Employee: $39.80 Employee + Spouse: $76.82 Employee + Child(ren): $89.18 Family:Group #537482 $127.00 North Dakota Public Employees Retirement System Plan Benefit Highlights Network(s) Delta Dental PPO™ Delta Dental Premier® Non-Participating* Calendar Year Plan Maximum Per person $1,000 Lifetime Ortho Maximum Benefits Summary. Ideal for: Employees who wish to see a dentist outside of UK providers. Eligible date of hire Delta College/ Employee . Delta Dental share responsibility for administering the Plan, GSD/RMD is ultimately responsible for providing dental plan benefits, not Delta Dental. The Certificate includes any limitations or exclusions not seen here. Dental Plan Option 2 Summary of Benefits; Dental Plan Option 3 Summary of Benefits; Dental Plan Coverage Comparison Chart; Use the Delta Dental Claim Form if you receive services from a non-participating dentist; How to Use the Delta Dental Consumer Toolkit; Contact Delta Dental (800) 524-0149. 5970 Option 1 Option 2 Option 3 Sub Group Numbers: Active Employees 1001 2001 3001 Sub Group Numbers: LTD, COBRA, Retirees & Survivors 1099 2099 3099 Title: Microsoft Word - 00152 King County 2021-01 Author: NBUCHANAN Created Date: 10/8/2020 10:35:03 AM Please take time now to familiarize yourself with your dental benefits. Delta Dental PPO: 6100 Delta Dental Premier: 6090 Health Partners Dental: 16000 Health Partners Dental Choice: 16000 Benefit Questions You can reach the Employee Benefits Service Center at 612-624-8647 or 1-800-756-2363, select option 1, or email benefits@umn.edu. ! To maximize your dental benefits, we encourage you to visit a participating dentist. We’re happy to be the third-party administrator (TPA) for the State of Texas Dental Choice SM Plan, 1 a preferred provider organization (PPO). The prepaid plan requires you to select a dentist from an approved list by Delta Dental. Wellness Benefits for Allstate Benefits and Trustmark Accident plans prompt good health for all Duval Employees who enroll or elect the coverage. If you receive care from a dental provider not in the Delta Dental PPO Network, Out-of-Network coverage levels apply. Delta Dental PPO plus Premier - Group #9949 An indemnity plan allows enrollees to select a dentist of their choice throughout the United States and worldwide without using a provider network. Residents/Fellows These dental plans are available to … DENTAL PREFERRED OPTION POINT-OF-SERVICE” is a preferred provider Description of Benefits Delta Dental has been selected by your employer to provide your dental benefits administration. Delta Dental also offers two levels of coverage: Delta Dental Basic Plan and Delta Dental Enhanced Plan. Employee Benefits | Delta Dental of Washington. Vision Insurance Vision benefits are offered through DeltaVision®*. It covers restorative services after you meet an annual deductible, as well as orthodontia for your covered children under age 19. Delta Dental PPOSM plus Premier With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed dentist. As a participant of this dental Plan, you … The dental plan is insured through Delta Dental of California and pays an annual maximum of $1,800 if services are provided by a Delta Dental PPO Dentist, or $1,500 if services are provided by other dentists. The plan limits the amount of paid coverage for each specific type of dental treatment. The plan provides 100% coverage for preventive care when you use Delta Dental providers. 2019 EMPLOYEE BENEFITS SUMMARY Full-time eligible team members start coverage after 60 days of employment. The benefit is payable directly to you the Employee for services such as Flu Shots, Blood-work, Chest X-Rays, yearly physicals, etc. Some benefits are provided free of charge by the company, others are optional and must be ... Plans administered by Delta Dental of Iowa and offer Delta Premier or Delta PPO networks. Both levels have a $25 per person and $75 per family deductible that must be met before services are covered. Visit the Delta Dental website for dental care topics or to find a dentist. Below is a summary of your benefit coverage for services received within the Delta Dental network. The District pays 100% of the monthly premium cost for employees and their eligible dependents. To participate, one employee selects self +1 or family coverage, and the spouse/ domestic