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Guardian Dental Insurance

Dental Insurance is provided to Fair Trade USA employees through Guardian. Regular employees working 20 hours per week or more are eligible for dental coverage. On Guardian’s PPO dental plan, the member has the choice of accessing care from either a preferred (network) provider or a non-network provider. Preventive care on the Guardian dental plan will be provided at 100% (no out of pocket costs) for network services or 50% for non-network services.  Basic services are covered at 80%, after deductible for network services or 50%, after deductible for non-network services. Major services are covered at 50%, after deductible (network and non-network services). The plan has a $1,000 calendar year maximum.  A pre-treatment review and service authorization are required for treatment plans.  CHECK OUT THE MAXIMUM ROLLOVER ACCOUNT FEATURE ON THIS PLAN (REFER TO FREQUENTLY ASKED QUESTIONS AND/OR THE DENTAL ENROLLMENT KIT FOR DETAILS ON THIS BENEFIT)!

Guardian Dental
Group Number:
436440
Member Services: (800) 541-7846
Website: www.guardiananytime.com

Eligibility Requirements

  • Eligible on the first day of the month following 30 days from date of hire
  • Dependents are covered up to age 19 or to age 25 if a full time student
  • 20 hours per work week requirement
Resources
Guardian Dental (Only) Plan Documents
 2014 Guardian Dental Benefit Summary  
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DOWNLOAD

(Updated 4-15-2014)

  File size: 142 K
Guardian Insurance Enrollment (Dental, Life/AD&D, Disability)
 Guardian California Employee Enrollment Form  
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DOWNLOAD

This is the Guardian California Employee Enrollment Form. Be sure to check out the Optional LTD Buy Up Option that is available under the LTD plan!

(Updated 1/26/2012)

  File size: 47 K
 Guardian Non-California Employee Enrollment Form  
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DOWNLOAD

This is the Guardian Non-California Enrollment Form. Be sure to check out the Optional LTD Buy Up Option that is available under the LTD plan!

(Updated 1/26/2012)

  File size: 48 K
Guardian Insurance Benefit Summaries (Dental, Life/AD&D, Disability)
 Guardian California Benefit Summary  
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DOWNLOAD

This is the California Guardian Benefit Summary that includes Dental, Life/AD&D, LTD & EAP plans. Be sure to check out the Optional LTD Buy Up Option that is available under the LTD plan!

  File size: 749 K
 Guardian Non-California Benefit Summary  
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DOWNLOAD

This is the Non-California Guardian Benefit Summary that includes Dental, Life/AD&D. STD, LTD and EAP plans. Be sure to check out the Optional LTD Buy Up Option that is available under the LTD plan!

  File size: 762 K
 Guardian Non-CA STD Benefit Summary  
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DOWNLOAD

This is the Guardian Non-CA Short Term Disability Benefit Summary. Employees have a 20 hour per work week requirement to qualify.

  File size: 58 K
 Guardian Certificate of Coverage  
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DOWNLOAD
This is the Guardian Certificate of Coverage.
  File size: 209 K
Guardian Insurance Forms
 Guardian Dependent Eligibility Certification Form  
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DOWNLOAD

This is the Guardian Dependent Eligibility Certification Form.

  File size: 19 K
 Guardian Declaration of Domestic Partnership  
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DOWNLOAD

This is the Guardian Declaration of Domestic Partnership.

  File size: 45 K
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