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DENTAL INSURANCE

Enrolling, terminating, or changing dental insurance plans may be done only during the Annual Enrollment Transfer Period (October 15 - November 15), with an effective date of January 1st.

When choosing a dental plan:

Plans you may choose from are:

PREPAID PLAN administered by Assurant (1-800-443-2995)
You must choose a primary care dentist from the network; co-pays for dental procedures; some procedures at no charge; no claim forms to submit; pre-existing conditions are covered; no maximum benefit levels; no deductibles; 25% discount on all orthodontic services; no age or dollar maximum restrictions on orthodontics.

PREFERRED PROVIDER ORGANIZATION (PPO) administered by Delta Dental (1-800-223-3104)
You may select any dentist; $1,000 calendar year maximum per person; $0 deductible per individual for in-network provider; $100 deductible per individual for out-of-network provider; benefits for covered services paid at the lesser of dentist charge or the scheduled amount. Some services require waiting periods and limitations and exclusions apply.

What is the Delta Dental "Safety Net"? If you visit a dentist who is not a Delta Dental PPO provider but is a Delta Dental Premier provider, the amount you may be balance billed is limited. This may be an additional savings to you and your family members.



Forms
Group Insurance Enrollment Form
Primary Care Dentist Card MUST also be submitted if you are enrolling in the Prepaid Plan.