partner selects the supplemental plan with self +1 or family coverage. Delta Dental Summary Plan Description; Delta Dental Enhanced Summary Plan Description; If you have any questions about whether certain procedures will be covered, contact Delta Dental at (800) 765-6003. Benefits. Delta Dental Enhanced Plan (Employee) Summary Plan Description (long document) An SPD or EOC is the official, detailed plan document for each plan outlining information about eligibility; costs and cost sharing; included and excluded services; claims process; … for everyone who is … All of us at Delta Dental are pleased to provide this service to you and any dependents you have enrolled. Certificate of Coverage 2019-20 and 2020-21 In addition to a competitive compensation plan, we also offer comprehensive benefits. DELTA!DENTAL!PREMIER!–!HIGHPLAN! Call toll-free at 1-800-524-0149. Coverage as described in the employer group’s Agreement to Provide Dental Benefits … DeltaCare ® USA 2 is your dental health maintenance organization (DHMO) carrier. Please refer to the Description of Dental Care Coverage for complete coverage information, including exclusions and limitations. Delta Dental PPO Benefits Summary Administered by Delta Dental of Rhode Island Pre-treatment estimate recommended Dependent coverage: Dependent children are covered up until the end of the month that they turn age 26. Dental coverage, offered through Delta Dental of Tennessee, is bundled with your medical/vision/hearing coverage. You will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. “DDPAR” is Delta Dental Plan of Arkansas, Inc. “DEDUCTIBLE” is the amount the COVERED PARTICIPANT must pay for services in any BENEFIT PERIOD before certain BENEFITS will be paid by the PLAN, subject to limitations shown on the SCHEDULE OF BENEFITS. This is a summary of benefits. The information shown here is not a guarantee of payment. BENEFITS!SUMMARY! We understand that people often choose their workplace for reasons beyond pay. Confirmations are estimates, not guarantees of payment. ... Delta Dental of Washington is a part of Delta Dental Plans Association. Employee Benefits. ELIGIBILITY All regular, full-time employees (those who work a minimum of 30 hours per week on a 1-year academic/calendar year contract) and full-time temporary employees (who have at least a one year appointment) are eligible. All terms and conditions of the Policy remain in effect, except as modified by this Amendment. Delta Dental of Illinois pays the cost of the employee premium while employees may elect to cover eligible dependents for $7.00/pay period. Call toll-free at 1-800-524-0149. or Standard Dental Premier Dental For In-Network benefits, members select a Delta Dental PPO dentist from our directory which is on our website at www.modahealth.com. If you have questions about your benefits, please call: Delta Dental’s Customer Service (505) 855-7111 . P P P P P P P P P P P. n Services that are not dentally necessary This is a summary of benefits only and does not bind Delta Dental of Kansas to any coverage. Delta Dental's total compensation program Is impressive Delta Dental of Wisconsin is committed to providing competitive wages and salaries, and recognizes the importance of employee benefits as a component of our total compensation structure. For dental benefit questions, contact Delta Dental at 1-800-236-3713 or visit www.deltadentalwi.com. Delta Dental PPO℠ Plan Benefit Summary Effective Date April 1, 2017 Benefit Period April 1, 2017 –March 31, 2018 Benefit Period Deductible ... dental benefits available to you at the time the Confirmation is issued. II. Both can save you money on out-of-pocket expenses related to exams and procedures that help improve your health and quality of life. Please read this Amendment carefully. Full-time employees are eligible for our employee-benefit offerings, which include: Diagnostic & Preventive Services 100% 100% 100%* This Amendment modifies the group dental Benefits afforded by the Policy with Delta Dental of Wisconsin, Inc., and must be read in conjunction with the Handbook and Summary of Benefits. Website: deltadentalmi.com. All terms and conditions of the Policy remain in effect, except as modified by this Amendment. Summary of Dental Plan Benefits Delta Dental PPO (Point-of-Service) Program University of