Dental

The full-time dental plan, administered by Cigna, offers coverage for preventive, minor, and, major dental care. To learn more, click here or call 1-800-542-4296.

Dental Plan Design:

You have flexibility in your choice of provider, but you receive the highest level of benefits when you use in-network providers.

Dental Plan Highlights

 

Low Plan

In-Network Out-of-Network
Maximum BenefitsYear 1: $1,300 per covered member per calendar year

Year 2*: $1,400 per covered member per calendar year

Year 3 and beyond*: $1,500 per covered member per calendar year

* Calendar Year Maximum increases are contingent upon receiving Preventive Services in the preceding Calendar Year. If an employee or covered dependent does not have preventive services, their benefit maximum will be reduced by $100 per year. All employees and covered family members will be guaranteed the first year benefit maximum regardless of their participation in preventive services.
Year 1: $1,000 per covered member per calendar year

Year 2*: $1,100 per covered member per calendar year

Year 3 and beyond*: $1,200 per covered member per calendar year

*Calendar Year Maximum increases are contingent upon receiving Preventive Services in the preceding Calendar Year. If an employee or covered dependent does not have preventive services, their benefit maximum will be reduced by $100 per year. All employees and covered family members will be guaranteed the first year benefit maximum regardless of their participation in preventive services.
Deductible$50 per covered member per calendar year, $150 aggregate family limit$250 per covered member per calendar year, $750 aggregate family limit
Diagnostic/ Preventive Care (Class A)Covered at 100%; no deductibleCovered at 100%; no deductible
Basic Services (Class B)Covered at 80%; deductible appliesCovered at 80%; deductible applies
Major Services (Class C)Covered at 50%; deductible appliesCovered at 50%; deductible applies
Orthodontia Services (Class D)Covered at 50%; no deductible; $1,000 lifetime benefit (for children up to age 26, employees, and spouses)Covered at 50%; no deductible; $1,000 lifetime benefit (for children up to age 26, employees, and spouses)

 

High Plan

In-Network Out-of-Network
Maximum BenefitsYear 1: $1,800 per covered member per calendar year

Year 2*: $1,900 per covered member per calendar year

Year 3 and beyond*: $2,000 per covered member per calendar year

* Calendar Year Maximum increases are contingent upon receiving Preventive Services in the preceding Calendar Year. If an employee or covered dependent does not have preventive services, their benefit maximum will be reduced by $100 per year. All employees and covered family members will be guaranteed the first year benefit maximum regardless of their participation in preventive services.
Year 1: $1,300 per covered member per calendar year

Year 2*: $1,400 per covered member per calendar year

Year 3 and beyond*: $1,500 per covered member per calendar year

*Calendar Year Maximum increases are contingent upon receiving Preventive Services in the preceding Calendar Year. If an employee or covered dependent does not have preventive services, their benefit maximum will be reduced by $100 per year. All employees and covered family members will be guaranteed the first year benefit maximum regardless of their participation in preventive services.
Deductible$50 per covered member per calendar year, $150 aggregate family limit$250 per covered member per calendar year, $750 aggregate family limit
Diagnostic/ Preventive Care (Class A)Covered at 100%; no deductibleCovered at 100%; no deductible
Basic Services (Class B)Covered at 80%; deductible appliesCovered at 80%; deductible applies
Major Services (Class C)Covered at 50%; deductible appliesCovered at 50%; deductible applies
Orthodontia Services (Class D)Covered at 50%; no deductible; $2,000 lifetime benefit (for children up to age 26, employees, and spouses)Covered at 50%; no deductible; $2,000 lifetime benefit (for children up to age 26, employees, and spouses)