Hi-Tech Utility - 2024 Benefits Guide

Dental Coverage

Good dental care is critical to your overall well-being. With Unum Dental Insurance, you can get the attention your teeth need - at a cost you can afford. To get the most from your benefits and reduce out-of-pocket costs, choose an in-network provider by utilizing our large national network. These providers have agreed to file your claims and uphold the highest quality standards. You can find in-network providers at unum.com/dental-providers

Insurance Carrier:

Unum Dental Insurance

Plan Type:

Base Plan

Buy-Up Plan

Calendar Year Deductible Calendar Year Maximum

$50 Individual / $150 Family

$50 Individual / $150 Family

$1,000

$2,000

Preventive Services

100%

100%

Basic Services Major Services Endo / Perio

80% 50% 80% N/A

80% 50% 80%

Orthodontia (for everyone)

$1,500

Out-of-Network Reimbursement Employee Weekly Deduction Employee Only

90th UCR

90th UCR

$6.86

$8.23

Employee + Spouse Employee + Child(ren)

$13.52 $18.27 $27.04

$16.26 $21.39 $31.85

Family

14 HI TECH UTILITY 2024 BENEFITS GUIDE

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