Dental benefits and premiums

Two options are available through Delta Dental for full-time employees. This benefit will be effective on the first of the month after the hire date.

On this page:

High plan

High plan group number: 4276-1982.

  • Deductible: None
  • Annual maximum of $1,200 per person
  • Separate maximums for orthodontia and implants: both $1,200

High plan premiums

Coverage Monthly Total College Share Your Share Per Pay*
Single $28.45 $21.17 $7.28 $3.64
Two-Party $56.91 $34.85 $22.06 $11.03
Family $92.47 $49.92 $42.55 $21.28

* Premium is deducted from 24 of 26 annual paychecks.

High Option (PDF)

Low plan

Low plan group number: 4276-1981.

  • Deductible: All covered dental procedures, except diagnostic and preventative services, are subject to an annual per person deductible of $50/family limitation of $100
  • Annual maximum of $750 per person
  • Separate maximum for orthodontia and implants: both $750

Low plan premiums

Coverage Monthly Total College Share Your Share Per Pay*
Single $23.17 $21.17 $2.00 $1.00
Two-Party $46.34 $34.85 $11.49 $5.75
Family $75.30 $49.92 $25.38 $12.69

* Premium is deducted from 24 of 26 annual paychecks.

Low Option (PDF)

Additional information

Getting the most from your plan (PDF)

Delta Dental Official Website