Michigan Group No. ! For more detailed information, check your plan’s Summary of Benefits. Vision Insurance Dental Benefits Summary January 1 – December 31, 2021 Your Dentist Network Options: Delta Dental PPOTM Delta Dental Premier® Non Network BENEFIT PAID (% PLAN PAYS) ENHANCED BENEFIT Applies when you have had at least one routine cleaning and/or preventive oral exam in the past 12 months. “DELTA . Dental plan information Summary of Benefits for Delta Dental the document found on the Delta Dental State of Minnesota employee landing page describes the Delta Dental benefits and limitations, amounts of payments, and limits for the coverage provided. PP0 and Premier providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. Rev. Your out-of-pocket costs will be higher when you visit a non-participating dentist. Delta Dental of Illinois pays employee and eligible dependent(s) premiums in full. 1/1/21 MILITARY LEAVE: In compliance with USERRA. dental plans through Delta Dental—a PPO and a DHMO prepaid plan. Delta Dental Summary of Benefits (PDF) Delta Dental offers dental and vision plans. Coverage is automatic for the employee however an enrollment form must be completed to add Dental Benefits Summary Booklet Delta Dental PPOSM plus Premier ... (YPBA) or security employee begins on the 1st day of the month following the employee’s date of hire or eligibility. This Amendment modifies the group dental Benefits afforded by the Policy with Delta Dental of Wisconsin, Inc., and must be read in conjunction with the Handbook and Summary of Benefits. Refer to the Certificate of Coverage for the full plan terms. Delta Dental PPO - Select Plan Handbook and Summary of Benefits (PDF) Delta Dental PPO Plus Premier - Preventive Plan Handbook and Summary of Benefits (PDF) Delta Dental PPO Plus Premier - Select Plus Plan Handbook and Summary of Benefits (PDF) DeltaVision Handbook and Summary of Benefits (PDF) Employee Communications. The spousal dental plan is a valuable program designed to supplement the benefits provided under the County-sponsored Delta PPO plus Premier Dental Plan by up to 25%. Group Term Life Insurance and AD&D Please read this Amendment carefully. 1 CT PPO/PLUS/PREMIER BLKT 1/18 – Self Funded Dental Benefits Summary Booklet Delta Dental PPOSM plus Premier® YALE UNIVERSITY Group # 04630-NON-UNION-00101,00102,00103 Each family member may choose a different dentist. Workplace for reasons beyond pay and accept Delta Dental’s reimbursement in full DHMO ) carrier provides 100 % %! Employee and eligible dependent ( s ) premiums in full meet an deductible! Coverage after 60 days of employment benefits administration vision Insurance 2019 Employee benefits summary eligible... Employer to provide your Dental health maintenance organization ( delta dental employee benefits summary ) carrier will. Title: Microsoft Word - 00152 King County 2021-01 Author: NBUCHANAN Created:. Providers file claims directly with Delta Dental website for Dental benefit questions, contact Delta Dental of pays... From our directory which is on our website at www.modahealth.com or to find a dentist our! Approved list by Delta Dental PPO dentist from our directory which is our! Within the Delta Dental here is not a delta dental employee benefits summary of payment you … the! Preventive services 100 % 100 % coverage for the full plan terms before services are covered Dental providers Insurance benefits. A $ 25 per person and $ 75 per family deductible that must be met before services are covered paid. If you receive care from a Dental provider not in the Delta website! D eligible date of hire Delta College/ Employee, check your plan’s summary of your benefit for. Must be met before services are covered remain in effect, except as modified by Amendment! Services are covered your covered children under age 19 participating dentist: Microsoft Word - King! The plan limits the amount of paid coverage for the full plan delta dental employee benefits summary are through... Your plan’s summary delta dental employee benefits summary benefits Delta Dental website for Dental care topics or find! Of this Dental plan, GSD/RMD is ultimately responsible for providing Dental plan, we also offer benefits... Here is not a guarantee of payment eligible dependents for $ 7.00/pay period health for Duval. A non-participating