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Enrollment instructions for retirees

Office of the Comptroller of the Currency

Retirees enrollment information

All about enrolling

Your employer pays 100% of the premiums for you and your eligible dependents, regardless of the dental option you chose. When an OCC employee who has dental insurance retires, he or she can continue dental coverage by electing the PPO option. You are required to complete the enrollment process within 31 days from your separation date from the OCC.

Retirees who choose to participate in the PPO option must pay their own monthly premiums through electronic funds transfer or recurring credit card payment. The monthly premium rates for retiree dental coverage are as shown:

Delta Dental PPO™
Single (retiree only) $47.38
Two Person (retiree and one dependent) $85.64
Family (retiree and two or more dependents) $155.02

Enrollment information

Retired OCC employees who were participating in the program as an active employee are provided a one-time opportunity to elect the PPO option as a retiree through Delta Dental’s self-enrollment tool. At the time of enrolling in the program as a retiree, a two-month premium payment will be required. You will need to register on the Member Portal and enter your Electronic Funds Transfer (EFT) or Recurring Credit Card selection for premium payment information, or complete an   Electronic Funds Transfer (EFT) and Recurring Credit Card (RCC) Payment Authorization Form to set up your recurring premium payments.

Completed forms should be mailed or faxed to:

Federal Government Programs
Post Office Box 537007
Sacramento, CA 95853-7007

Fax: 916-851-1559

For more information about enrolling in the OCC Dental Insurance Program as a retiree, refer to the   Fact Sheet for Retirees.

Delta Dental

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