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975 East Third Street
Chattanooga, TN 37403
Children's Hospital at Erlanger Erlanger Baroness Campus Erlanger Bledsoe Campus Erlanger East Campus Erlanger North Campus UT Erlanger Physicians Group

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Dental Insurance

 Dental Document Plan Booklet   Premium Rates
  Premium Rates - Qualifying Events 
 How to Read BCBS Statements (EOB)
 Medical/Dental Enrollment/ Termination/Change Form
 Blue Cross Website

Erlanger offers a dental benefit plan through BlueCross BlueShield of Tennessee (BCBST).  The dental
benefit plan is a self-insured plan and is administered by BCBST in the “DentalBlue” network under group number 89550.  
To be eligible for the Dental Benefit Plan, an employee must be classified as a regular employee and hired as a 0.52 FTE or greater.  An employee may elect individual or family coverage.
Eligible employees may enroll in individual or family dental coverage within 31 days of their hire date; or within 31 days of a qualifying event.   Eligible employees may also enroll in the Dental Benefit Coverage during any Open Enrollment Period.
Effective Date of Coverage
New Hires
The effective date of the Dental Benefit Coverage will be the first of the month following the initial one-month waiting period from an employee’s hire date.
Qualifying Events
Qualifying events that allow an employee to enroll, terminate or make changes outside of the annual enrollment period are: marriage, divorce, birth/adoption, spouse/dependents losing dental coverage through no fault of their own; becoming eligible for Medicare; or transferring from an ineligible position (below 0.52 FTE) to an eligible position (0.52 FTE or above).  

 Birth/Adoption:   Coverage becomes effective the date of the birth 
 Marriage:  Coverage becomes effective the date of the marriage
 Divorce:   Coverage becomes effective the day after the divorce
 Loss of coverage:    Coverage becomes effective the day after coverage ends

All qualifying events require completion of the Medical/Dental Enrollment/Change Form and appropriate documentation of the event must accompany the form (i.e. birth certificate, divorce decree, etc.). The form and documentation must be submitted to the Benefits Department within 31 days of the event. If the completed form and documentation are not submitted to the Benefits Department within 31 days from the qualifying event, the next opportunity to enroll, terminate or make changes to the Dental Benefit Plan will be during the next open enrollment period. 

How to Contact BlueCross BlueShield of Tennessee
You may contact BlueCross BlueShield of Tennessee by telephone at 1-800-565-9140 or through their website at Please have your health insurance card ready with account information.