DENTAL INSURANCE
DENTAL PLAN INFORMATION
65%+ FTE FACULTY 75%+ FTE STAFF
ELIGIBILITY
COMPREHENSIVE W/ ORTHO $50 PER PERSON $150 FAMILY DOES NOT APPLY TO DIAGNOSTIC, PREVENTIVE, OR ORTHO SERVICES $2,000 PER PERSON, EXCLUDING ORTHODONTIC SERVICES
PLAN INFORMATION
BASIC
COMPREHENSIVE
$50 PER PERSON $150 FAMILY DOES NOT APPLY TO DIAGNOSTIC OR PREVENTIVE
$50 PER PERSON $150 PER FAMILY
ANNUAL DEDUCTIBLE
$1500 PER PERSON, EXCLUDING ORTHODONTIC SERVICES
$500 PER PERSON
ANNUAL MAXIMUM BENEFIT
80% AFTER DEDUCTIBLE
100% NO DEDUCTIBLE
100% NO DEDUCTIBLE
DIAGNOSTIC & PREVENTIVE CARE
BASIC SERVICES 60% OF PERIODONTIC SERVICES 80% OTHER SERVICES
80% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
80% ON TMD TREATMENT 60% OTHER SERVICES
80% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
MAJOR SERVICES
60%* LIFETIME MAX $2,000 PER ELIGIBLE DEPENDENT UNDER AGE 19
NOT COVERED
ORTHODONTIC SERVICES
NOT COVERED
EMPLOYEE CONTRIBUTION
RATES VARY BASED ON COVERAGE SELECTION
PLAN ADMINISTRATOR
DELTA DENTAL
The percentages are applied to Delta Dental's allowance for each service and it may vary due to the dentist's network participation.
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