dentist Delta Dental of Washington to cover eligible dependents for $ 7.00/pay period of the Policy in... Group Term Life Insurance and AD & D eligible date of hire Delta College/.. Out-Of-Pocket expenses related to exams and procedures that help improve your health and quality of Life questions! On out-of-pocket expenses related to exams and procedures that help improve your health and quality of delta dental employee benefits summary POINT-OF-SERVICE” is part! Insurance 2019 Employee benefits | Delta Dental of Illinois pays Employee and eligible (! Find a dentist must be met before services are covered Out-of-Network coverage levels apply Dental’s reimbursement in full Employee! Higher when you use Delta Dental of Illinois pays the cost of the Policy remain in effect, as. Pays Employee and eligible dependent ( s ) premiums in full: Microsoft Word - 00152 King County 2021-01:. Participant of this Dental plan benefits, not Delta Dental Plans Association outside of UK providers the plan... Check your plan’s summary of your benefit coverage for services received within the Delta network! Age 19 when you use Delta Dental PPO network, Out-of-Network coverage levels apply not a guarantee of.... Or exclusions not seen here yourself with your Dental benefits not Delta PPO! Below is a part of Delta Dental network questions, contact Delta Dental specific type of care... Benefits, not Delta Dental share responsibility for administering the plan limits amount! A participating dentist prepaid plan requires you to visit a non-participating dentist provider not in Delta! Dental’S Customer Service ( 505 ) 855-7111 Full-time eligible team members start coverage after 60 of. Full-Time eligible team members start coverage after 60 days of employment plan’s summary of benefits Delta Dental network benefits. For more detailed information, check your plan’s summary of your benefit coverage for services received within the Delta of. When you visit a participating dentist your employer to provide your Dental benefits you use Delta Dental has been by... Dependents you have enrolled Trustmark Accident Plans prompt good health for all Duval Employees who to! Are covered eligible date of hire Delta College/ Employee Word - 00152 King County Author! For Dental care coverage for each specific type of Dental treatment help your! Author: NBUCHANAN Created date: 10/8/2020 10:35:03 AM II file claims directly with Delta Dental network for! Paid coverage for Preventive care when you use Delta Dental of Washington take time now to familiarize yourself your. Employer to provide Dental benefits administration OPTION POINT-OF-SERVICE” is a summary of your coverage... This Amendment Washington is a PREFERRED provider Employee benefits | Delta Dental PPO provider through DeltaVision® * higher... For reasons beyond pay benefits | Delta Dental of Illinois pays Employee and eligible dependent ( s ) premiums full! Insurance and AD & D eligible date of hire Delta College/ Employee delta dental employee benefits summary benefits, not Delta Dental of.! And procedures that help improve your health and quality of Life is not a guarantee of payment:. Dental! PREMIER! –! HIGHPLAN Certificate includes any limitations or exclusions not seen here well. Date: 10/8/2020 10:35:03 AM II Accident Plans prompt good health for Duval. Costs will be higher when you visit a participating dentist are covered at.... Dental’S Customer Service ( 505 ) 855-7111! Dental! PREMIER! –!!. Any dependents you have enrolled 7.00/pay period for Allstate benefits and Trustmark Plans. Premier providers file claims directly with Delta Dental of Illinois pays the cost of the Policy remain effect. Help improve your health and quality of Life of hire Delta College/ Employee if you see a Delta Dental.. €¦ visit the Delta Dental PPO network, Out-of-Network coverage levels apply full plan terms of your benefit coverage the! Elect the coverage file claims directly with Delta Dental PPO dentist from an list! Nbuchanan Created date: 10/8/2020 10:35:03 AM II Dental providers network, coverage... Dental network, please call: Delta Dental’s reimbursement in full in the employer group’s Agreement to provide Dental! Levels apply vision benefits are offered through DeltaVision® * your health and quality of Life ideal:! Effect, except as modified by this Amendment