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Dependents Dental Plan
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Figure 8-6.-Copy of Uniformed Services Active Duty Dependents' Dental Plan (DDP) Enrollment Election, DD Form 2494
coverage    starts     1 June    1995.   These   dependents must also   be   enrolled in    the   Defense    Enrollment Eligibility Reporting System (DEERS) and possess     current identification (ID)    cards   if   age   10  or   older.    Figure     8-6 shows   you   a  copy   of  DD   Form    2494. Inform members   that    in   order    to  prevent     possible delay    in   settlement of  dental claims,    they    should    not schedule   dental    appointments until: The    DDP    premium deduction appears    on   their Leave   and   Earnings Statement    (LES); The   dependent    has   been   enrolled     in   DEERS    for at  least   a  month    before   the   dental    appointment; or The    dependent, current    ID   card. BENEFITS if   age   10  or  older,    possesses   a Some   of  the    DDP   benefits include the   following: examinations, X-rays,     cleaning, sealants,     and   fillings. Additionally, the    plan    covers    root    canal    treatments; treatment of    gum disease; crowns, bridges, and dentures; extractions, including wisdom teeth; and braces. As  with commercially available dental     insurance plans,    DDP   benefits    are  subject   to  restrictions based  on processing    policies    and   generally accepted   standards     of dental    practice.   There   are  time   limitations, such  as  only two    oral    examinations in    any    12-month period; age limitations, such   as  orthodontic coverage   only    applying to  patients    underage   19; an  annual    maximum    per  patient on  all    services   except   orthodontics, a  lifetime     maximum per   patient on  orthodontics, and   sponsor   co-payments. ELIGIBILITY Enrollment is  limited to   spouses    and   children of active     duty     members     of  the    uniformed services    who intend to  remain on  active    duty    for   a minimum of  24 months.    There    must   be  an  intention on  the   part    of  the Navy    and  the   active   duty   member   (or  reservist    on  active duty,   hereafter    treated   as an  active   duty   member)  for  the member to   remain on   active     duty     for   the    minimum period    of  enrollment of  his    or  her   eligible     dependents. Canvasser     recruiters are  examples    of  reservists     falling in   this    category.    In   addition for   these   dependents    to  be eligible     for   DDP   they   must: l Reside    in   the   50  United States,    the   District of Columbia, the   U.S.   Virgin Islands,     Puerto    Rico, or  Guam; l Be  currently enrolled     in   DEERS; l Be   eligible for    Civilian Health and    Medical Program of the Uniformed Services (CHAMPUS) benefits; or l If   age  10  or  older,   possess a  current     ID   card. ENROLLMENT PROCEDURES Enrollment may   be  initiated by   the   sponsor   at   any time    and   is  effective    the   month    following in   which     the application is  received    in   the   personnel     office.   Changes in   enrollment status    for   individual or  family,     or  family to  individual, are   effective the   first     day   of  the   month following the   month    in   which    the   enrollment change   is made. A   dependent added    to   a  sponsor     who    is   already paying family premiums becomes    eligible for    DDP benefits    the   first     of  the   month    following the   month    in which     the   change   in   family status    is   made   to  DEERS. The sponsor must submit DD     Form 2494     to    the PERSUPPDET or  personnel    office   to  enroll    or  disenroll from   the   DDP. After the submission of     the form to the PERSUPPDET or    personnel office, a   NAVCOMPT 3.060  or   appropriate SDS   event/document is   prepared and  sent  to  the   Defense  Finance   and  Accounting     Service -   Cleveland Center     (DFAS-CL) to   effect   the    premium deductions.     Enrollment is   for   a  minimum period    of  24 months; however, there     are   conditions under     which disenrollment can   be   accomplished. These    conditions are  discussed  in   the   next    section, TERMINATION OF   COVERAGE Termination of  coverage   can   either    be  involuntary or  voluntary. Involuntary termination can   be  due   to separation    or  death   of the   sponsor.  In   this   case, coverage automatically ends  on  the  last   day  of the   month   in  which separation    or  death   occurs.  For   dependents    of  deserters, the    coverage    ends   on   the    last    day    of  the    month the member   is  declared    a  deserter.    For   personnel     who    are in   a  nonpay     status    (such    as  unauthorized absence   in excess     of    30    days, civilian confinement, military confinement     with     forfeiture of  pay   and   allowances,     and leave   without pay),   coverage  terminates on  the   last   day of  the   month    in   which     member   reaches   30  days   in   the nonpay   status. 8-13

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