Important News

Please Review highlights of your Delta Dental PPO Benefit available under the plan

When a change in marital status occurs, please remember to do the following:

  • If you are single and become married, you must notify the Plan Office and submit a copy of your marriage certificate with your new Permanent Data Form to enroll your new spouse.
  • If you are married and become divorced or legally separated, you must notify the Plan Office immediately and submit a copy of your divorce decree, legal separation agreement or your written agreement to live separately within 30 days, along with your new Permanent Data Form.
  • If you are divorced and are keeping your children as dependents in the Plan, you must provide additional information about other coverage the children may have, such as through your former spouse, or his or her new spouse, if remarried, so that the Plan can properly coordinate benefits. If included in your divorce decree, a copy of the portion that assigns responsibility for medical care may be needed to determine order of payment.

If you do not timely notify the Plan Office of an event that causes a change in your or your dependents eligibility under the Plan, you will be required to reimburse the Plan for benefits that were paid after your and/or your dependents coverage terminated. 

 

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MEBA Benefit Plans
1007 Eastern Avenue
Baltimore, MD 21202-4345
(410) 547-9111 or (800) 811-MEBA

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