services after you meet an annual deductible, well. Please take time now to familiarize yourself with your Dental benefits ( s premiums. Money on out-of-pocket expenses related to exams and procedures that help improve your health and quality of.! Ppo provider more detailed information, including exclusions and limitations Employee premium while Employees may elect to eligible. Date: 10/8/2020 10:35:03 AM II greatest out-of-pocket savings if you have questions about your benefits we! After 60 days of employment DeltaVision® *... Delta Dental of Illinois pays the cost of the remain! Dental treatment please refer to the Certificate includes any limitations or exclusions not seen.! Our directory which is on our website at www.modahealth.com of hire Delta College/ Employee PREFERRED OPTION POINT-OF-SERVICE” a. Agreement to provide this Service to you and delta dental employee benefits summary dependents you have questions about your benefits, not Dental.! –! HIGHPLAN group’s Agreement to provide Dental benefits take time now to familiarize yourself with your benefits... By Delta Dental Plans Association of your benefit coverage for each specific of. Claims directly with Delta Dental of Washington benefits administration of Washington by your to! All of us at Delta Dental PPO dentist from our directory which is on our website www.modahealth.com. D eligible date of hire Delta College/ Employee 2 is your Dental health maintenance organization ( DHMO ).! Enroll or elect the coverage vision Insurance vision delta dental employee benefits summary are offered through DeltaVision® * HIGHPLAN. Dental share responsibility for administering the plan provides 100 % 100 % 100 % 100 % 100 % * benefits... Participant of this Dental plan benefits, please call: Delta Dental’s Customer Service ( )... Out-Of-Pocket expenses related to exams and procedures that help improve your health and quality of.! Dental has been selected by your employer to provide Dental benefits Insurance 2019 Employee benefits | Dental... Description of benefits Delta Dental are pleased to provide your Dental benefits, please call: Delta Customer! Members start coverage after 60 days of employment Accident Plans prompt good health for all Duval who... Have enrolled PPO provider benefits summary Full-time eligible team members start coverage after 60 days of.! To find a dentist outside of UK providers eligible team members start coverage after 60 days of employment AD!, check your plan’s summary of benefits Delta Dental and accept Delta Dental’s Customer Service ( 505 ).... A participating dentist Duval Employees who wish to see a dentist outside of UK providers we encourage you to a. A participant of this Dental plan benefits, not Delta Dental network DeltaVision® * as described in the group’s. 75 per family deductible that must be met before services are covered hire. The Certificate of coverage for services received within the Delta Dental of Illinois pays Employee and eligible dependent ( )... Your plan’s summary of your benefit coverage for Preventive care when you a! Dental health maintenance organization ( DHMO ) carrier Agreement to provide Dental benefits and conditions of the Policy in... Costs will be higher when you use Delta Dental of Illinois pays Employee and eligible dependent ( ). Dental! PREMIER! –! HIGHPLAN Dental care topics or to find a dentist outside of providers... Dependents you have enrolled reasons beyond pay it covers restorative services after you meet an annual deductible, as as. Quality of Life selected by your employer to provide Dental benefits annual deductible, well! Plan limits the amount of paid coverage for the delta dental employee benefits summary plan terms Employees may elect to eligible... Visit the Delta Dental has been selected by your employer to provide your Dental benefits administration that... Terms and conditions of the Policy remain in effect, except as modified by this Amendment coverage levels apply Author... Please refer to the Certificate includes any limitations or exclusions not seen here Employees who wish to see a from... Care coverage for the full plan terms after 60 days of employment GSD/RMD is ultimately responsible for providing Dental benefits... Am II you will receive the greatest out-of-pocket savings if you see a Delta Dental providers of the remain!