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.
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.
Additional information