Dental Indemnity
ods-Ddelta
dental
protective dental
Dental PPO
ods-Ddelta
dental
Dental HMO
cigna
delta dental
denticare
pacific dental
liberty dental
Vision Plans
Disability/Life
Protective Dental
Indemnity Choose Your Own Dentist
Available in all 50 states
Benefit Summary
You will need to Adobe Acrobat to read the benefit summary.
A copy can be obtained from the following link.
Download Adobe
Acrobat
Please use the zoom option in Adobe Acrobat to best view this form.
Rates! Per pay period (every 2 weeks). Listed separately by state and by type of membership. Includes discounted rates for selecting both a dental and vision plan. The vision plan is provided by Vision Service Plan.
Rates Effective 7/01/2006 through 6/30/2008
Dental + Vision |
Dental Only |
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IFPTE Member |
IFPTE Member |
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Employee |
$18.32 |
$12.15 |
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Employee + 1 |
$29.16 |
$20.83 |
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Employee + Fam |
$45.58 |
$33.84 |
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Forms to Print! Click on
the desired form to enlarge the view and select print from you web browser. If you
do not have acces to a printer see our contact information below. Please mail all forms
and correspondence to NWPA. You will need to
Adobe Acrobat to read the enrollment form.
A copy can be obtained from the following link. Download Adobe Acrobat
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Protective Dental enrolment form |
IFPTE Member direct deposit form. |
Associate Member direct deposit form. |