and agreed not to balance bill you except as provided in their contract with the Fund, your cost
will be lower if you elect to use a network dentist. Enrollment changes cannot be approved if there are any unpaid
balances with a participating dental office.
For a current list of participating dental providers or a dental fee schedule, please contact the Fund office.
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