Dental Plan

Enhanced Dental Plan (Option 1) - This plan is designed to help you meet the expense of dental care by providing comprehensive coverage. 
Click here to view the Enhanced Plan Schedule of Benefits.

• Enhanced Plan Monthly Rates
• Employee Only - $28.08
• Employee and Spouse - $55.20
• Employee and Children - $67.16
• Family - $94.28

Basic Dental Plan (Option 2) - This plan covers preventive services and features a benefit schedule for all other services.
Click here to view the Basic Plan Schedule of Benefits.

• Basic Plan Monthly Rates
• Employee Only - $16.72
• Employee and Spouse - $31.64
• Employee and Children - $43.84
• Family - $58.76

Eligibility for Enrollment

Employees appointed for more than 120 days and 75% of full-time or greater are eligible for enrollment. 


Effective Date of Coverage

• New employees have 30 days to either enroll for or waive coverage. Coverage is effective on the first day of the month after completion of one full calendar month of employment.
• Employees who do not enroll within the first 30 days may elect to enroll during the annual enrollment period held in April of each year with an effective date of July 1.

Forms

• Enhanced Plan Features and Enrollment Form
• Basic Plan Features and Enrollment Form
• Ameritas Dental Change Form
• Continue Coverage Under COBRA