Dental Insurance

Your Active CSEA Membership opens the door to valuable services designed to protect you and your family. Dental Insurance offered through MetLife, provides an affordable solution that aims to help you minimize your out of-pocket expenses. Choose from MetLife’s PPO or HMO plan, and take advantage of the affordable payment options available. Choose the plan that best suits you and your family’s needs, and simply complete the Dental Enrollment form today.

For more information on program benefits, review the benefits and copayments for our HMO and PPO plans, and choose the plan that best suits your needs.

Our Dental Insurance Program is underwritten by MetLife.

FILLABLE ENROLLMENT FORMS

PPO Dental Enrollment Form – Active Members
PPO Dental Enrollment Form – Retirees
PPO Dental Enrollment Form – with Prior Coverage within 30 Days of Enrolling
HMO Dental Enrollment Form

Make paying easier with online payments.
Click here to download our ETF Authorization Form and include it with your application to sign up.

FILLABLE FORM SUBMISSION

After completion, please sign and date the application, make a copy for your records, and return to:
CSEA Insurance Plans
P.O. Box 418131
Kansas City, MO
64141-8131

IMPORTANT DOCUMENTS & DISCLOSURES