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Monthly Premiums for 2012 Delta Dental
DELTA PREMIER PLAN
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Single |
2-Party |
Family
|
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$59.84 |
$106.40 |
$153.72 |
Benefit Highlights
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If using a Delta PPO Dentist the limit on benefits
increases by $200 to $1,400 per calendar year.
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Cleanings are now 2 per calendar year. There is no
longer a 6-month waiting period between cleanings.
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Effective January 1, 2012, there is a two
year enrollment commitment. You will not be allowed to cancel coverage until
you have been on the plan for two years. If you do cancel coverage, you will
not be allowed to re-enroll for two years. Please sign
form and mail to Insurance
Office.
Enrollment / Add form to be used during
Open Enrollment period
or outside Open Enrollment for a qualifying event (marriage, birth of a child).
Please return the form to the the Benefits Office. This form is also used for
address changes.
If possible, take a
Claim Form with you to the
doctor's office. This will make it easier for the staff to process your
benefits.
Active Employee & Retiree
Group #6736-0001
COBRA Participant Group
#6736-0002
The most up-to-date list of PPO
and Premier
dentists is available online at
www.deltadentalins.com.* Use
the "Find a Dentist" feature at the right side of the home page. Enrollees can obtain a list
of dentists or can locate specific dentists by name. They can also find a map
and driving directions to each office and other helpful information, such as
languages spoken and weekend office hours. To help you with the online Dental,
Please read flyer for
assistance.
Dental benefits are provided by Delta Dental
through Keenan & Associates.
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