All contract employees and all non-contract employees working 30 hours or more per week are eligible for dental insurance coverage. New employees must complete online enrollment within 31 days of their eligibility date to be covered (if eligible for benefits on May 1, enrollment must be completed by May 31). Please contact Human Resources to confirm your eligibility for benefits — most employees are eligible for benefits the first of the month after date of hire. Premiums are paid through payroll deduction and may be sheltered from income tax under Section 125.
Instructions for enrolling online.
Permanent ID cards will be mailed to the address on file 10-14 business days after enrollment.
Click the following link for a temporary ID card — Temporary ID Card .pdf.
USD #500 offers eligible employees the opportunity to choose from two voluntary dental plans offered through Guardian. Both Guardian plans are PPO plans, so members can receive services from any dentist. But, for maximum cost savings, members can choose to see a dentist that participates in the Guardian DentalGuard Preferred PPO network. DentalGuard Preferred dentists cannot bill members for any charges that are in excess of Guardian's reasonable and customary amount, and they have discounted the fees that they do charge. Participating dentists will also file claims directly with Guardian, so you won't have to file any paperwork. A non-participating dentist can bill the excess over Guardian's reasonable and customary amount. The member may also have to pay the cost for the total services up front, and then file a claim with Guardian directly.
To check a provider's participation for this plan, or to obtain a listing of providers for this plan, visit the Guardian web site at www.guardianlife.com. To locate a list of participating dentists, choose the PPO Plan and the DentalGuard Preferred network within the provider search tool on Guardian's website.
Maximum Rollover is a benefit available on both plans. With Maximum Rollover, Guardian will roll over a portion of each member's unused annual maximum, called the Maximum Rollover Amount, into his or her Maximum Rollover Account (MRA). The MRA can be used in future years, if a member reaches the plan's Annual Maximum.
If a member uses the services of Preferred Providers exclusively during the benefit year, Guardian will increase the amount credited to his or her MRA to the In-network Only Maximum Rollover Amount.
To qualify, a member must submit a claim and not exceed the paid claims threshold during the benefit year. The employee and each insured dependent maintain separate MRAs based on their own claim activity. Each member's MRA may not exceed the MRA limit.
| Plan Annual Maximum ** | Threshold | Maximum Rollover Amount | In-Network Only Maximum Rollover Amount | MRA Limit |
|---|---|---|---|---|
| $1000 | $500 | $250 | $350 | $1000 |
| ** If a plan has a different annual maximum for PPO benefits vs. non-PPO benefits, ($2,000 PPO/$1000 non-PPO for example) the non-PPO maximum determines the Maximum Rollover plan. | ||||
Under this plan, eligible Preventative Services are reimbursed at 100%, no deductible. After a member pays the Calendar Year Deductible of $50 ($150 for a Family), Basic Services are reimbursed at 80%, and Major Services at 40%. There is a $1,000 Calendar Year Maximum per member on Preventative, Basic and Major services.
This plan also provides benefits for Orthodontic Services to eligible dependent children to age 19. Benefits are paid at 40%, subject to a Lifetime Maximum of $1,000.
Click the following link for a benefit summary — Guardian Dental Low Plan .pdf
| Guardian Low PPO | Total Monthly Cost | Your Per Pay Period Cost |
|---|---|---|
| Employee only | $24.58 | $12.29 |
| Employee + Spouse | $44.76 | $22.38 |
| Employee + Child(ren) | $53.07 | $26.54 |
| Employee + Family | $80.17 | $40.08 |
Under this plan, there is higher level of benefit paid for in-network services. Services provided by an in-network dentist for Preventative Services are reimbursed at 100%, Basic Services are reimbursed at 80%, and Major Services are reimbursed at 60%. There is a $2,000 Calendar Year Maximum per member on Preventative, Basic and Major for in-network services. There is no annual deductible for in-network services.
If you see an out of network dentist you will have a reduced benefit. Services provided by an out-of-network dentist for Preventative Services are reimbursed at 90%, Basic Services are reimbursed at 60%, and Major Services are reimbursed at 40%. Services will not be reimbursed until you have satisifed a $25 deductible each calendar year ($75 per family). Out of network benefits are limited to $1,000 per Calendar Year.
This plan also provides benefits for Orthodontic Services for eligible dependent children to age 19. In-network Benefits are paid at 50% and out of network are paid at 40%, subject to a Combined Lifetime Maximum of $1,000.
Click the following link for a summary of benefits — Guardian Dental High Plan .pdf
| Guardian High PPO | Total Monthly Cost | Your Per Pay Period Cost |
|---|---|---|
| Employee only | $32.58 | $16.29 |
| Employee + Spouse | $59.33 | $29.66 |
| Employee + Child(ren) | $70.50 | $35.25 |
| Employee + Family | $106.69 | $53.34 |
For questions regarding claims and coverage, please contact Guardian Customer Service at 1-800-541-7846. You must be an enrolled Guardian member in order to use their Customer Service. For all other questions, please contact the Benefits Office at (913) 279-2274 or (913) 279-2135 or via email at benefits@kckps.org.
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